The Protective Role of the Family and Social Support Network in a Sample of HIV-Positive African American Women: Results of a Pilot Study

This study examined the role of family functioning and social support in protecting HIV-positive African American women from the adverse psychological consequences associated with deterioration in their CD4 cell count. Participants were 38 African American HIV-positive women who had recently given birth. Results demonstrated that changes in CD4 cell counts were inversely predictive of psychological distress and were moderated by family functioning and social support satisfaction. Women with good family functioning were less affected by changes in their CD4 cell counts, and women with poor family functioning were more emotionally responsive to changes in CD4 cell count. Unexpectedly, women from families where conflicts tended to be clearly laid out and discussed were also more responsive to both changes in CD4 cell counts. Interventions are recommended that increase a client's social support satisfaction, foster an adaptive level of connectedness to family, and enhance the family's range of conflict resolution styles.     

Social embeddedness and psychological well-being among African Americans and whites

Using data from the National Medical Expenditure Survey, a household survey of more than 18,000 respondents, this study examined racial and gender differences in social embeddedness, an indicator of community well-being and social support. The study hypothesized that higher levels of social embeddedness would be found among African Americans than among Whites and that the association between social embeddedness and psychological well-being would be stronger among African Americans than among Whites. African American men reported themselves more socially embedded overall than White men and, in one instance, their social involvement was especially important in predicting psychological well-being. African American women were more likely than White women to report attending meetings of churches and community groups, but otherwise were less socially involved than White women. There was no evidence of a difference between African American and White women in strength of the connection between social embeddedness and psychological well-being. African American social involvement is more selective than previously believed and generalizations must be qualified on the basis of gender.     

Oral contraceptive use among African American adolescents: Individual and community influences

Side effects of oral contraceptives are a noteworthy problem, particularly among low-income young women who reside in inner-city communities. The problem may be compounded by inadequate family planning services, particularly when such services are provided by general medical practices with high volumes of clients. This study examined the prevalence and correlates of pill-related side effects, with particular attention to the role of clinic characteristics. Participants were 177 pregnant and parenting African American adolescents and young women (average age=18.34). The experience of a pill-related side effect was the most frequently cited barrier to birth control use, and it was significantly related to contraceptive behavior. Finally, although participants attending comprehensive clinics experienced more barriers to medical service use than those attending neighborhood clinics, they reported fewer problems with pill-related side effects and better psychological functioning. Implications for future research and policy are discussed. This study was completed with the assistance of grants from the Illinois Department of Alcoholism and Substance Abuse, the National Institute of Child Health and Human Development, and the Office of Research on Women's Health to Jean Rhodes. Portions of this paper were presented at the 1993 Biennial Meeting of the Society for Community Research and Action, Williamsburg, Virginia. The authors gratefully acknowledge the assistance of Julian Rappaport, Joel Meyers, Hope Landrine, Lori Ebert, the Reverend Annette Collins, Margaret Daniels, Khya Lawrence, and the professionals and participants at the service settings.     

Gendered Racial Identity of Black Young Women

In order to understand the experience and identity development of Black adolescents and young women, it is important to understand the intersection of race and gender, or gendered racial identity development. The study sought to unpack aspects of social identity particularly gendered racial identity from the phenomenological perspective of participants. This study included dyadic focus groups of 17 African American young women between the ages of 15?C21. Participants were asked about meaning and salience of gendered racial identity. Results suggest that gendered racial identity had greater salience for the participants as compared to the separate constructs of racial or gender identity. The participants identified with negative stereotypes and images of African American women, issues of colorism and standards of beauty. They also emphasized the importance of self-determination. Furthermore, when asked directly about the meaning of race and gender in their lives participants indicated that race and gender simultaneously influenced their perceptions of themselves. The findings that emerge from this study further the discourse regarding limitations that may occur when using single identity factor models to understand identity development among ethnic minority youth. Implications for prevention programs and areas for future research are included.     

Family Matters: The Role of Mental Health Stigma and Social Support on Depressive Symptoms and Subsequent Help Seeking Among African American Boys

African American adolescent boys underutilize mental health service due to stigma associated with depression. Gaining an increased understanding of how depressed, African American adolescent boys perceive their mental health needs and engage in help-seeking behaviors might play an essential role in efforts to improve their symptoms and access to care. Using a mixed-methods design, this study examined the influence of mental health stigma and social support on depressive symptoms among African American adolescent boys. Findings indicated the protective effects of social support in decreasing depressive symptoms, especially when participants experienced mental health stigma. Results also revealed the pivotal role of family social support over both professional and peer support for participants who struggled with depressive symptoms. The primacy of family support among the sample, combined with the frequent distrust of professionals and peer networks, would indicate that working with families may improve initial identification of depression among African American adolescent boys and decrease their barriers to care.     

Ethnicity in America and feeling "American"

Ethnic group acculturation remains a concern in the United States today. In the present study, the authors explored the extent to which members of three ethnic groups (White American women, African American women, and Cuban American women) perceived themselves to be "American," how much each group felt that its members were perceived as being American by White Americans, and how these perceptions related to beliefs about their own group's economic and social status. The results showed that African Americans felt American but felt that they were not perceived as such by White Americans. African Americans also reported feeling economically and socially excluded. In contrast, Cuban Americans reported neither feeling they were American nor believing they were perceived as such by White Americans, but feelings of inclusion increased with length of residence. Implications of these results for the common ingroup identity model are discussed.     

Intimate partner violence against African American women: An examination of the socio-cultural context

Intimate partner violence (IPV) is a significant public health concern that affects an alarmingly high percentage of women. There is evidence to suggest that African American women are impacted by IPV at higher rates than are Caucasian women, yet little of the IPV literature addresses the cultural and structural factors that differentially affect African American and Caucasian couples. The present paper reviews the existing literature on IPV towards African American women, including prevalence, theories, risk factors for victimization, victims' psychological sequelae, barriers to service utilization, coping strategies, and interventions for survivors and perpetrators of IPV. Recommendations for counseling, research, and policy are explored.     

Partner Violence, Social Support, and Distress Among Inner-City African American Women

This study examined the role of social support in the partner violence–psychological distress relation in a sample of African American women seeking medical care at a large, urban hospital (n = 138). Results from bivariate correlational analyses revealed that partner violence was related to lower perceived social support and greater psychological distress, and lower social support was related to more distress. Furthermore, findings based on path analysis indicated that low levels of social support helped account for battered women's increased distress. Findings point to the need for service providers to screen for partner violence in nontraditional sites, such as hospital emergency rooms, and to address the role of social support resources in preventive interventions with African American battered women.     

Civic engagement in relation to outcome expectations among African American young adults

The present study examined civic engagement—volunteering and political activism—among 129 African American young adults from an urban community. The proposed model considered factors that motivate young adults to participate in civic activities as well as barriers that might inhibit involvement. Drawing upon social cognitive theory, this study highlighted the role of two related, but independent, types of civic attitudes: community and individual outcome expectations (OEs) as Bandura defines them. Results indicated that perceptions of neighborhood conditions are linked to community OEs, whereas previous involvement in political actions is linked to individual OEs. Analyses also revealed that community and individual OEs are differentially associated with young adults' intentions to engage in future civic activities. Study findings contribute to an area of research that has received limited investigation and are discussed in terms of developing strategies to support civic engagement among African American young adults in urban settings.     

Reluctance to Use Host Social Services by Ethnic Minorities: The Role of Consensual Separation,Threat to Heritage Culture and Misunderstanding of the Host Society Language

The main goal of this study was to examine the relationships between two types of separation orientations, namely forced and consensual separation, and the use of French social service community centers. Participants were two groups of young women, both members of ethnic minorities: Turkish (n?=?42) and North African (n?=?41). The results showed that young Turkish women were more oriented towards consensual separation than young North African women. Preference for a separation strategy was positively associated with both the perception of a threat to heritage culture and difficulties in understanding the language of the social workers. The more participants perceived social workers as a source of threat to their heritage culture and as speaking a language they had difficulty understanding, the less frequently they made use of the services offered at the community centers. Socio-demographic variables such as education level and marital status were found to play a significant role in these findings.     

Mental health service use by African American women: exploration of subpopulation differences

Studies focusing on mental health service use have consistently viewed African American women as a homogeneous population, and very few studies have examined subgroup differences. However, important differences exist both within and between groups in lifestyle, stressors, type and availability of support resources, societal interactions, and risk-taking behaviors. This study examined rates and patterns of mental health service use by African American lesbian women and a matched sample of heterosexual women. Results suggest both similarities and differences in factors associated with use of services. Despite evidence of substantial emotional distress, relatively few African American lesbian and heterosexual women reported current use of mental health services. These findings are consistent with past reports on African American heterosexual women but differ from other published reports on lesbians' use of therapy. Findings from this study, including clear differences between lesbians and heterosexual women in past use of therapy and preferences for mental health providers, have important implications for service provision.     

Racism experiences and psychological functioning in African American college freshmen: is racial socialization a buffer?

Previous research has documented the negative effects of racism on the psychological health of African Americans. However, consideration of racial socialization as a potential buffer against racism experiences has received limited attention. The present study investigated whether two types of parental racial socialization messages reduced the impact of racism on psychological functioning in a sample of 247 African American college freshmen (M=18.30). Results indicated that students who reported more racism experiences also had poorer levels of psychological functioning as indicated by higher levels of psychological stress and psychological distress. Parental messages emphasizing the use of African American cultural resources to cope with racism reduced the impact of racism on psychological stress only. Cultural pride messages predicted less psychological distress while messages emphasizing the use of cultural resources predicted greater psychological distress. However, neither message type moderated the relationship between racism experiences and psychological distress. These results suggest that racial socialization messages have complex relations to psychological functioning in African American college students.     

Social capital, self-esteem, and use of online social network sites: A longitudinal analysis

A longitudinal analysis of panel data from users of a popular online social network site, Facebook, investigated the relationship between intensity of Facebook use, measures of psychological well-being, and bridging social capital. Two surveys conducted a year apart at a large U.S. university, complemented with in-depth interviews with 18 Facebook users, provide the study data. Intensity of Facebook use in year one strongly predicted bridging social capital outcomes in year two, even after controlling for measures of self-esteem and satisfaction with life. These latter psychological variables were also strongly associated with social capital outcomes. Self-esteem served to moderate the relationship between Facebook usage intensity and bridging social capital: those with lower self-esteem gained more from their use of Facebook in terms of bridging social capital than higher self-esteem participants. We suggest that Facebook affordances help reduce barriers that lower self-esteem students might experience in forming the kinds of large, heterogeneous networks that are sources of bridging social capital.     

Psychosocial Considerations in Sickle Cell Disease (SCD): The Transition from Adolescence to Young Adulthood

Sickle cell disease (SCD) occurs in 1 of every 400 to 500 African American births. Despite its prevalence, there has been a relative dearth of attention paid to SCD in the psychological literature. African American SCD adolescents and young adults, individuals at an already vulnerable developmental stage, are at increased risk for psychological distress and psychosocial impairments (e.g., depression and low self-esteem, poor social and academic/vocational functioning). Such difficulties often result in problematic adherence to medical regimens, and thus represent a potentially serious clinical and public health problem that merits the attention of psychologists working in medical settings. This article (1) reviews the psychosocial needs peculiar to SCD patients transitioning from adolescence to young adulthood; (2) applies a culturally informed stress-coping-adjustment framework to assess and address the psychological status, psychosocial functioning, and disease outcomes of these individuals; and (3) describes a culturally and developmentally sensitive, psychoeducational group intervention.     

Concurrent associations between anxiety sensitivity and perceived health and health disability among young adult daily smokers

The aim of this investigation was to evaluate the incremental validity of anxiety sensitivity (fear of arousal-related physical and psychological sensations) relative to health factors (smoking variables, alcohol use and exercise level), in predicting perceived health and disability among a sample of 225 young adult daily smokers (102 females; M(age) = 23.9 years, SD = 8.8). Consistent with prediction, anxiety sensitivity, relative to smoking-relevant variables, alcohol consumption (a single frequency by quantity composite) and exercise activity, predicted lower perceived general health and impairments in mental health and social functioning; no incremental effects were evident for anxiety sensitivity for predicting impairments in physical functioning, role functioning, or increased healthcare usage. These findings are discussed with respect to better understanding cognitive factors that affect perceptions of health status and functioning among daily smokers.     

Psychological disturbance,social support and stressors: A community survey of immigrant Asian women and the indigenous population

The purpose of this community survey was to examine the differences in psychological symptom levels, social support, stressors and the awareness and use of local social services between the Asian and the indigenous groups. The theoretical starting point lies in the idea that the Asian group would have experienced considerable stress, partly as a resuldt of their being immigrants, and that the traditional extended family common to them may be an important source of social support. The relationship between psychological symptom levels and social support was examined to test the hypothesis that they might be related. Forty immigrant Asian women and 40 indigenous women were randomly selected from the Electroral Register, 1988, using quota-sampling techniques. All subjects were interviewed in their own homes and in their native languages by volunteer interviewers. In comparison with the Indigenes, the Asians had higher symptom levels; smaller, denser, less dispersed social support networks composed of mainly kin members; they reported more stressors related to their migrant status, and they had a lower awareness and usage of local social services. A relationship between psychological disturbance and social support was found, yielding inconsistent results regariding the direction of the relationship. Limitations of the study were outlined with implications of the results and indications for future research discussed.     

Do you see what I see?: An exploration of inter-ethnic ideal body size comparisons among college women

The present study explored African American (n = 16) and European American (n = 19) college women's ideal body size perceptions for their own and the other ethnic group along with reasons behind their selections. Respondents completed an ethnically-neutral figure rating scale and then participated in ethnically-homogenous focus groups. European Americans mostly preferred a curvy-thin or athletic ideal body while most African American students resisted notions of a singular ideal body. European Americans suggested that African Americans’ larger ideal body sizes were based on greater body acceptance and the preferences of African American men. African Americans used extreme terms when discussing their perceptions of European Americans’ thin idealization, celebrity role models, and weight management behaviors. African Americans’ perceptions of European Americans’ body dissatisfaction were also attributed to the frequent fat talk they engaged in. Implications for promoting the psychosocial well-being of ethnically-diverse emerging adult females attending college are discussed.     

Growing Older and Staying Positive: Associations Between Diverse Aging Women’s Perceptions of Age and Body Satisfaction

As women grow older, physical changes accompanying the aging process may impact self-perceptions of body image and age. To assess these perceptions, survey data were collected from 115 European American and 100 African American aging 65+ to assess whether patterns of association between age, age discrepancy, and body satisfaction vary by ethnic group. African American women reported higher average satisfaction for all body perceptions except weight, for which there was no difference between the groups. Ethnic group moderated the association between age discrepancy and two aspects of body satisfaction: cosmetic features and overall appearance. For African American aging women, perceptions of the body were not as strongly linked to perceptions of aging. For European American women, feeling older than one’s age was associated with lower body satisfaction, and women in this group may be more vulnerable to the negative impacts of the aging process on the body.     

Are you your father's child? Social identity influences of father absence in a South African setting

This study explored social identity influences of father absence on black South African young adults, including use of paternal surname. Informants were six young women and men between 21 and 35 years of age from a historically disadvantaged South African township. Data were collected through one-on-one in-depth interviews, and analyzed using thematic content analysis. Father absence was associated with lower self perceptions and non-use of paternal surname with diminished sense of identity. Use of maternal surname sufficed as an identity for some. Patriarchal norms explained children's perceived and experienced social identities in a historically disadvantaged black community.     

Race-Related Differences in the Experiences of Family Members of Persons with Mental Illness Participating in the NAMI Family to Family Education Program

Families play an important role in the lives of individuals with mental illness. Coping with the strain of shifting roles and multiple challenges of caregiving can have a huge impact. Limited information exists regarding race-related differences in families’ caregiving experiences, their abilities to cope with the mental illness of a loved one, or their interactions with mental health service systems. This study examined race-related differences in the experiences of adults seeking to participate in the National Alliance on Mental Illness Family-to-Family Education Program due to mental illness of a loved one. Participants were 293 White and 107 African American family members who completed measures of problem- and emotion-focused coping, knowledge about mental illness, subjective illness burden, psychological distress, and family functioning. Multiple regression analyses were used to determine race-related differences. African American caregivers reported higher levels of negative caregiving experiences, less knowledge of mental illness, and higher levels of both problem-solving coping and emotion-focused coping, than White caregivers. Mental health programs serving African American families should consider targeting specific strategies to address caregiving challenges, support their use of existing coping mechanisms and support networks, and increase their knowledge of mental illness.