“We Were Loving Warriors!”: A Content Analysis of Black Women’s Resistance Within Psychological Science

Though findings are mixed, collective action engagement has been shown to be positively associated with greater academic success, social support, political efficacy, and well-being with racially marginalized individuals. Despite these findings, however, investigations of collective action engagement with Black American adult women within psychological science are scarce. Consistent with Black feminist thought, the construct of resistance may provide a necessary expansion to include all the ways that Black women actively work to transform their communities toward justice, beyond collective action. To ascertain the breadth and scope of psychological research related to Black women’s resistance (i.e., collective action engagement) to interpersonal discrimination and structural oppression, in this systematic review and content analysis we sought to identify participants’ and scholars’ definitions of resistance, as well as thematic dimensions and specific strategies of resistance. Additionally, we sought to determine the outcomes of resistance that have been assessed and the degree to which psychological health and well-being have been examined as an outcome of resistance within the literature. Findings from the analysis suggest the need for future examinations of the specific influence of Black American women’s collective action engagement and resistance to oppression on their well-being. Additionally, the findings of this review may have important implications for Black women’s well-being and as such, we discuss resistance work as a therapeutic intervention that can be encouraged by therapists, healers, community leaders, and educators.

Standpoints and Situatedness: Examining the Perception of Benevolent Sexism in Black and White Undergraduate Women and Men

Racial differences in benevolent sexism have been underexplored. To address this gap, we used standpoint theory as a framework to examine race-gender group differences in the endorsement of benevolent sexism and how cultural factors (i.e., egalitarianism, religiosity, and racial identity) and inequality factors (i.e., experiences with racial discrimination and support for social hierarchies) might mediate this relationship. Among 510 Black and white undergraduate women and men, we found racial differences, such that Black women and men had higher endorsement of benevolent sexism than white women and men. Further, there was a gender difference for only white participants, with white men endorsing these attitudes more than white women. For Black women, religiosity and racial identity mediated the relationship between their race-gender group and greater benevolent sexism compared to white women, but only religiosity mediated the relationship for Black men. Neither inequality mediator accounted for benevolent sexism differences; however, both were associated with white women’s lower benevolent sexism, as was egalitarianism. Given these findings, we discuss implications for benevolent sexism theory, the possibility that cultural factors may shape Black women and men’s standpoint by establishing group-based norms and expectations around benevolently sexist behavior, and suggest culturally appropriate methods to reduce sexism.

Gender and Ethnicity Bias in Medicine: A Text Analysis of 1.8 Million Critical Care Records

Gender and ethnicity biases are pervasive across many societal domains including politics, employment, and medicine. Such biases will facilitate inequalities until they are revealed and mitigated at scale. To this end, over 1.8 million records from a large US hospital were evaluated with natural language processing techniques in search of gender and ethnicity bias indicators. Consistent with non-linguistic evidence of bias in medicine, physicians often focused on the emotions of female compared to male patients and focused more on the scientific diagnoses of male compared to female patients. Physicians reported on fewer emotions for Black patients versus White patients and physicians demonstrated the greatest need to work through diagnoses for Black women compared to other patients. This work provides evidence of gender and ethnicity biases in medicine as communicated by physicians in the field and requires the critical examination of institutions that perpetuate bias in social systems.

Racial and Ethnic Disparities in the Refusal of Surgical Treatment in Women 40 Years and Older With Breast Cancer in the United States Between 2010 and 2017

Purpose Although surgical resection is the main modality of treatment for breast cancer, some patients elect to refuse the recommended surgery. We assessed racial and ethnic differences in women 40 years and older who received or refused to receive surgical treatment for breast cancer in the United States and whether racial disparities in mortality were affected by their differences in the prevalence of refusal for surgical treatmentMethods We studied 277,127 women with breast cancer using the Surveillance, Epidemiology, and End Results (SEER) data and performed multivariable logistic regressions to investigate the association between surgery status of breast cancer and race/ethnicity. Additionally, we performed Cox logistic regression analyses to determine the predictors of mortality outcomes. Results Of 277,127 patients with breast cancer, 1,468 (0.53%) refused to receive the recommended surgical treatment in our cohort. Non-Hispanic Black women were 112% more likely to refuse recommended surgical treatment for breast cancer compared to their non-Hispanic White counterparts [adjusted odds ratio: 2.12, 95% confidence interval (CI)=1.82-2.47]. Women who underwent breast conserving surgery [hazards ratio (HR): 0.15, 95% CI: 0.13-0.16] and mastectomy (HR:0.21, 95% CI: 0.18-0.23) had lower hazard ratios of mortality as compared to women who refused the recommended treatment after adjusting for covariates. Conclusion Race/ethnicity was associated with refusal for recommended surgery, especially among non-Hispanic Black women. Also, surgery refusal was associated with a higher risk of all-cause and breast cancer-related mortality. These disparities stress the need to tailor interventions aimed at raising awareness of the importance of following physician recommendations among minorities.

Exploring Black Women’s Pathways to Motherhood Within a Reproductive Justice Framework

Amidst the increasing push to address racial disparities in maternal health equity, fewer studies have considered Black women’s perspectives on their needs, concerns, and priorities regarding family planning care. Such evidence might help address the lack of support and information that many Black women report in patient–provider encounters, and broaden empirical knowledge on the contextual factors that influence Black women’s reproductive decisions. In the present qualitative study, we explored Black women’s pathways to motherhood within a reproductive justice framework. We drew on individual, semi-structured interview data from 31 Black mothers (25–50 years, Mage = 35 years) across the United States. Using consensual qualitative research methods, we elaborated on three themes: (1) intentional family planning, (2) unintended pregnancy, and (3) othermothering. The findings challenge deficit-based stereotypes of Black mothers’ reproductive choices and illuminate how health practitioners can facilitate humanizing conversations that prioritize Black women’s family planning goals and decision-making.