African-American Health over the Life Course

Author(s):  
James S. Jackson ◽  
Sherrill L. Sellers
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 580-581
Author(s):  
Roland Thorpe ◽  
Carl Hill

Abstract There is a paucity of research that seeks to understand why race disparities in health across the life course remain elusive. Two such explanations that have been garnering attention is stress and discrimination. This symposium contains papers seeking to address the impact of discrimination or stress on African American health or health disparities across the life course. First, Nguyen and colleagues examine 1) the associations between discrimination and objective and subjective social isolation and 2) how these associations vary by age in using data from the National Survey of American Life. Discrimination was positively associated with being subjectively isolated from friends only and family only. This relationship varied by age. Discrimination did not predict objective isolation. Second, Brown examines evidence of the black-white paradox in anxiety and depressive symptoms among older adults using data from 6,019 adults ages 52+ from the 2006 HRS. After adjusting for socioeconomic factors, everyday discrimination, chronic conditions, and chronic stress, there are no black-white differences in anxiety and depressive symptoms. Third, Cobb and colleagues investigate the joint consequences of multiple dimensions of perceived discrimination on mortality risk using mortality data from the 2006-2016 HRS. The authors report the number of attributed reasons for everyday discrimination is a particularly salient risk factor for mortality in later life. This collection of papers provides insights into how discrimination or stress impacts African American health or health disparities in middle to late life.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 189-190
Author(s):  
Roland Thorpe ◽  
Carl V Hill

Abstract There is a paucity of research that seeks to understand why race disparities in health across the life course remain elusive. Two such explanations that have been garnering attention is stress and discrimination. This symposium contains papers seeking to address the impact of discrimination or stress on African American health or health disparities across the life course. Brown and colleagues examine the differential effects of chronic stress exposure by means of latent class analysis on mental and physical health in the HRS. Analysis revealed four subgroups, each demonstrated a typological response pattern with the most pronounced health consequences for high stress exposure, appraisal and few or no coping mechanisms. This suggests an alternative approach to examining the stress-health link by using a combined person- and variable-centered approach. Thomas Tobin and colleagues evaluate the life course processes through which early life racial discrimination (ELRD) and racial centrality shape adult allostatic load (AL) among older Blacks in the Nashville Stress and Health Study. Findings indicate that racial centrality is protective against adult high AL for those who experienced racial discrimination as children or adolescents. Cobb and colleagues examine how multiple attributed reasons for everyday discrimination relates to all-cause mortality risk among older Blacks in HRS. The authors report the 3 or more attributed reasons for everyday discrimination is a particularly salient risk factor for mortality in later life. This collection of papers provides insights into how discrimination or stress impacts African American health or health disparities in middle to late life.


2015 ◽  
Vol 25 (3) ◽  
pp. 295 ◽  
Author(s):  
Keon L. Gilbert, DrPH ◽  
Keith Elder, PhD ◽  
Sarah Lyons, MS ◽  
Kimberly A. Kaphingst, ScD ◽  
Melvin Blanchard, MD ◽  
...  

<strong>Purpose: </strong>Studies have demonstrated the effects of segregated social and physi­cal environments on the development of chronic diseases for African Americans. Studies have not delineated the effects of segregated environments specifically on the health of African American men over their lifetime. This study examines the relation­ship between life course measures of racial composition of social environments and diagnosis of hypertension among African American men.<p><strong>Design: </strong>We analyzed cross-sectional data from a convenience sample of African American men seeking health care services in an outpatient primary care clinic serving a medically underserved patient population (<em>N</em>=118). Multivariable logistic regression analyses were used to examine associations between racial composition of multiple environments across the life course (eg, junior high school, high school, neighbor­hood growing up, current neighborhood, place of employment, place of worship) and hypertension diagnosis.</p><p><strong>Results: </strong>The majority (86%) of participants were not currently in the workforce (retired, unemployed, or disabled) and more than half (54%) reported an annual household income of &lt;$9,999; median age was 53. Results suggest that African American men who grew up in mostly Black neighbor­hoods (OR=4.3; <em>P</em>=.008), and worked in mostly Black environments (OR=3.1; <em>P</em>=.041) were more likely to be diagnosed with hypertension than those who did not.</p><p><strong>Conclusion: </strong>We found associations between mostly Black residential and work­place settings and hypertension diagnoses among African American men. Findings sug­gest exposure to segregated environments during childhood and later adulthood may impact hypertension risk among African American men over the life course. <em>Ethn Dis</em>. 2015;25(3):295-304.</p>


2011 ◽  
Vol 118 (2-3) ◽  
pp. 216-223 ◽  
Author(s):  
Hee-Soon Juon ◽  
Kate E. Fothergill ◽  
Kerry M. Green ◽  
Elaine E. Doherty ◽  
Margaret E. Ensminger

2009 ◽  
Vol 104 ◽  
pp. S34-S41 ◽  
Author(s):  
Margaret E. Ensminger ◽  
Katherine Clegg Smith ◽  
Hee-Soon Juon ◽  
Jennifer L. Pearson ◽  
Judith A. Robertson

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 398-398
Author(s):  
Laurent Reyes

Abstract Older adults’ civic participation has received considerable attention, but most scholarship has focused on formal volunteerism and voting. The literature shows that rates of voting and volunteering have been consistently lower among African Americans and Latinx older adults compared to their White counterparts. However, little research has explored civic participation in the context of historical structures of inequality that exclude these populations from participating in formal civic activities and continue to do so today. In addition, other civic activities are going unrecognized. To understand civic participation through the lens of Latinx and African American older adults I draw from intersectional life course perspective to contextualize participants’ lived experiences across the life course and within historical and current socio-political space in which they live and participate. Study’s findings could improve conceptualizations and measurements of civic participation for future studies, and inform efforts to support civic participation among these populations.


Author(s):  
Tania Zittoun ◽  
Jaan Valsiner ◽  
Dankert Vedeler ◽  
Joao Salgado ◽  
Miguel M. Goncalves ◽  
...  

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