The seemingly ‘protective’ effect of internalised racism on overall health among 780 Black/African Americans: the serial mediation of stigma consciousness and locus of control

2020 ◽  
pp. 1-17
Author(s):  
Drexler James
Keyword(s):  
Locus Of Control ◽  
African Americans ◽  
Protective Effect ◽  
Stigma Consciousness ◽  
Black African ◽  
Serial Mediation

scholarly journals Association of Blood Type on Clinical Outcomes in Black/African Americans Hospitalized for COVID-19 Infection

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 14-14
Author(s):  
Yan Cheng ◽  
Sharif Mohammed ◽  
Alexis Okoh ◽  
Ki (Steve) Lee ◽  
Corinne Raczek ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
African Americans ◽  
Hospital Mortality ◽  
Kidney Injury ◽  
Type A ◽  
Blood Type ◽  
P Value ◽  
Single Center ◽  
Black African ◽  
O 31

Introduction: Early studies from Wuhan, China have reported an association between blood type and outcomes in COVID-19 infected patients. Conflicting reports in literature have investigated the protective role of blood type O against worst outcomes associated with COVID-19 infections. Approximately 50% of Black/African Americans (AA) have blood group O. Our study is the only study to date looking at the association between Black/AA and blood type. We aimed to determine the association between blood type and Black/AA patients hospitalized for COVID-19. Methods: We retrospectively reviewed data on patients with known blood type, who were admitted for COVID-19 at a single center between March and April 2020. We excluded other races in our study because only about 2% of the population was Caucasian and 8% representing other races, representing a small subset of patients under study whereas Black/AA represented about 90% of our hospitalized patients. Patients were stratified into 4 groups based on their ABO blood type. Baseline demographic, clinical characteristics and clinical course of the disease were compared. The primary end point was in-hospital mortality. Secondary endpoints included admission to the intensive care unit (ICU), acute kidney injury requiring hemodialysis and length of stay (LOS). Results: During the study period, a total of 256 patients were reviewed. Distribution of ABO type was as follows; A: (N=65) 25%, B: (N=62) 24%, AB: (N=9) 4%, O: (N=120) 47%. Compared to blood types A, B and O, AB patients were younger (mean; yrs. 63 vs. 63 vs. 62 vs. 43 yrs. p=0.0242). Blood type B patients were more likely to present with nausea, than groups A, AB, and O. (27% vs. 10% vs. 0% vs. 5%; p=0.017). All other characteristics including baseline inflammatory markers were comparable. There was no difference among groups regarding in-hospital mortality (A: 39% B: 29% AB: 33% O: 31% p value: 0.676) or admission to the ICU (A:31% B: 28% AB: 33% O: 34% p value: 0.840). The incidence of acute kidney injury requiring hemodialysis was higher in blood type A patients compared to B, AB, and O. (31% vs. 0% vs. 23% vs. 19%; p=0.046). In hospital LOS was comparable among all groups. Conclusions: In this single center analysis of black/AA patients admitted for COVID-19, there was no association between blood type and in-hospital mortality or admission to ICU. Blood type A patients had a higher propensity of kidney injury, but this did not translate into worse in-hospital survival. Disclosures Cohen: GBT: Speakers Bureau.

scholarly journals THE MEDIATING ROLES OF HEALTH LOCUS OF CONTROL AND COPING ON THE PAIN-DEPRESSION PATHWAY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S162-S162
Author(s):  
Kyrsten Costlow ◽  
Patricia A Parmelee ◽  
Tina Harralson
Keyword(s):  
Older Adults ◽  
Locus Of Control ◽  
Coping Strategies ◽  
Health Locus Of Control ◽  
Self Report ◽  
Osteoarthritis Of The Knee ◽  
Osteoarthritis Pain ◽  
Serial Mediation ◽  
Negative Coping ◽  
And Coping

Abstract The literature on health locus of control (HLC) suggests that individuals who believe that their health is internally determined are more likely to use active coping strategies than those who believe their health is determined by chance or powerful others (Brosschot, Gebhardt, & Godaert, 1994; Gibson & Helme, 2000). Coping strategies (Klapow et al., 1995) and HLC (Campbell, Hope, & Dunn, 2017) have been found to influence the relation between chronic pain and depression. We hypothesized that the relation between osteoarthritis pain and depression would be serially mediated by HLC and coping. Self-report measures of osteoarthritis pain (Meenan, Mason, Anderson, Guccione, & Kazis, 1992; Parmelee, Katz, & Lawton), HLC (Wallston, Wallston, & DeVellis, 1978), coping strategies (Felton & Revenson, 1984; Rosenstiel & Keefe, 1983), and depression (Radloff, 1977) were examined in 367 older adults with osteoarthritis of the knee. Hayes’ (2013) PROCESS macro was used to test the hypothesized serial multiple mediation for three subscales of HLC: internality (IHLC), chance (CHLC), and powerful others (PHLC). After controlling for age, the hypothesized serial mediation was statistically significant for IHLC and CHLC but not PHLC. More specifically, osteoarthritis pain significantly increased CHLC, which increased negative coping and depression in turn. Osteoarthritis pain significantly decreased IHLC, which was associated with both positive and negative coping strategies in a complex serial mediation. These findings suggest that interventions targeting HLC and/or coping strategies may be able to alter the pain-depression pathway for older adults with chronic osteoarthritis pain. (Supported by R01-MH51800, P. Parmelee, PI).

Locus of Control, Depression, and Anger among African-Americans

1993 ◽  
Vol 72 (2) ◽  
pp. 482-482 ◽  
Author(s):  
Thomas J. Young ◽  
Laurence A. French ◽  
S. N. Wailes
Keyword(s):  
College Students ◽  
African American ◽  
Locus Of Control ◽  
African Americans ◽  
Self Report ◽  
Racial Composition ◽  
African American College Students ◽  
Report Measure

Subjects, 98 African-American college students, were given a measure of belief in locus of control, a self-report measure of depression, and three scales from the Buss and Durkee Hostility Inventory. Depression and belief in control by powerful others correlated only for subjects with low scores on Assaultive, Verbal, and Indirect Hostility. The findings, using nonwhite subjects, replicate a previous study in which the racial composition was not indicated.

Health Disparities and the Heterogeneity of Blacks/African Americans in the United States: Why Should We Care?

2019 ◽  
Vol 21 (4) ◽  
pp. 492-495 ◽  
Author(s):  
Ann Oyare Amuta-Jimenez ◽  
Wura Jacobs ◽  
Gabrielle Smith
Keyword(s):  
Health Disparities ◽  
African Americans ◽  
Scientific Evidence ◽  
The United States ◽  
Health Interventions ◽  
Sociocultural Factors ◽  
Black Immigrants ◽  
Public Health Interventions ◽  
Black African ◽  
Health And Mortality

Each year, millions of dollars are spent on research and public health interventions targeted toward reducing health disparities primarily among the “Black/African Americans” community, yet the progress made lags far behind the amount of money and effort spent. We hypothesize that part of the problem is that sociocultural factors play a significant role in disease prevention. Most studies and programs aggregate “Black immigrants” (BIs) and “African Americans” (AAs) as “Black/African American.” This categorization assumes that the sociocultural determinants that influence BIs are the same as for AAs. BIs have health and mortality profiles that vary from AAs. This commentary aims to (1) introduce this idea in more depth and provide a brief scope of the problem, (2) provide scientific evidence of noteworthy differences between AAs and BIs in areas of sociodemographics, health behaviors, and health outcomes, (3) discuss implications of considering the Black/AA group as homogeneous and provide recommendations for disaggregation.

scholarly journals Caregiver Reactions to Aggressive Behaviors in Persons With Dementia in a Diverse, Community-Dwelling Sample

2018 ◽  
Vol 39 (1) ◽  
pp. 50-61 ◽  
Author(s):  
Bryan R. Hansen ◽  
Nancy A. Hodgson ◽  
Chakra Budhathoki ◽  
Laura N. Gitlin
Keyword(s):  
African Americans ◽  
Secondary Analysis ◽  
Verbal Aggression ◽  
Community Dwelling ◽  
Aggressive Behaviors ◽  
Black African ◽  
Caregiver Health ◽  
Race Ethnicity ◽  
Hispanic Latinos ◽  
Behavior Types

Purpose: To describe caregiver challenges with and confidence managing three aggressive behavior types in persons with dementia: verbal aggression, destroying property, and threatening to hurt others. Design and Method: Secondary analysis of baseline data from the 2001-2004 Resources for Enhancing Alzheimer’s Caregiver Health II (REACH II) initiative. Results: One or more aggressive behaviors within 1 week were reported by more than a third of caregivers, with most expressing upset but fewer expressing confidence managing the behaviors. Caregiver distress and confidence differed by race/ethnicity in response to verbal aggression, with more White/Caucasian caregivers expressing upset than Hispanic/Latinos or Black/African Americans. Fewer Hispanic/Latinos expressed confidence managing verbal aggression, compared with White/Caucasians or Black/African Americans. Discussion: Aggressive behaviors challenge caregivers, with reactions varying by behavior type and race/ethnicity. Cultural and contextual factors suggest the need to tailor interventions, especially skill-building interventions that increase confidence managing aggressive behaviors while decreasing upset.

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