Recruiting a Community Sample of African American Subjects: The Nuts and Bolts of a Successful Effort

2003 ◽  
Vol 84 (3) ◽  
pp. 396-404 ◽  
Author(s):  
Cassandra Clay ◽  
Michael A. Ellis ◽  
Maryann Amodeo ◽  
Irene Fassler ◽  
Margaret L. Griffin

Recruiting a heterogeneous community sample of White and African American subjects for a research study is a challenging task. Researchers have frequently failed to recruit African Americans or to recruit racially balanced samples. This paper describes the experiences of one social work research team in recruiting a community sample of White and African American women. Specific strategies are presented as a primer for developing samples that are diverse and balanced sociodemographically. A recruitment model is proposed, including use of multiple strategies, simultaneous attention to each segment of the targeted population, and periodic midcourse correction. The results of our recruitment efforts suggest that attracting a sociodemographically balanced sample can be successful when appropriate strategies are implemented.

2018 ◽  
Vol 36 (10) ◽  
pp. 1079-1089 ◽  
Author(s):  
Madeleine U. Shalowitz ◽  
Christine Dunkel Schetter ◽  
Marianne M. Hillemeier ◽  
Vernon M. Chinchilli ◽  
Emma K. Adam ◽  
...  

Objective Allostatic load (AL) represents multisystem physiological “wear-and-tear” reflecting emerging chronic disease risk. We assessed AL during the first year postpartum in a diverse community sample with known health disparities. Study Design The Eunice Kennedy Shriver National Institute for Child Health and Human Development Community Child Health Network enrolled 2,448 predominantly low-income African-American, Latina, and White women immediately after delivery of liveborn infants at ≥20 weeks' gestation, following them over time with interviews, clinical measures, and biomarkers. AL at 6 and 12 months postpartum was measured by body mass index, waist:hip ratio, blood pressure, pulse, hemoglobin A1c, high-sensitive C-reactive protein, total cholesterol and high-density lipoprotein, and diurnal cortisol slope. Results Adverse AL health-risk profiles were significantly more prevalent among African-American women compared with non-Hispanic Whites, with Latinas intermediate. Breastfeeding was protective, particularly for White women. Complications of pregnancy were associated with higher AL, and disparities persisted or worsened through the first year postpartum. Conclusion Adverse AL profiles occurred in a substantial proportion of postpartum women, and disparities did not improve from birth to 1 year. Breastfeeding was protective for the mother.


2007 ◽  
Vol 101 (3_suppl) ◽  
pp. 1133-1140 ◽  
Author(s):  
Ann Kathleen Burlew

To test whether knowledge about HIV transmission may be one contributing factor to the disproportionately high rates of HIV and AIDS cases among older African Americans, this study examined data from 448 African-American men and women, who completed the AIDS Knowledge and Awareness Scale. Overall the findings supported the hypothesis that older African Americans were not as knowledgeable as their younger counterparts. However, the analyses also indicated older (age 61+) African-American women were significantly less knowledgeable about HIV transmission than the younger women. However, the difference between older and younger men was not significant. One implication is that older African Americans, especially women, should be targets of educational efforts.


2020 ◽  
Vol 46 (6-7) ◽  
pp. 457-481
Author(s):  
Natalie N. Watson-Singleton ◽  
Devon LoParo ◽  
Yara Mekawi ◽  
Joya N. Hampton-Anderson ◽  
Nadine J. Kaslow

The Africultural Coping Systems Inventory (ACSI) assesses African Americans’ culturally relevant stress coping strategies. Although its factor structure, reliability, and validity of the scores have been examined across ethnic groups of African descent, psychometric properties have not been investigated in an African American clinical sample. Thus, it is unclear if the ACSI is useful for research with African Americans with distress. To assess the ACSI’s psychometrics, we used data from 193 low-income African American women who in the past year encountered interpersonal trauma and attempted suicide. We tested four models: one-factor, four-factor, four-factor hierarchical, and bifactor. None of the models were optimal, suggesting possible revisions to ACSI items. Yet the bifactor model provided a better fit than other models with items loading onto a general factor and onto specific factors. Internal consistency of the scores was above the recommended criterion (i.e., .70), and the ACSI general factor was related to depressive symptoms, suicidal ideation (but not alcohol abuse), providing some support for its concurrent validity. Future directions, limitations, and clinical-counseling implications are discussed.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S613-S613
Author(s):  
David Camacho ◽  
Denise Burnette ◽  
Maria P Aranda ◽  
Ellen Lukens

Abstract Loneliness and pain are significant public health problems in later life, yet limited research has examined how these factors interact among racially diverse older adults. Guided by the Biopsychosocial Model of Pain, we used data from Waves 2 and 3 of the National Social Life, Health, and Aging Project to investigate the relationship between loneliness and chronic pain among 1,102 African-American and White adults aged 50 and over. Using logistic regression analyses, our final models considered demographics, physical and mental health, functioning, medication, health behaviors and social factors. Approximately 32% of African Americans and 28% of Whites reported chronic loneliness. Compared to Whites African-Americans were 2.5 times more likely to experience chronic pain. Among White participants, loneliness was not associated with chronic pain; however, the interaction of being African-American and lonely was associated with decreased odds of chronic pain in main and gendered analyses. African American women were 4 times more likely than White women to report chronic pain. Our results address the objectives of the National Pain Strategy (2016) to elucidate the experiences of chronic pain among diverse elders in the US. Future work should seek a deeper understanding of loneliness and chronic pain among African Americans elders and how cultural dynamics may help explain our counter intuitive findings (e.g., “Superwoman Schema”).


2020 ◽  
Vol 7 (1) ◽  
pp. e000391
Author(s):  
Cristina Drenkard ◽  
Kirk Easley ◽  
Gaobin Bao ◽  
Charmayne Dunlop-Thomas ◽  
S Sam Lim ◽  
...  

BackgroundAfrican–Americans are historically under-represented in SLE studies and engaging them in behavioural interventions is challenging. The Women Empowered to Live with Lupus (WELL) study is a trial conducted to examine the effectiveness of the Chronic Disease Self-Management Program (CDSMP) among African–American women with SLE. We describe enrolment and retention challenges and successful strategies of the WELL study.MethodsThe Georgians Organized Against Lupus (GOAL) cohort, a population-based cohort established in Atlanta, Georgia, was used to enrol a sample of 168 African–American women with SLE into the CDSMP. The CDSMP is a 6-week, group-based programme led by peers to enhance self-management skills in people with chronic conditions. Study performance standards were predefined and close monitoring of recruitment and retention progress was conducted by culturally competent staff members. Continuous contact with participants, research coordinators’ notes and regular research team meetings served to assess barriers and define strategies needed to meet the desired recruitment and retention outcomes.ResultsWhile no substantial barriers were identified to enrol GOAL participants into the WELL study, WELL participants faced difficulties registering for and/or completing (attending ≥4 sessions) a CDSMP workshop. Major barriers were unpredicted personal and health-related issues, misunderstanding of the scope and benefits of the intervention, and transportation problems. Early implementation of tailored strategies (eg, CDSMP scheduled on Saturdays, CDSMP delivered at convenient/familiar facilities, transportation services) helped to reduce participant barriers and achieve a CDSMP registration of 168 participants, with 126 (75%) completers. Frequent contact with participants and compensation helped to reach 92.3% retention for the 6-month survey.ConclusionsPredefined standards and monitoring of participant barriers by a culturally competent research team and proactive solutions were critical to implementing successful strategies and achieving the desired recruitment and retention outcomes of a behavioural trial involving African–American women with SLE.Trial registration numberNCT02988661.


2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Hugh Klein ◽  
Claire E. Sterk ◽  
Kirk W. Elifson

Purpose. This study examines the prevalence of alcohol-related problems, the factors underlying these problems, and whether or not there is evidence of syndemic effects in a community population of southern, urban African American women.Methods. Questionnaire-based interviews were conducted with 817 women, all African American, from 80 targeted census block groups in Atlanta, Georgia.Results. Most of the alcohol users (67.8%) experienced at least one problem as a result of their alcohol (ab)use, with most women experiencing two or more such problems. Eight factors were found to be associated with experiencing more alcohol problems: being aged 30 or older, having had no recent health insurance, lower levels of educational attainment, self-identifying as lesbian or bisexual, experiencing greater amounts of childhood maltreatment, greater impulsivity, perceiving one’s local community or neighborhood to be unsafe, and having a larger number of criminally involved friends.Conclusions. Drinking-related problems were prevalent in this population. Numerous factors underlie the extent to which African American women experienced problems resulting from their alcohol use. There is strong evidence of syndemic-type effects influencing drinking problems in this population, and future efforts to reduce the negative impact of alcohol (ab)use ought to consider the adoption of programs using a syndemics’ theory approach.


Author(s):  
Felix L. Armfield

A leading African American intellectual of the early twentieth century, Eugene Kinckle Jones (1885–1954) was instrumental in professionalizing black social work in America. In his role as executive secretary of the National Urban League, Jones worked closely with social reformers who advocated on behalf of African Americans and against racial discrimination in the United States. Coinciding with the Great Migration of African Americans to northern urban centers, Jones' activities on behalf of the Urban League included campaigning for equal hiring practices, advocating for the inclusion of black workers in labor unions, and promoting the importance of vocational training and social work for members of the black community. Drawing on rich interviews with Jones' colleagues and associates, as well as recently opened family and Urban League papers, the book freshly examines the growth of African American communities and the new roles played by social workers. In calling attention to the need for black social workers in the midst of the Great Migration, Jones and his colleagues sought to address problems stemming from race and class conflicts from within the community. This book blends the biography of a significant black leader with an in-depth discussion of the roles of black institutions and organizations to study the evolution of African American life immediately before the civil rights era.


2001 ◽  
Vol 7 (1) ◽  
pp. 1-15
Author(s):  
Linda S. Moore

This article analyzes linkages among the 60 Settlement House workers and other white and African-American leaders of the Progressive Era who signed “The Call,” a media statement calling for aid for African Americans in 1908 that eventually led to development of the NAACP. The analysis demonstrates the value of linkage and shared resources for success of social movements during the Progressive Era. This article applies the discussion to issues facing social work today.


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