Early-Life Racial Discrimination, Racial Centrality, and Adult Allostatic Load Among African American Older Adults

This study evaluated the life course processes through which early life racial discrimination (ELRD) and racial centrality (i.e., the importance of Black identity to one’s sense of self) interact to shape allostatic load (AL) among African American (AA) adults aged 50+ in the Nashville Stress and Health Study (N=260). Adolescent ELRD was associated with greater racial centrality in adulthood and conferred 35% greater risk of high adult AL; greater centrality was also linked to high adult AL. Centrality accounts for 24% of the association between ELRD and AL. ELRD and centrality interact to shape adult AL, such that racial centrality is protective against high AL for adults who experienced racial discrimination as children or adolescents. Findings highlight the multiple pathways through which race-related stressors and psychosocial resources interact to shape physiological dysregulation in later life and underscore the health significance of racial identity for older AAs.

Discrimination, Stress, and Health Across the Life Course

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.

Examining Psychosociocultural Influences as Predictors of Black College Students’ Academic Self-Concept and Achievement

Using the psychosociocultural framework, this study concurrently examined the influence of psychological (academic self-concept and academic engagement attitudes), social (caring student-faculty relationships), and cultural variables (racial centrality and perceived university environment) on the academic achievement of Black college students. Participants were 247 Black collegians recruited from a large, Southwestern predominately White institution. Results of structural equation modeling largely supported hypothesized relationships between variables, accounting for 16% of the variance in grade point average (GPA), 75% of the variance in academic engagement, and 29% of the variance in academic self-concept. Results revealed two positive direct paths to GPA: (a) racial centrality and (b) academic self-concept; academic self-concept had a key role in facilitating indirect effects on academic engagement and GPA. Findings highlight multiple noncognitive predictors that can facilitate Black students’ academic functioning. Research and practice implications of these findings are outlined.

Ethnic–racial identity content and the development of depressive symptoms among Latino adolescents

The current study examined the concurrent and prospective associations of ethnic–racial identity content (i.e., centrality, private regard, and public regard) and depressive symptomatology among Latino adolescents. Data were drawn from a longitudinal study of Latino adolescents (N= 148, 53.4% girls) who were 13–14 years old at Wave 1. Results indicated that higher ethnic–racial centrality at Waves 1 and 2 predicted fewer depressive symptoms at Waves 2 and 3, respectively. In addition, more positive private regard at Wave 1 predicted fewer depressive symptoms at Wave 2, and more positive public regard at Wave 2 predicted fewer symptoms at Wave 3. Thus, ethnic–racial identity content may serve as a cultural protective factor that is linked to diminished depressive symptomatology among Latino youth.

Gender Typicality, Felt Pressure for Gender Conformity, Racial Centrality, and Self-Esteem in African American Adolescents

Using a sample of 203 African American late adolescents aged 16 to 19 years (Mage = 17.77 years), we examined whether two aspects of gender identity—gender typicality and felt pressure for gender conformity—were related to self-esteem. Racial centrality (i.e., the importance of race to the individual’s self-concept) and gender were tested as moderators of these relations. Compared to girls, boys reported that they were more typical of their gender group (i.e., gender typicality) and that they experienced greater pressure to conform to traditional gender norms (i.e., felt pressure). Multiple linear regression analyses showed that gender typicality was positively related to self-esteem among girls and boys and that the relation was stronger for girls. Racial centrality moderated the relation between gender typicality and self-esteem, such that the relation was weaker for youth who reported higher levels of racial centrality. Felt pressure was negatively related to self-esteem for both boys and girls. These results underscore the importance of considering both gender and race as social identities as we seek to understand African American adolescents’ psychological adjustment.

Racial centrality may be linked to mistrust in healthcare institutions for African Americans

Evidence suggests that racial identity is an important component to African Americans’ self-concepts and therefore may be relevant to patients’ trust in healthcare, yet little is known as to how racial identity may influence trust or mistrust. African American adults ( N = 220) in the greater Portland, Oregon, area provided survey reports of healthcare-related attitudes and experiences. Those who reported higher racial centrality had lower trust in healthcare institutions. Based on these findings, clinicians employing patient-centered care approaches should recognize racial identity as an important component to patients’ experiences when they seek to deliver equitable care to African American patients.