Effects of urbanism,race, and class on happiness and physical health

The joint effects of urbanism, race, and socioeconomic status on self reported health and happiness are studied. Relationships of “neighborhood fear” and unemployment with health and happiness are also studied within different urban/rural race‐class categories. It is hypothesized that 1) lower socioeconomic status (SES) blacks residing in central cities will report the poorest health and lowest happiness and 2) “neighborhood fear” and unemployment will be most strongly related to health and happiness among central city lower SES blacks. The sample is pooled data from the 1972–1983 National Opinion Research Center (NORC) General Social Surveys. Findings indicate that urbanism has a modest negative relationship to happiness, but low SES urban blacks are not uniquely low in happiness. Contrary to the central city hypothesis, neighborhood fear is most strongly related to health among suburban blacks with less than high school or high school graduation attainment. A relative deprivation explanation is advanced. Unemployment negatively relates to the happiness of blacks and whites in a variety of urban‐SES‐race categories.     

Race and ethnic differences in depressed mood following the transition from high school

Young adulthood is a period of increased mental health risk, with evidence linking psychological disorder to problematic role transitions. To our knowledge, there has been little or no research that examines the forces shaping minority mental health at this time. Using a diverse, urban sample of young adults who are followed over a two-year period, this paper examines the link between race/ethnicity and depressed mood and the transitional roles and interpersonal experiences that mediate this association. Findings indicate that blacks and Hispanics have elevated depressed mood relative to whites and Asian Americans, independent of socioeconomic background factors. The underrepresentation of blacks and Hispanics in four-year colleges largely explains the differences in depressed mood between members of these groups and Asian American youth. In contrast, comparisons of black and Hispanic youth to white youth highlight problems in peer and parental relations among individuals in the former groups. Overall, findings suggest that the heightened depressed mood among Hispanics and blacks relative to whites and Asian Americans reflects their increasingly disadvantaged pathways into adulthood, characterized by poorer prospects for educational advancement and more problematic relationships subsequent to the high school years.     

DETERMINANTS OF SATISFACTION FOR BLACKS AND WHITES

The study analyzes the determinants of satisfaction for blacks and whites with data from the Quality of American Life survey conducted in 1971 and replicated in 1978. A domain satisfaction scale is the dependént variable and a series of demographic, social relationship, SES, and religion variables are used as independent variables. Separate regression analyses by race, and tests for the significance of the interaction of the independent variables with race reveal (1) perceived quality of important relationships (i.e., friends, neighbors, children, parents, and siblings) more strongly affects levels of satisfaction for both blacks and whites than demographic variables. SES, or religion; (2) black females report significantly lower levels of satisfaction than any other gender/race group; (3) blacks living in the East report lower satisfaction than any other region/race group; (4) feeling close to their parents more strongly impacts black than white levels of satisfaction; (5) religion is more important for blacks than for whites in producing satisfaction; and (6) SES is more important for whites than blacks in producing satisfaction. Theoretical interpretations are presented.     

Race and psychological distress: the South african stress and health study

We analyze data from the South African Stress and Health Study, a nationally representative in-person psychiatric epidemiologic survey of 4,351 adults conducted as part of the World Mental Health Survey Initiative between January 2002 and June 2004. All blacks (Africans, Coloreds, and Indians) initially report higher levels of non-specific distress and anger/hostility than whites. Access to socioeconomic resources helps explain differences in non-specific distress between Coloreds and whites and Indians and whites. However, only when social stressors are considered do we find few differences in psychological distress (i.e., non-specific distress and anger/hostility) between Africans and whites. In addition, self-esteem and mastery have independent effects on non-specific distress and anger/hostility, but differences between Coloreds and whites in feelings of anger/hostility are not completely explained by self-esteem and mastery. The findings contribute to the international body of work on social stress theory, challenge underlying assumptions of the minority status perspective, and raise a series of questions regarding mental health disparities among South Africans.     

Racial/Ethnic Disparities in Health: The Role of Lifestyle,Education, Income,and Wealth

Abstract

This article addresses the persistent relationship between race/ethnicity, SES, health-related lifestyle behaviors, and self-reported health using data from the 1995 National Health Interview Survey and its topical supplements. Through a series of models, we found that both SES (education, income, home ownership, and house and business monetary value) and health-related lifestyle behaviors (physical activity, nutrition awareness, and smoking) contribute to racial/ethnic disparities in self-reported health. Further, the impact of education on smoking behavior and self-reported health differs by race/ethnicity, with non-Hispanic whites receiving greater health benefits from education than African Americans and Hispanics. Although SES and lifestyle behaviors are indirect paths through which race/ethnicity affects health, the relationship between SES and health also is shaped by racial/ethnic status.     

Race differences in depressive symptoms: a dynamic perspective on stress exposure and vulnerability

The existence, nature, and strength of race differences in mental health remain unclear after several decades of research. In this research, we examine black-white differences in the relationship between acute stressors and depressive symptoms. We reframe the stress exposure and differential vulnerability hypotheses in the context of long-term trajectories of stress and depression, and we hypothesize that trajectories of stress growth will be associated with trajectories of depressive symptom growth. Using latent growth curve analysis of a sample of 1,972 older persons interviewed three times at three-year intervals, we test the hypotheses that (1) growth in exposure to loss-related events will predict growth in depressive symptoms, and (2) African Americans will experience greater stress growth than whites. Results support the hypotheses. Stress growth exhibited a linear increase for blacks but not for whites, and predicted depression growth for both races, but explained more variance for blacks than for whites.     

Socioeconomic status differences in vulnerability to undesirable life events

Previous research has documented consistently that persons holding low-socioeconomic status (SES) positions are more strongly affected emotionally by undesirable life events than are their higher-status counterparts. Two types of resources have been implicated in this differential vulnerability: financial resources and a broader class of coping resources, including social support and resilient personality characteristics. We present an analysis that disaggregates measure of life events and of SES to identify which events and which components of SES are most important for understanding differential vulnerability. We document that the lower-SES vulnerability persists across all types of personal events. In addition, we find that differential vulnerability is not confined to income but extends to education and occupational status as well. On the basis of these patterns, we conclude that differential vulnerability reflects more than a simple economic reality. Previous research offers speculative evidence that status differences in past and current social environments may explain differential vulnerability, especially through their effects on the socialization of resilient personality characteristics. We propose future research that could help to evaluate the validity of these speculations.     

Psychological distress among black and white Americans: differential effects of social support, negative interaction and personal control

This study examines the relationships among social support, negative interaction, financial strain, traumatic events, personal control, personality, and psychological distress among African American and white adults. These analyses: (1) test the overall adequacy of various models (i.e., main, mediator, and artifactual effects) of these effects, (2) examine the role of social support and negative interaction within the context of financial strain and traumatic events, and (3) verify possible indirect effects of social interaction on distress by assessing their impact on personal control. Data from The National Comorbidity Survey were used to examine these relationships using structural equation modeling techniques. Findings indicated different models of these relationships for African Americans and whites. Overall, personal control mediated the relationship between negative interaction and psychological distress. For whites, negative interaction was an overall stronger predictor of distress and contributed to the impact of financial strain and traumatic events on psychological distress. Among African Americans, social support was a stronger predictor of distress. The findings suggest that the underlying models of these relationships are different for African Americans and whites.     

Critical race theory speaks to the sociology of mental health: mental health problems produced by racial stratification

The sociology of mental health focuses on the epidemiology, etiology, correlates, and consequences of mental health (i.e., psychiatric disorder and symptoms, psychological distress, and subjective well-being) in an attempt to describe and explain how social structure influences an individual's psychological health. Critical race theory describes and explains iterative ways in which race is socially constructed across micro- and macro-levels, and how it determines life chances implicating the mundane and extraordinary in the continuance of racial stratification (i.e., racism). This paper invoked critical race theory to inform the sociology of mental health's approach to studying race and mental health by conceptualizing five hypothetical mental health problems that could exist because of racial stratification. These problems were: (1) nihilistic tendencies, (2) anti-self issues, (3) suppressed anger expression, (4) delusional denial tendencies, and (5) extreme racial paranoia. Mental health problems such as these and undocumented others can only be recognized given awareness of the social and personal implications of racial stratification.     

Gender,Race, Social Class,and Self-Evaluations among College Students*

The purpose of this study was to modify Heiss and Owens's (1972) formulation on trait differences in the self-evaluations of blacks and whites and integrate it with the literature on sex role socialization, thereby elaborating the instrumental-expressive dichotomy they proposed so as to generate and test hypotheses regarding race, gender, and SES differences in self-evaluations. University students rated themselves on a fifteen-item semantic differential scale. A principal component factor analysis with varimax rotations yielded five factors, three of the factors were seen as private-domain, one as public-domain, and one as mixed. A series of 2X2X2 ANOVAS indicated that (1) on the public-domain factor, black females rated themselves more positively than did the white females, while black males and white males did not differ; (2) blacks rated themselves more positively than did whites on two private-domain factors; (3) white females rated themselves more positively than did males on the private-domain factor indicative of a feminine stereotype; and (4) SES differences appeared on the private-domain factors in particular.     

Race,Socioeconomic Status,and Self-Esteem: The Impact of Religiosity

This research examines two factors that have an impact on the self-esteem of African Americans and whites: religion and socioeconomic status (SES). Using data from the National Survey of Families and Households, we find that for whites, belief in the Bible (i.e., that it is the literal word of God) and self-identifying as fundamentalist were significant predictors of self-esteem. For African Americans, belief in the Bible and being Catholic were significant predictors of self-esteem. However, the association between belief in the Bible and self-esteem was stronger for African Americans than whites. SES was positively associated with self-esteem for both groups. The interactions between SES and the measures of religiosity reveal a greater impact on self-esteem for lower SES respondents. This was especially true for African Americans. These findings are discussed in light of the resource compensation hypothesis.     

Causal connections between socio-economic status and health: reciprocal effects and mediating mechanisms

Using structural equation modeling techniques on data from a nationally representative longitudinal survey, we first explored the reciprocal relationships between socio-economic status (SES) and health status. We then estimated the degree to which health-related lifestyles/behaviors and psychosocial distress are mediating mechanisms of these relationships. As predicted, SES positively affects health, and health positively affects SES. Although the causal path from SES to health is stronger than the reverse, these findings confirmed the hypothesis that both social causation and health selection contribute to social inequalities in health. In terms of the mediating mechanisms through which SES and health affect each other, more than a third of the overall SES-health relationship was accounted for by health-related lifestyles/behaviors and psychosocial distress. A notable part of the effect of SES on health is due to differences in psychological distress, with the effects of health-related lifestyles/behaviors being much smaller. On the other hand, in terms of the effects of health on SES, differences in weight and sleeping behavior are more important than psychological distress.     

“It's Hardly Fair to Bring a Child Into the World With the Way Things Look…”: Anomie,Mistrust, and the Impact of Race,SES, and Gender

This article examines the impact of race, socioeconomic status (SES ), and gender on subjective outlook using anomie and general mistrust as indicators. Specifically, this study addresses the following questions: (1) How do African Americans and whites compare with respect to anomie and mistrust? (2) Do racial differences in anomie and mistrust vary by SES ? (3) Do African American women have higher levels of anomie and mistrust than whites and African American men? and (4) Are African Americans becoming more or less trusting and anomic over time? Using data from the General Social Survey (GSS) (1972–2014), the analysis reveals significant racial differences in social outlook as measured by anomie and mistrust. African Americans indicate higher levels of both anomie and mistrust than whites even after controls for SES and the other variables. The racial gap in anomie and mistrust increases with increases in SES . Being African American and female is associated with higher levels of anomie but not mistrust. African American mistrust decreases relative to whites over time. More affluent African Americans’ anomie levels slightly increase relative to similar whites over time. Explanations using the “rage of a privileged class” and “intersectionality” ideas are evaluated.     

Nativity,Duration of Residence,Citizenship, and Access to Health Care for Hispanic Children

This article examines differences in access to a regular source of health care for children of Hispanic subgroups within the United States. Particular attention is paid to the impact of the immigration status of the mother – including nativity, duration in the United States, and citizenship status – and its affect on access to health care for Hispanic children. Data are pooled from the National Health Interview Survey for 1999–2001 and logistic regression models are estimated to compare Mexican American, Puerto Rican, Cuban, and Other Hispanic children with non‐Hispanic whites and blacks. While initial disparities are recorded among the race/ethnic groups, in the final model, only Mexican American children display significantly less access to health care than non‐Hispanic whites. The combined influence of the mother's nativity, duration, and citizenship status explains much of the differentials in access to a regular source of care among children of Hispanic subgroups in comparison to non‐Hispanic whites.     

Nativity,Duration of Residence,and the Health of Hispanic Adults in the United States1

This article examines subgroup differences in the health status of Hispanic adults in comparison to non‐Hispanic whites and non‐Hispanic blacks. We pay particular attention to the influences of nativity and duration of residence in the United States. Data are pooled from the National Health Interview Survey (NHIS) for 1989–94. Puerto Ricans exhibited the worst health outcomes of any group (including whites and blacks) for each of the three health measures. Persons of Central/South American origin exhibited the most favorable outcomes for activity limitations and bed sick days, advantages that were eliminated when controlled for nativity/duration. For two of the three health status variables, Mexican Americans were very similar to non‐Hispanic whites in baseline models and were more favorable than non‐Hispanic whites once socio‐economic factors were controlled; this was not the case, however, for self‐reported overall health. Immigration also helped to explain the relatively positive outcomes among Central/South American origin individuals, Cubans, and Mexican Americans. For most Hispanic groups (as well as non‐Hispanic whites and non‐Hispanic blacks), immigrants reported better health than the U.S. born, which is consistent with a selectivity hypothesis of immigrant health. In addition, this advantage tended to be significantly smaller among immigrants with ten or more years' duration in the United States. Although the latter finding is consistent with the negative acculturation hypothesis, alternative interpretations, including the generally more limited access of immigrants to the formal health care system, are suggested.     

RACE AND THE EDUCATIONAL EXPECTATIONS OF PARENTS AND CHILDREN: The Case of South Africa

South Africa, a country that is highly stratified by race, is an important location for studying the relationship between race and educational expectations. Using a longitudinal data set, we examine the educational expectations of black (African), colored (mixed race), and white (European ancestry) parents and children in Cape Town, South Africa. We find that parents and children have high educational expectations regardless of race, but black parents and children have higher educational expectations than coloreds and whites once socioeconomic and other factors are controlled. We also find that parents' and children's expectations tend to agree more and are more closely correlated among coloreds and whites than blacks. We test two explanations for the educational expectations of parents and children, finding more support for the status attainment perspective among coloreds and whites than blacks and support for the family social capital perspective among blacks and coloreds only.     

Race,Class, and Support for the Welfare State*

Two competing approaches to the study of African Americans—the race and class perspectives—have dominated attempts to explain their views on contemporary issues. To examine the race versus class debate, this study uses African Americans' views on government spending for five social welfare concerns: (1) improving and protecting the nation's health, (2) solving the problems of big cities, (3) halting rising crime rates, (4) dealing with drug addiction, and (5) improving the nation's education system. Data from the 1972–1990 General Social Surveys are used to compare middle-class blacks with both working-class blacks and whites and middle-class whites in terms of their support for government spending for those five social welfare issues. Examining group means, we found no significant difference between the two black classes but a significant difference between the black middle class and the white middle class on support for government spending in all areas except halting the rising crime rates (where there were no significant differences among the four groups). Similarly, using logistic regression analysis we found that race continued to have a significant effect on support for spending even after controlling for class, year, age, gender, education, income, and occupational prestige. In respect to social welfare spending, the results indicate support for the race, as opposed to the class, perspective; that is, race is better than class for predicting African American attitudes on government spending.     

CAN A HIGH SENSE OF CONTROL AND JOHN HENRYISM BE BAD FOR MENTAL HEALTH?

Social stratification profoundly affects mental health. Specifically, substantial empirical evidence finds that higher status promotes mental health via a higher sense of control and a propensity to cope actively with problems. An unresolved issue, though, is whether the effects of sense of control and active coping on mental health are uniformly beneficial across levels of socioeconomic status. Perceived control and John Henryism, an active coping style, may undermine mental health, especially for lower-status persons, who lack resources. Using data from the National Comorbidity Survey for African Americans, Hispanics, and whites, we find that both sense of control and John Henryism tend to be monotonically related to positive mental health regardless of socioeconomic status and race/ethnicity.     

Perceived discrimination,socioeconomic status,and mental health among Latino adolescents in US immigrant families

The association between interpersonal discrimination and mental health among Latino adolescents has been relatively well studied. Less is known about perceived societal discrimination or how discrimination may differentially impact Latino adolescents with recent immigration histories. Further, while personal and family characteristics have often been posited to influence the association between discrimination and health outcomes, little attention has been paid to potentially moderating influences of social status. Using data from the first two rounds of the Children of Immigrants Longitudinal Study (CILS) study, we estimate a series of logit regression models to investigate the association between discrimination (societal and interpersonal) and mental health (depressive symptoms and self-esteem) among Latino adolescents with recent immigration histories, and test how this association differs by parental socioeconomic status (SES). Results show a negative association between perceived societal and interpersonal discrimination and mental health, inconsistent associations between SES and mental health, and some evidence of a moderating role of parental SES. Specifically, higher SES appears to attenuate the detrimental effect of discrimination on depressive symptoms, particularly in contexts of interpersonal discrimination. Our findings support increased attention to measuring the impact of perceived societal discrimination on mental health outcomes as well as further examination of the intervening role of social status.