Goal-Striving Stress and Racial Differences in Mental Health

This study investigated the associations among goal-striving stress, racial related stressors, and mental health. Goal-striving stress was defined as the discrepancy between aspiration for and achievement of a better way of life, weighted by the subjective probability of success, and the level of disappointment experienced if those life goals were not realized. Data are from the National Survey of American Life’s African American (N = 3,570) and non-Hispanic white (N = 891) adult samples. Regression analysis was used to assess the relationship between goal-striving stress and five mental health outcomes: happiness, life satisfaction, self-esteem, psychological distress, and depressive symptoms. After controlling for socio-demographic factors, a personal problems checklist, and racial discrimination, goal-striving stress was significantly related to all mental health measures such that as goal-striving stress increased, mental health worsened. Additionally, the relationship of goal-striving stress to mental health was found to be conditional upon race. Specifically, goal-striving stress had a stronger effect among white Americans than African Americans. Goal-striving stress was associated differentially with lower levels of mental health for black and white Americans. Racial differences in the impact of goal-striving stress suggest a need for analyses exploring resilience and coping in relation to the impact of goal-striving stress on black–white differences in mental health.     

An Ecological Approach to Racial Environments and Their Relationship to Mental Health

Although research has demonstrated that aspects of racial environments such as racial experiences and racial diversity can relate to psychological health and well-being, few studies have examined what specifically happens when individuals move from one racial environment to another. The present study asked 179 African Americans transitioning to a predominantly white institution (freshmen or junior transfers) about racial diversity (percentage of African Americans) at their prior institution, racial experiences at their prior institution, and racial experiences at the current institution and examined how these characteristics related to self-reported depression. Overall, we found that more negative previous racial experiences predicted greater depressive symptoms in college. Results also revealed a significant three-way interaction such that more positive current racial experiences predicted less depressive symptoms, but only for those students coming from predominantly negative racial environments—low racial diversity and more negative racial experiences. Our findings highlight the complex role of past and present racial environmental factors in influencing psychological health. Implications for African American college students’ success and well-being are discussed.     

Heart Trouble and Racial Group Identity: Exploring Ethnic Heterogeneity Among Black Americans

Heart disease is the leading cause of death among men and women in the United States, and compared to other racial and ethnic groups, Blacks between the ages of 45 and 65 have the highest likelihood of dying from heart disease. Nevertheless, relatively little is known about intragroup variation among the US Black population. In this study, utilizing a nationally representative sample of Black Americans, we examine the relationship between heart trouble and racial group identity for two groups of Blacks: African Americans and Caribbean Blacks. We include two measures of racial group identity: closeness to other Blacks and Black group evaluation. Our results reveal three important patterns. First, closeness to other Blacks is suppressed by Black group evaluation. Second, at low levels of closeness to other Blacks, there is little difference between African Americans and Caribbean Blacks in the probability of heart trouble. However, as closeness to other Blacks increases, the probability of heart trouble increases for African Americans, but decreases for Caribbean Blacks. Finally, with respect to positive Black group evaluation, both African Americans and Caribbean Blacks benefit and experience a lower probability of heart trouble.     

Cultural Activities,Identities, and Mental Health Among Urban American Indians with Mixed Racial/Ethnic Ancestries

Focus groups were conducted to appreciate the voices of Urban American Indians (UAI) who have mixed ancestries residing in Philadelphia, Pennsylvania. Participants (15 women and 10 men, 19–83 years of age) with a variety of Native ancestries coming from different nations (i.e., blackfeet, blackminkwa, Cherokee, Creek, Delaware, Lakota, Powhatan, Seminole, and Shawnee) reported to also have a Non-Native racial/ethnic ancestry such as African/black, Hispanic, and/or Caucasian/white. Specifically, this study provided evidence about (a) the complexity and challenge of being “mixed” UAI (e.g., “living a culture” as opposed to blood quantum in determining a personal identity) (b) the linkage of cultural identities to mental health (c) contributions of cultural activities to identities and mental health (e.g., therapeutic and healing functions of cultural activities), and (d) very limited urban Native-oriented mental health service (e.g., visions for Native American-centered mental health clinic in an urban setting). Building on those UAI’s voices, this paper provides a context for the need of a culturally respectful transformation of urban mental health system by highlighting the clinical significance of cultural identity and mental health promotion for UAI.     

Perceived Racial Discrimination in Health Care and Race Differences in Physician Trust

Racial discrimination in health care is more often perceived by racial minority patients than by whites. In this study, we explored whether two types of perceived racial discrimination, perceptions that the healthcare system is racially biased in general (perceived institutional racial discrimination) and perceptions that one has personally encountered racial discrimination while seeking health care (perceived interpersonal racial discrimination), mediated racial differences in patients’ trust in physicians. We examined this in a sample of black (N = 127) and white (N = 303) patients being treated in two Veterans Affairs orthopedic clinics for advanced osteoarthritis. Patients completed measures of perceived institutional and interpersonal racial discrimination in health care before meeting with an orthopedic surgeon and a measure of physician trust after the visit. Using a multiple mediator bootstrapping procedure, we tested whether perceived institutional and/or interpersonal racial discrimination mediated the association between race and trust. Compared to whites, blacks reported lower physician trust (M = 4.00 vs. 4.17, β = ?0.15, 95 % CI = ?0.25, ?0.05), more perceived institutional racial discrimination (M = 3.13 vs. 2.60, β = 0.43, 95 % CI = 0.25, 0.61), and more perceived interpersonal racial discrimination (M = 1.94 vs. 1.21, β = 0.60, 95 % CI = 0.47, 0.74). Perceived interpersonal, but not institutional, racial discrimination mediated the race difference in physician trust and accounted for 55 % of the variance. Our finding that lower physician trust among black patients than white patients was explained by perceptions of interpersonal racial discrimination in health care suggests that issues of racial discrimination may need to be addressed in order to foster minority patients’ trust in physicians.     

Exploring Neighborhood Effects on Health and Life Satisfaction: Disentangling Neighborhood Racial Density and Neighborhood Income

This study examines the independent and synergistic influences of neighborhood racial density and neighborhood income on several indicators of health status and life satisfaction in a sample of 311 adult African Americans living in New York City. This is made possible by the two-stage sampling procedure that was used in the collection of the data, ensuring that respondents?? neighborhoods vary on both racial density and income. Findings from a series of OLS regression models that adjust standard errors to account for the non-independence of observations demonstrate that neighborhood income moderates the relationship between racial density and health and life satisfaction. When neighborhood income is low, high neighborhood racial density is detrimental for health and life satisfaction. However, when neighborhood income is high, neighborhood racial density is protective for health and life satisfaction. These results indicate that the role of neighborhood income needs to be considered when examining the relationship between neighborhood racial density, health, and life satisfaction. Moreover, these findings may provide insight for understanding the past conflicting results.     

Mental Health Help-Seeking Profiles Among African Americans: Exploring the Influence of Religion

African Americans with mental health problems consult a variety of sources for assistance. Most studies report a preference for informal sources rather than professional sources of help with mental health concerns. While it is clear that African Americans seek help from both informal and professional sources, less known is whether there are unique subpopulations of African Americans that can be defined by their support and services use. Given the importance of religion in the lives of African Americans, it also important to understand the role of religious involvement in determining help-seeking behaviors. This study used latent class analysis and data from the National Survey of American Life (n = 1315) to identify distinct profiles of help-seeking behavior among African Americans with mental health disorders defined by informal (e.g., clergy, family, and friends) and professional sources (e.g., health and mental healthcare providers) of support and services. Findings revealed two help-seeking classes: Low Use/Informal Support (95%) and High Use/All Support (5%). Low subjective religious involvement was associated with membership in the Low Use/Informal Support class. High non-organizational religious involvement was associated with membership in the High Use/All Support class. No associations between demographic characteristics were found between the two classes. Findings highlight heterogeneity in help-seeking behavior among African Americans and the importance of considering multiple domains of religious involvement in influencing these behaviors. Findings highlight the importance of collaborative efforts between religious institutions, health and mental healthcare providers, family and friendship networks in the delivery of mental health care to African Americans.     

Race and Ethnic Self-Identification Influences on Physical and Mental Health Statuses Among Blacks

We examine if commonly used distress measures, rates of psychiatric disorders, and chronic health conditions are affected by alternate measures of race-ethnicity for African Americans and Caribbean blacks. We examined two alternative self-identification measures to investigate if their influence might differ. A study on national household probability sample of non-institutionalized African Americans (n = 3,570) and blacks from Caribbean countries, who now live in the United States (n = 1,621), was conducted between February 2001 and June 2003, using a slightly modified version of the Composite International Diagnostic Interview. The method used to measure black race and ethnicity has influence on physical and mental health outcomes. The distributions of depressive symptoms are not affected, while the distributions of DSM IV disorders and chronic health conditions vary by race and ethnic self-identifications among the African American and Caribbean black populations. There are serious implications of using alternate measures of race-ethnicity on the distribution of physical and mental health morbidity among African Americans and Caribbean blacks. The conceptualization and assessment of race-ethnicity should be carefully considered when studying mental and physical health statuses and service needs in the American black population.     

The Role of Racial Microaggressions,Stress, and Acculturation in Understanding Latino Health Outcomes in the USA

A growing body of literature demonstrates important negative health effects from racial microaggressions for racial/ethnic minorities. However, at present, the bulk of the literature is focused on the case of black Americans with relatively little attention as to how this may play out for other racial/ethnic groups. Here, we examine the association of health and racial microaggressions in the case of Latinos. Furthermore, we disaggregate Latinos by language preference in order to see how acculturation to the USA may moderate the effect of racial microaggressions on health outcomes for the group. In a statistical analysis of the 2004 Behavioral Risk Factor Surveillance System, we examine the association between stress from racial microaggressions and self-rated health for Latinos of different levels of linguistic acculturation. We find that more acculturated Latinos (measured in terms of language preference) are more likely to experience physical stress from perceived racial microaggressions after accounting for social and demographic factors. Further, this stress is linked to overall poorer self-rated health for the group. However, we find no such association for less acculturated, Spanish-preference Latinos.     

Racial and Ethnic Disparities in Leisure-time Physical Activity in California: Patterns and Mechanisms

Evidence has shown that racial/ethnic minorities in the United States are less likely than whites to engage in leisure-time physical activity (LTPA); yet few studies to date have included Asian subgroups in the analyses and mechanisms underlying these disparities are not well known. This study uses data from the 2007 California Health Interview Survey (N = 37,164) to examine racial/ethnic disparities in self-reported adherence to LTPA recommendations and to explore the mediating roles of socioeconomic status (SES), acculturation, and neighborhood perceptions. Nine racial/ethnic groups were included: non-Hispanic whites, non-Hispanic blacks, Mexicans, and six largest Asian subgroups. Results confirm that racial/ethnic minorities are, in general, less likely than whites to meet LTPA recommendations, whereas heterogeneity is also evident across Asian subgroups. No significant disparity is revealed for the Japanese and Filipinos but whites are advantaged compared to all other Asian groups. Educational attainment, percent of lifetime spent in the United States and access to park, playground, or open space are significantly associated with meeting LTPA recommendations. SES and acculturation play differential roles in explaining group disparities for blacks, Mexicans, and some Asian subgroups. Perceived neighborhood environment does not mediate LTPA disparities by race/ethnicity. Net of these mediators, the advantages of whites in meeting LTPA recommendations persist for blacks, Mexicans, the Chinese, and Koreans. Future research should theorize and operationalize additional multilevel pathways linking race/ethnicity and LTPA while assessing measurement errors in the existing constructs.     

Diverging Fortunes: Racial/Ethnic Inequality in Wealth Trajectories in Middle and Late Life

The primary aim of this study is to examine whether racial/ethnic inequality in wealth dissipates or increases between middle and late life, and by how much. To address this aim, this study draws on critical race and life course perspectives as well as 10 waves of panel data from the Health and Retirement Study and growth curve models to understand racial/ethnic inequality in wealth trajectories among whites, blacks, and Mexican Americans (N = 8337). Findings show that, by midlife, significant inequalities in net worth emerge between whites and their black and Mexican American counterparts. On average, white households have amassed a net worth of $105k by midlife, compared to less than $5k and $39k among black and Mexican American families, respectively. Moreover, whites experience much more rapid rates of wealth accumulation during their 50s and 60s than their minority counterparts, resulting in increasing wealth disparities with age, consistent with a process of cumulative disadvantage. At the peak of their wealth trajectory (at age 66), whites have approximately $245k more than blacks and $219k more than Mexican Americans. A wide range of socioeconomic, behavioral, and health factors account for a portion, but not all, of racial/ethnic inequality in wealth, suggesting that unobserved factors such as parental wealth, segregation, and discrimination may play a role in the production and maintenance of wealth inequality.     

论族群与民族

族群概念的引入和使用为中国人类学和民族学的研究开辟了一个新天地。族群概念的界定是多义的 ,有的强调族群的内涵 ,有的强调族群的边界 ,有的是两者兼而有之 ,但简明准确的界定可以概括为“族群是对某些社会文化要素认同 ,而自觉为我的一种社会实体”。族群与民族的区别是 :(1)从性质上看 ,族群强调的是文化性 ,而民族强调的是政治性 ;(2 )从社会效果上看 ,族群显现的是学术性 ,而民族显现的是法律性 ;(3)从使用范围上看 ,族群概念的使用十分宽泛 ,而民族概念的使用则比较狭小。族群与民族的联系是 :族群可能是一个民族 ,也可能不是一个民族 ;而民族不仅可以称为族群 ,还可以包括若干不同的族群     

Influence of a Community Health Worker Intervention on Mental Health Outcomes among Low-Income Latino and African American Adults with Type 2 Diabetes

This study investigated the influence of a community health worker (CHW) diabetes lifestyle intervention on mental health outcomes. Our study was guided by the principles of community-based participatory research. Data were collected from 164 African American (N = 94) and Hispanic adults (N = 70) participating in a randomized, 6-month delayed intervention group design for improving glycemic control. The intervention time periods were baseline to 6 months for the treatment group and 6–12 months for the delayed group. Linear mixed models were used to conduct longitudinal analyses of the Problem Areas in Diabetes (PAID) and Patient Health Questionnaire (PHQ) scales. In the model adjusted for demographics, the PAID dropped significantly from pre-intervention to post-intervention within both the treatment and delayed groups (p < 0.05) with an average intervention effect of ?6.4 (p < 0.01). The PAID dropped even further within the immediate group from 6 to 12 months. Although the PHQ did not change significantly, the PHQ-2 had an average intervention effect of ?0.3 (p < 0.05) in the model adjusted for demographics. This study contributes to an understanding of how a CHW-led diabetes intervention can result in positive mental health outcomes for Latinos and African Americans with Type 2 diabetes. It also highlights the importance of further exploring what factors may contribute to racial/ethnic variation in mental health outcomes for African Americans and Latinos with diabetes and the role CHWs can play.     

A Paradox of Bias: Racial Differences in Forensic Psychiatric Diagnosis and Determinations of Criminal Responsibility

Although there is substantial evidence that African Americans receive unequal treatment in both the healthcare and criminal justice systems, less research has investigated the role of race when these two systems converge. Here, we examine the influence of race on patterns of forensic psychiatric diagnosis and determinations of criminal responsibility in pre-trial correctional facilities (e.g., forensic psychiatric hospitals). Data are from a medical chart review of 129 randomly selected competency evaluations that occurred in a pre-trial correctional psychiatric facility. Consistent with previous research, findings indicate that African Americans are disproportionately diagnosed with highly stigmatized psychotic spectrum disorders relative to whites. In addition, they unexpectedly indicate that African Americans are significantly more likely than whites to be found not criminally responsible by the court-appointed evaluating mental health professional, controlling for sociodemographic characteristics, number of violent and non-violent charges, and other potential confounding variables. Mediation analysis reveals the important and previously undocumented finding that the effect of race on criminal responsibility determinations is fully mediated by differential diagnosis. This suggests that patterns of racial inequality and potential bias in the diagnostic process may confer medical resources and other benefits for African Americans in the context of the criminal justice system.     

论唐代前期"河曲"地域各民族人口的数量与分布

唐代前期"河曲"地域人口的民族构成包括汉、稽胡、突厥、铁勒九姓、昭武九姓、党项羌、吐谷浑等七个民族,其数量与分布呈动态变化.贞观二十年前,"河曲"人口数量可达180,000余人,其中汉族、稽胡族人口约有50,000人,分布在"河曲"边缘地带,突厥族游牧于"河曲"东半部的夏、胜二州之间以及西北隅,昭武九姓居留在"河曲"西部的灵、盐、夏之间.此后,由于吐谷浑族、党项羌族、铁勒族的迁入,居民数量与空间分布发生新的变化.迄天宝元年,"河曲"地域的人口总数已达750,137人.安史之乱后,铁勒九姓、突厥、昭武九姓、吐谷浑诸族人口相继迁出"河曲",惟有汉、稽胡、党项羌诸族人口仍留居原地,尤其以党项羌人口增长显著,分布范围不断扩大,遍及"河曲"地域,成为当地人口的主体.     

School-Based Racial and Gender Discrimination among African American Adolescents: Exploring Gender Variation in Frequency and Implications for Adjustment

The present study examined school-based racial and gender discrimination experiences among African American adolescents in Grade 8 (n = 204 girls; n = 209 boys). A primary goal was exploring gender variation in frequency of both types of discrimination and associations of discrimination with academic and psychological functioning among girls and boys. Girls and boys did not vary in reported racial discrimination frequency, but boys reported more gender discrimination experiences. Multiple regression analyses within gender groups indicated that among girls and boys, racial discrimination and gender discrimination predicted higher depressive symptoms and school importance and racial discrimination predicted self-esteem. Racial and gender discrimination were also negatively associated with grade point average among boys but were not significantly associated in girls’ analyses. Significant gender discrimination X racial discrimination interactions resulted in the girls’ models predicting psychological outcomes and in boys’ models predicting academic achievement. Taken together, findings suggest the importance of considering gender- and race-related experiences in understanding academic and psychological adjustment among African American adolescents.     

Racial and Ethnic Differentials in Idleness,Highest-Risk Idleness,and Dropping Out of High School

This research investigates three different indicators of at-risk socio-demographic conditions including dropping out of high school, being idle, and being in highest-risk idleness among non-immigrant persons aged 19–24. Using data from the 2000 US Census, our results detail the differentials in these characteristics for 30 different racial/ethnic groups that are further broken down by gender. The findings indicate a wide range in the prevalence of these at-risk socio-demographic conditions. Groups that tend to be the most at-risk in terms of these indicators include African Americans, Cambodians, Laotians, Native Americans, other Hispanic whites, and white Mexicans. With the exception of the other Pacific Islander and Thai, young women have lower high school dropout rates than do young men. However, young women are substantially more likely than young men to be idle which we define as not being in school, the labor force, or the military. After defining highest-risk idleness as never-married persons without children who are idle, however, the rates are slightly lower for young women than for young men.     

Understanding Racial and Ethnic Disparities in Arrest: The Role of Individual,Home, School,and Community Characteristics

Contact with the justice system can lead to a range of poor health and social outcomes. While persons of color are disproportionately represented in both the juvenile and criminal justice systems, reasons for these patters remain unclear. This study sought to examine the extent and sources of differences in arrests during adolescence and young adulthood among blacks, whites, and Hispanics in the USA. Multilevel cross-sectional logistic regression analyses were conducted using data from waves I and IV of the National Longitudinal Study of Adolescent to Adult Health (n = 12,752 respondents). Results showed significantly higher likelihood of having ever been arrested among blacks, when compared to whites, even after controlling for a range of delinquent behaviors (odds ratio = 1.58, 95 % confidence interval = 1.27, 1.95). These black–white disparities were no longer present after accounting for racial composition of the neighborhood, supporting the growing body of research demonstrating the importance of contextual variables in driving disproportionate minority contact with the justice system.     

Racial Differences Between African and White Americans in the Presentation of Borderline Personality Disorder

Borderline personality disorder (BPD) is commonly thought of as a disorder of White females. Despite evidence indicating similar prevalence rates across races and genders, no study has examined the experience of BPD among ethnic minorities and how this differs from Whites. The affective and behavioral symptoms of BPD were studied in 17 African Americans and 27 White Americans with the disorder. Results indicated that African Americans experience greater affective intensity and emotional dysregulation, fewer self-harming behaviors, and more thoughts of interpersonal aggression than Whites. Differences in affective symptoms were accounted for by group differences in substance use and receipt of inpatient services, whereas differences in behavioral symptomatology persisted after adjusting for potential confounders. These findings suggest that not only is BPD not a disorder exclusive to White females, but that the experience of the disorder may differ substantially across races. Implications for future research and directions for developing culturally relevant treatments are discussed.     

守护民族文化中的差异美:壮剧保护的思考

守护差异性寻求发展的壮剧,面临着由传统单一的地域特色发展为更为丰富的综合性戏剧风格的转型问题.对于壮剧的保护就是要充分发挥原有文化的特长,在民间文化生存演变的规律中营造有利于壮剧发展的文化环境,建立一个充满审美精神和艺术氛围的人文世界,促使壮剧形成一种自身调节的动态机制.