Do Experiences of Racial Discrimination Predict Cardiovascular Diseases Among African American Men? The Moderating Role of Racial Group Attitudes

Racial discrimination jeopardizes a wide range of health behaviors for African Americans. Numerous studies demonstrate significant negative associations between racial discrimination and problematic alcohol use among African Americans. Culturally specific contexts (e.g., organized religious involvement) often function protectively against racial discrimination’s adverse effects for many African Americans. Yet organized religious involvement may affect the degree to which racial discrimination increases problematic alcohol use resulting in various alcohol use trajectories. These links remain understudied in emerging adulthood marked by when individuals transition from adolescence to early adult roles and responsibilities. We use data from 496 African American emerging adults from the Flint Adolescent Study (FAS) to (a) identify multiple and distinct alcohol use trajectories and (b) examine organizational religious involvement’s protective role. Three trajectory classes were identified: the high/stable, (20.76% of sample; n = 103); moderate/stable, (39.52% of sample; n = 196); and low/rising, (39.72% of the sample; n = 197). After controlling for sex, educational attainment, and general stress, the interaction between racial discrimination and organized religious involvement did not influence the likelihood of classifying into the moderate/stable class or the low/rising class, compared with the high/stable class. These results suggest organized religious involvement counteracts, but does not buffer racial discrimination’s effects on problematic alcohol use. Findings emphasize the critical need for culturally sensitive prevention efforts incorporating organized religious involvement for African American emerging adults exposed to racial discrimination. These prevention efforts may lessen the role of racial discrimination on health disparities related to alcohol use.

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Decoding the Role of Companions in Supporting the Health Communication of Older African-American Men With Cancer

Journal of Patient Experience ◽

10.1177/2374373519844098 ◽

2019 ◽

Vol 7 (3) ◽

pp. 324-330 ◽

Cited By ~ 1

Author(s):

Jamie Mitchell ◽

Jaclynn Hawkins ◽

Ed-Dee G. Williams ◽

Susan Eggly ◽

Terrance L. Albrecht

Keyword(s):

African American ◽

African American Male ◽

African American Men ◽

Comprehensive Cancer Center ◽

Provider Communication ◽

Patients With Cancer ◽

Medical Visits ◽

Patient Provider Communication ◽

Male Patients

The objective of this study was to systematically characterize the content and patterning of companion’s communicative behavior during oncology consultations for older African-American male patients. Companions and family members often play an important role in patient-centered communication for patients with cancer. Despite their disproportionate cancer burden, little is known about how companions facilitate patient-provider communication for older African-American men with cancer. This study represents a secondary qualitative analysis of 14 video-recorded doctor patient-companion medical visits for African-American male patients with cancer. Videos were captured with consent and institutional review board approval at a Midwest comprehensive cancer center between 2002 and 2006. These medical visits were transcribed, deidentified, and analyzed for the content, frequency, co-occurrence, and thematic clustering of companions’ active participation behaviors during the interaction. Results were well aligned with existing studies on accompanied oncology visits. Patients were on average, 60.14 years old and all but one of the 16 companions was a woman. A total 782 companion behaviors were coded across 14 medical interactions. While companions communicated directly with providers (eg, asking questions, providing medical history) and directly with patients (eg, clarifying information, giving advice), there was a lack of triadic communication. This study clarifies the role of mainly spousal companions as important intermediaries in the patient-provider communication dynamic for older African-American men with cancer.

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Racial Discrimination as a Risk Factor for African American Men’s Physical Partner Violence: A Longitudinal Test of Mediators and Moderators

Violence Against Women ◽

10.1177/1077801219830245 ◽

2019 ◽

Vol 26 (2) ◽

pp. 164-190 ◽

Cited By ~ 2

Author(s):

Tara E. Sutton ◽

Leslie Gordon Simons ◽

Brittany T. Martin ◽

Eric T. Klopack ◽

Frederick X. Gibbons ◽

...

Keyword(s):

African American ◽

Racial Discrimination ◽

Partner Violence ◽

African American Men ◽

Hostile Attribution Bias ◽

Cross Sectional ◽

Prospective Data ◽

Hostile Attribution ◽

Ipv Perpetration ◽

Attribution Bias

Although researchers have explored negative individual consequences of racial discrimination, very little work has examined the connection between discrimination and intimate partner violence (IPV) among African American men. Existing work tends to be cross-sectional and does not specify mediators or moderators that might explain this link. Thus, in the current study, we use longitudinal, prospective data from 200 young men to examine potential mediators and moderators of this association. Results demonstrated that anger and hostile attribution bias mediate the association between racial discrimination and IPV perpetration. Both corporal punishment and authoritative parenting acted as moderators, but the patterns of influence differed.

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Teacher-Based Racial Discrimination: The Role of Racial Pride and Religiosity Among African American and Caribbean Black Adolescents

Race and Social Problems ◽

10.1007/s12552-017-9222-0 ◽

2018 ◽

Vol 10 (1) ◽

pp. 30-41 ◽

Cited By ~ 4

Author(s):

Sheretta T. Butler-Barnes ◽

Stephanie Cook ◽

Seanna Leath ◽

Cleopatra Caldwell

Keyword(s):

African American ◽

Racial Discrimination ◽

Black Adolescents ◽

Caribbean Black ◽

Racial Pride

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Addressing the Silence

10.1093/acprof:oso/9780190602321.003.0008 ◽

2018 ◽

Author(s):

Helen K. Black ◽

John T. Groce ◽

Charles E. Harmon

Keyword(s):

African American ◽

African American Male ◽

African American Men ◽

Research Process ◽

Care Work ◽

Male Caregiver ◽

Research Interview ◽

History Of ◽

The Subject

This chapter, as the conclusion to our book, is entitled Addressing the Silence. We went “behind the scenes” of our work to examine the research process and pondered various aspects of interviewing a coterie of African-American men. For example, why were our caregiving men so willing to discuss their experiences of caregiving? Were there topics within caregiving that men were reluctant to discuss? And, why did the methods of our research fit well with the subject of caregiving and with the communal history of our respondents? Although our research addressed the gap in the caregiving and gerontological literature about elderly African-American men, our respondents showed us how much more we need to learn from them. As men discussed their care work in the forum of the research interview, the role of the elder African-American male caregiver came out of the shadows, but not yet completely into the light.

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