The COVID‐19/racial injustice syndemic and mental health among Black Americans: The roles of general and race‐related COVID worry, cultural mistrust, and perceived discrimination

Author(s):  
Kevin Cokley ◽  
Nolan Krueger ◽  
Suzanne R. Cunningham ◽  
Kathleen Burlew ◽  
Shaina Hall ◽  
...  
2018 ◽  
Vol 8 (8) ◽  
pp. 140 ◽  
Author(s):  
Shervin Assari

Recent research has documented poor mental health among high socioeconomic status (SES) Blacks, particularly African American males. The literature has also shown a positive link between SES and perceived discrimination, suggesting that perceived discrimination may explain why high SES Black males report poor mental health. To better understand the role of contextual factors in explaining this pattern, we aimed to test whether school racial composition explains why high income Black youth perceive more discrimination. We explored these associations by ethnicity and gender. Using data from the National Survey of American Life-Adolescent supplement (NSAL-A), the current study included 810 African American and 360 Caribbean Black youth, with a mean age of 15. Ethnicity, age, gender, income-to-needs ratio (SES), skin color, school racial composition, and perceived (daily) discrimination were measured. Using Stata 15.0 (Stata Corp., College Station, TX, USA), we fitted seven structural equation models (SEMs) for data analysis in the pooled sample based on the intersection of ethnicity and gender. Considerable gender by ethnicity variations were found in the associations between SES, school racial composition, and perceived discrimination. For African American males but not African American females or Caribbean Black males or females, school racial composition fully mediated the effect of SES on perceived discrimination. The role of inter-racial contact as a mechanism for high discrimination and poor mental health of Black American adolescents may depend on their intersection of ethnicity and gender. School racial composition may be a mechanism for increased perceived discrimination among high SES African American males.


2021 ◽  
pp. 1-24
Author(s):  
Brandon M. Terry

This article revisits one of John Rawls's rare forays into activist politics, his proposal presented to the Harvard faculty, calling for a denunciation of the “2-S” system of student deferments from conscription. In little-studied archival papers, Rawls argued that the draft both exposed “background” structural racial injustice and constituted a burdening of black Americans that violated the norms of fair cooperation. Rather than obscuring racial injustice and focusing exclusively on economic inequality, as Charles Mills has claimed, Rawls rejected the ascendant conservative views that naturalized black poverty or else attributed it to cultural pathologies in black families. Thus Rawls found nothing illicit in taking the position of a disadvantaged racial group as a relevant comparison when applying his ideal theory to nonideal circumstances. However, I contend in this article that Rawls's account of political philosophy as an attempt to find a consensus may be similarly ideological, leading him to displace the reality of conflict through begging descriptions, expressivist formulations, and historical romanticism.


2021 ◽  
pp. 002214652110410
Author(s):  
Patricia Louie ◽  
Laura Upenieks ◽  
Christy L. Erving ◽  
Courtney S. Thomas Tobin

A central paradox in the mental health literature is the tendency for black Americans to report similar or better mental health than white Americans despite experiencing greater stress exposure. However, black Americans’ higher levels of certain coping resources may explain this finding. Using data from the Nashville Stress and Health Study (n = 1,186), we examine whether black Americans have higher levels of self-esteem, social support, religious attendance, and divine control than white Americans and whether these resources, in turn, explain the black–white paradox in mental health. In adjusted models, the black–white paradox holds for depressive symptoms and any DSM-IV disorder. Findings indicate that black Americans have higher levels of self-esteem, family social support, and religiosity than white Americans. Causal mediation techniques reveal that self-esteem has the largest effect in explaining black–white differences in depressive symptoms, whereas divine control has the largest effect in explaining differences in disorder.


2018 ◽  
Vol 8 (5) ◽  
pp. 50 ◽  
Author(s):  
Shervin Assari ◽  
Lisa Lapeyrouse ◽  
Harold Neighbors

2020 ◽  
Author(s):  
Justin Nix ◽  
M. James Lozada

We reevaluate the claim from Bor et al. (2018: 302) that “police killings of unarmed black Americans have effects on mental health among black American adults in the general population.” The Mapping Police Violence data used by the authors includes 91 incidents involving black decedents who were either (1) not killed by police officers in the line of duty or (2) armed when killed. These incidents should have been removed or recoded prior to analysis. Correctly recoding these incidents decreased in magnitude all of the reported coefficients, and, more importantly, eliminated the reported statistically significant effect of exposure to police killings of unarmed black individuals on the mental health of black Americans in the general population. We caution researchers to vet carefully crowdsourced data that tracks police behaviors and warn against reducing these complex incidents to overly simplistic armed/unarmed dichotomies.


2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Kellee White ◽  
Bethany A Bell ◽  
Shuo J Huang ◽  
David R Williams

Abstract Background and Objectives Perceived discrimination is a risk factor for poor mental health. However, most studies measure discrimination at one time point, which does not account for heterogeneity in the cumulative patterning of exposure to discrimination. To address this gap, we examine the association between discrimination trajectories and depressive symptoms among black middle-aged and older adults. Research Design and Methods Data were analyzed from a subsample of black Health and Retirement Study respondents (2006–2018, N = 2926, older than 50 years). General discrimination and racial discrimination trajectories were constructed based on the Everyday Discrimination Scale using repeated measures latent profile analyses. We examined the extent to which the association between discrimination trajectories are differentially associated with depressive symptoms (8-item Center for Epidemiological Studies-Depression scale) using negative binomial regression models adjusted for potential confounders. Effect modification by age and gender was tested. Results Individuals in the persistently high (incident rate ratio [IRR]: 1.70; 95% confidence interval [CI]: 1.49–1.95) and moderate general discrimination trajectories (IRR: 1.19; 95% CI: 1.06–1.33) were more likely to have elevated depressive symptoms in comparison to those in the persistently low trajectory. This relationship was strongest among older adults aged older than 65 years. Respondents in the persistently high racial discrimination trajectory (IRR: 1.50; 95% CI: 1.29–1.73) had a higher risk of elevated depressive symptoms in comparison to respondents in the persistently low trajectory. Sensitivity analyses indicated that there was an independent association between persistently high racial discrimination trajectory class and elevated depressive symptoms, after adjusting for racial discrimination measured at a single time point. Discussion and Implications Characterizing longitudinal patterns of perceived discrimination may facilitate the stratification of mental health risk and vulnerability among black middle-aged and older adults. Trajectories of racial discrimination may inform risk of worse depressive symptoms more accurately than a single assessment of discrimination.


1982 ◽  
Vol 13 (1) ◽  
pp. 21-35 ◽  
Author(s):  
James S. Jackson ◽  
Linda M. Chatters ◽  
Harold W. Neighbors

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