Spirituality Among Older African Americans

Recent changes in gerontology have drawn attention to the role of spirituality among older adults. Demographic trends suggest that the number of African Americans over the age of 65 is increasing, with the largest shift to occur in persons 85 years of age and older. Given the paucity of information available regarding the relationship between spirituality and aging along with the increase in the number of older African Americans, a literature review of these concepts is sorely needed. This paper provides a thorough profile of older African Americans, with a review of historical and cultural factors that have informed the spiritual development of this population. Additionally, attention is given to methodological issues such as definitions, measures, sampling, and research designs at the interface of development and spirituality in this population. The paper also reviews findings to date about the effects of spirituality on physical and mental health among older African Americans.     

Religion and Health Among Older Mexican Americans: Exploring the Influence of Making Mandas

A manda is a religious quid pro quo whereby an older Mexican American promises to perform a religious act if the Virgin or one of the saints grants a request. The purpose of this study is to see whether making mandas is associated with health among older Mexican Americans. Findings from the study model suggest that making mandas is associated with a greater sense of personal control, and more personal control is associated, in turn, with better health.     

Exploring the Interface Between Religion and Contact with the Dead Among Older Mexican Americans

The purpose of the current study is to examine the relationship between religion and post death contact among older Mexican Americans. Four major themes emerged from 52 in-depth interviews that were conducted with Older Mexican Americans residing in Texas. First, many older study participants told us they had contact with the dead, but others indicated this was not possible. Second, the form in which contact with the dead was made varied greatly. Some older Mexican Americans reported they had visual contact with the dead, while others said they only made contact with the dead through dreams. Third, although some older Mexican American study participants believed that it was in the best interests of the dead to contact the living, others felt the dead should instead be in Heaven with God. Fourth, the participants in our study reported that having contact with the dead provides a number of important social and psychological benefits. In the process of discussing these themes, an emphasis is placed on how beliefs and experiences with the dead interface with religion. In addition, we also explore how post death contact may be associated with health and well-being in late life.     

Financial Strain, Negative Interactions, and Mastery: Pathways to Mental Health Among Older African Americans

This study examines the impact of financial strain, social support, and negative interactions on depressive symptoms among African Americans and the role of mastery as a mediator in these relationships. Structural equation modeling and baseline data from the Americans' Changing Lives Study were used to test these relationships among a sample of African Americans aged 50 to 96 years (N = 583). Findings illustrate the mechanistic pathways whereby financial strain is associated with depressive symptoms. Moreover, the study findings give further credence to the notion that positive and negative aspects of social relationships are distinctive with respect to social status factors, financial strain, and their relationship to depressive symptoms. This research suggests that mastery is an important mechanism linking negative interaction to mental health. The collection of findings provide a number of provocative departures from research conducted primarily using White samples and identifies important areas of intervention with older African Americans.     

Knowledge About Genetics Among African Americans

Although knowledge about genetic concepts is important for individuals to be active participants in medical technologies that use genetic science, limited information is available on knowledge about basic genetic concepts and terminology in African Americans. The purpose of this study was to evaluate knowledge about general genetic concepts and medical genetics terminology among African Americans and to identify factors having independent associations with knowledge. Participants were 109 adult African Americans enrolled in a study on attitudes about race, genetics, and smoking. The majority of respondents were knowledgeable about general genetic concepts, but were less knowledgeable about medical genetics terminology. Education was the only factor independently associated with knowledge about sporadic disorders in multivariate logistic regression analysis. Respondents with at least some college education were most likely to be knowledgeable about sporadic disorders (OR=2.70, 95% CI=1.10, 6.67, p=.03). The results of this study suggest that genetics education targeted to African Americans may need to focus on increasing understanding about technical concepts related to genetics.     

Variables Affecting Racial-Identity Salience Among African Americans

Abstract

The author clarified the African American racial-group identification process by addressing the issue of salience and its relationship to racial-group attitudes. A sample of 409 African American adults responded to surveys pertaining to their racial-group salience, racial-group attitudes, racial socialization, racial-group interaction, political activism, experiences of discrimination, and demographic data (e.g., sex, age, and income). The author tested 3 hypotheses: (a) Racial socialization and interaction with other African Americans are predictive of African American racial-identity salience; (b) discriminatory experiences are predictive of African American racial-identity salience; and (c) racial-identity salience is a stronger predictor of African American racial-group identification than are previously identified predictive variables (D. H. Demo & M. Hughes, 1990; V. L. Thompson Sanders, 1991, 1995). The results supported the 1st and 3rd hypotheses.     

Trust-Based Prayer Expectancies and Health Among Older Mexican Americans

This study assesses the health-related effects of trust-based prayer expectancies, which reflect the belief that God answers prayers at the right time and in the best way. The following relationships are evaluated in our conceptual model: (1) older Mexican Americans who attend worship services more often tend to develop a closer relationship with God; (2) people who feel close to God will be more likely to develop trust-based prayer expectancies; (3) people who endorse trust-based prayer expectancies will have greater feelings of self-esteem; and (4) higher self-esteem is associated with better self-rated health. The data support each of these relationships.     

Judgement Accuracy in Body Preferences Among African Americans

Perceptions of body size vary by gender and ethnicity. Women are more dissatisfied with their bodies than are men and Caucasian women are more dissatisfied with their bodies than are African American women. The purpose of this study was to examine if African American men and women accurately estimate the level of thinness preferred by the opposite gender. We predicted that African American women would correctly estimate the level of thinness found attractive by African American men, thereby providing support for the explanation that African American women are partially protected from experiencing similar levels of body dissatisfaction as Caucasian women do because they correctly estimate that African American men like larger women. Participants were 68 African American women and 34 African American men. The results supported our prediction, African American women accurately estimate the level of thinness preferred by African American men.     

Measuring QoL with SF-36 in Older Americans with TBI

This study demonstrated reliability and factor structure of the Medical Outcomes Study Short-Form Health Survey (SF-36) among older Americans with Traumatic brain injury (TBI), and evaluated effects of injury severity and race on SF-36's items and latent domains. A representative sample of 654 older, racially diverse patients with TBI was selected from the South Carolina Traumatic Brain Injury Follow-up Registry. Reliability and factor structure of SF-36 were evaluated using Cronbach’s alpha and confirmatory factor analysis (CFA). Multiple-indicator multiple-causes (MIMIC) models were used to study effects of injury severity and race on items (differential item functioning, DIF) and latent domains (population heterogeneity) of SF-36. SF-36 was reliable and its current eightfactor structure was confirmed. While TBI severity did not impact latent domain scores of SF-36, race did. Blacks had higher vitality and lower role-emotional scores than whites. The measurement model was invariant to injury severity and race (free of DIF), and DIF did not contribute to the differences of vitality and role-emotional between black and white older TBI patients. SF-36 was valid to measure quality of life (OoL) after TBI in racially diverse elderly population. Blacks tend to assert to strong coping behaviors in the presence of physical stress while admitting low performance due to emotional stress. In QoL research where the primary outcomes are usually composite scores from instruments, MIMIC models have advantages over conventional multivariable regression models in testing the validity of the instruments and assessing covariate effects on latent traits of instruments while controlling for DIF effects.     

Subjective Well-Being of Older African Americans with DSM IV Psychiatric Disorders

This study examined demographic and mental health correlates of subjective well-being (i.e., life satisfaction, happiness) using a national sample of older African Americans with psychiatric disorders. We used a subsample of 185 African Americans, 55 and older with at least one of thirteen lifetime psychiatric disorders from The National Survey of American Life: Coping with Stress in the Twenty-first Century. The findings indicated that among this population of older adults who had a lifetime psychiatric disorder, having a lifetime suicidal ideation was associated with life satisfaction but not happiness. Further, having a 12-month anxiety disorder or a lifetime suicidal ideation was not associated with happiness. Having a 12-month mood disorder, however, was negatively associated with an individual’s level of happiness, as well as their life satisfaction. Additionally, there were two significant interactions. Among men, employment was positively associated with life satisfaction, and marriage was associated with higher levels of happiness among men but not women. The overall pattern of findings reflects both similarities and departures from prior research confirming that well-being evaluations are associated with multiple factors.     

Collaboration of Churches and Service Providers: Meeting the Needs of Older African Americans

ABSTRACT

This article describes a community outreach volunteer project designed to reach frail community-based older adults. The project is an example of church and secular agency collaboration in which the church provides leadership in volunteer recruitment and the agency provides training and outreach activity monitoring. The church's role in this project illustrates that small and medium-size African American churches can play an important role in mobilizing volunteer resources and can perform a linking role in helping secular agencies to gain access to frail, hard-to-reach, low-income older adults.     

Religiousness and Quality of Life Among Older Adults of Different Ethnic Groups in Malaysia: A Five-Year Follow-up Study

Journal of Religion and Health - Research has shown that religion is associated with a better quality of life (QoL). This study aims to examine ethnic differences in the association between...     

Measuring Religiousness in Health Research: Review and Critique

Although existing measures of religiousness are sophisticated, no single approach has yet emerged as a standard. We review the measures of religiousness most commonly used in the religion and health literature with particular attention to their limitations, suggesting that vigilance is required to avoid over-generalization. After placing the development of these scales in historical context, we discuss measures of religious attendance, private religious practice, and intrinsic/extrinsic religious motivation. We also discuss measures of religious coping, wellbeing, belief, affiliation, maturity, history, and experience. We also address the current trend in favor of multi-dimensional and functional measures of religiousness. We conclude with a critique of the standard, “context-free” approach aimed at measuring “religiousness-in-general”, suggesting that future work might more fruitfully focus on developing ways to measure religiousness in specific, theologically relevant contexts.

Social Factors in the Church and Positive Religious Coping Responses: Assessing Differences Among Older Whites, Older Blacks, and Older Mexican Americans

Findings from a growing number of studies point to the social basis of a wide range of religious beliefs and behaviors. This study has two main goals. The first is to see whether four social aspects of congregational life (church attendance, attendance at Bible study groups, attendance at prayer groups, and informal spiritual support) are associated with greater use of positive religious coping responses. The second goal is to determine if the relationships between these social aspects of the church and religious coping vary across older whites, older blacks, and older Mexican Americans. The data suggest that more frequent church attendance is associated with greater use of religious coping responses in all three groups. However, the findings further reveal that the relationship between informal spiritual support and religious coping is especially stronger among older whites. The theoretical implications of these findings are discussed.     

Prayer to the Saints or the Virgin And Health Among Older Mexican Americans

The purpose of this study was to evaluate a conceptual model that assesses whether praying to the saints or the Virgin is associated with the health of older Mexican Americans. A survey was conducted of 1,005 older Mexican Americans (Mean age = 73.9 years; SD = 6.6 years). Data from 795 of the Catholic respondents are presented in this study. The findings support the following relationships that are embedded in the conceptual model: (1) older Mexican Americans who attend church more often are more likely to believe in the efficacy of prayer to the saints or the Virgin; (2) stronger beliefs in the efficacy of intercessory prayer are associated with more frequent prayer to the saints or the Virgin; (3) frequent prayer is to the saints or the Virgin is associated with greater God-mediated control beliefs; (4) stronger God-mediated control beliefs are associated with greater optimism; and (5) greater optimism is associated with better self-rated health.     

Social Support from Family and Friends and Subjective Well-Being of Older African Americans

This study examines the impact of informal social support from family and friends on the well-being of older African Americans. Analyses are based on a nationally representative sample of older African Americans from the National Survey of American Life (n = 837). Three measures of well-being are examined: life satisfaction, happiness and self-esteem. The social support variables include frequency of contact with family and friends, subjective closeness with family and friends, and negative interactions with family. Results indicate that family contact is positively correlated with life satisfaction. Subjective closeness with family is associated with life satisfaction and happiness and both subjective closeness with friends and negative interaction with family are associated with happiness and self-esteem. There are also significant interactions between family closeness and family contact for life satisfaction, as well as friendship closeness and negative interaction with family for happiness. Overall, our study finds that family and friend relationships make unique contributions to the well-being of older African Americans. Qualitative aspects of family and friend support networks (i.e., subjective closeness, negative interactions) are more important than are structural aspects (i.e., frequency of contact). Our analysis verify that relationships with family members can both enhance and be detrimental to well-being. The findings are discussed in relation to prior research on social support and negative interaction and their unique associations with well-being among older African Americans.     

Personality as a Source of Individual Differences in Cognition among Older African Americans

Previous research suggests that demographic factors are important correlates of cognitive functioning in African Americans; however, less attention has been given to the influence of personality. The present study explored how dimensions and facets of personality predicted individual variability in cognition in a sample of older African Americans from the Baltimore Study of Black Aging. Cognition was assessed by verbal learning and attention/working memory measures. Personality was measured by the NEO Personality Inventory-Revised. Linear regressions controlling for demographic factors showed that Neuroticism, Openness, and Agreeableness were significant regression predictors of cognitive performance. Individual facets of all five personality dimensions were also associated with cognitive performance. These findings suggest personality is important in understanding variability in cognition among older African Americans.     

Exploring the within-person coupling of sleep and cognition in older African Americans

This study examined the within-person relationship between sleep and cognitive functioning. Fifty community-dwelling African Americans (age range = 50-80 years) were asked to report their sleep duration and quality the previous evening and to complete cognitive measures over 8 occasions within a 2-3 week period. A within-person daily change in sleep duration was significantly associated with worse global cognitive performance. The greater an individual deviated away from his or her average sleep duration on a particular day, the more likely his or her performance would decline. These results demonstrate that the sleep-cognition relationship can be observed at a within-person level of analysis.