Prayer and Spiritual Practices for Health Reasons among American Adults: The Role of Race and Ethnicity

Many studies find racial differences in prayer and religious practices, but few reports examine factors that help explain the effects of Hispanic ethnicity or African American race. A national survey conducted in 2002 collected data on 10 non-religious spiritual practices as well as on prayer for health reasons in 22,929 adults aged 18 years and over. We found marked racial and ethnic differences in the use of prayer and other spiritual practices for health reasons. Greater proportions of African Americans and Hispanic Americans than European Americans reported prayer for health reasons. Sociodemographic variables and health status could not explain these differences. Further, among those who reported prayer, African Americans were more likely than European Americans to report being prayed for by others. However, African American women and Hispanic women and men were significantly less likely than European Americans to use other spiritual practices such as meditation and Tai Chi. Surprisingly African American men were just as likely to report these practices as European American men. Sociodemographic variables and health status could not explain these differences.     

Race/ethnicity and mental health in the first decade of the 21st century

Recent empirical studies on mental health generally report racial/ ethnic differences in depression rates but typically do not control for potential confounding by sample contextual variations in historical epoch, geographical location, and social demography. An empirical study of race/ethnicity differences in psychological distress is reported as an attempt to control these contexts by using a sample that is homogeneous in age, historical epoch, geography, and social demography (954 youth ages 18-19 living in a single, large urban community). No mean differences in psychological distress were observed among four racial/ethnic groups: Asians, African Americans, Latinos, and non-Hispanic Whites. A second analysis compared 17 different racial/ethnic groups defined in terms of family national origin. No differences in psychological distress were found among these groups. The findings are consistent with the view that race/ethnicity itself is not related to disparities in mental health.     

Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health Treatment

Members of racial/ethnic minority groups are less likely than Caucasians to access mental health services despite recent evidence of more favorable attitudes regarding treatment effectiveness. The present study explored this discrepancy by examining racial differences in beliefs about how the natural course and seriousness of mental illnesses relate to perceived treatment effectiveness. The analysis is based on a nationally representative sample of 583 Caucasian and 82 African American participants in a vignette experiment about people living with mental illness. While African Americans were more likely than Caucasians to believe that mental health professionals could help individuals with schizophrenia and major depression, they were also more likely to believe mental health problems would improve on their own. This belief was unrelated to beliefs about treatment effectiveness. These findings suggest that a belief in treatment effectiveness may not increase service utilization among African Americans who are more likely to believe treatment is unnecessary.     

Mental health services for African Americans: a cultural/racial perspective

African Americans have made consistent progress toward first-class citizenship since 1965. Nonetheless, mental health services for this population have been biased, incomplete, and deficient because similarities to European Americans have been emphasized whereas differences were largely ignored. This article addresses some differences, including cultural/racial identity and the cultural self, that affect assessment, psychiatric diagnoses, and psychotherapy or other interventions. An assessment-intervention model illustrates how cultural information can inform service delivery and improve services to African Americans. Cultural/racial perspectives on mental health in a multicultural society suggest innovations in the design of these services and access to them that can increase utilization by African Americans.     

Differences between African American and European American first-year college students in the relationship between self-efficacy, outcome expectations, and academic achievement

First-year African American and European American college students were surveyed to examine ethnic differences in how their social cognitive beliefs (self-efficacy and outcome expectations) influenced their academic achievement. It was hypothesized that outcome expectations may better explain academic achievement for African Americans due to the fact that they may perceive that external factors such as discrimination may influence their academic outcomes. Because European Americans are less likely to anticipate discrimination, they are more likely to believe that their outcomes would be the result of their own behavior. Higher levels of self-efficacy were related to better academic achievement for both ethnic groups. However, African Americans with negative outcome expectations (e.g. my education will not lead to a well paying job) had better achievement than those with more positive outcome expectations. This pattern was not found for European Americans. Potential explanations for the relationship between outcome expectations and academic achievement for African Americans such as racial socialization for preparation for bias are discussed and implications for interventions are addressed.     

Social Relationships in the Church During Late Life: Assessing Differences Between African Americans,Whites, and Mexican Americans

The purpose of this study is to see if there are differences in the social relationships that older African Americans, older whites, and older Mexican Americans form with the people where they worship. Data from two large surveys are pooled to see if race differences emerge in eleven different measures of church-based social relationships. These measures assess social relationships with rank-and-file church members as well as social relationships with members of the clergy. The findings reveal that older African Americans tend to have more well-developed social relationships in the church than either older whites or older Mexican Americans. This is true with respect to relationships with fellow church members as well as relationships with the clergy. In contrast, relatively few differences emerged between older Americans of European descent and older Mexican Americans. However, when differences emerged in the data, older whites tend to score higher on the support measures than older Mexican Americans.     

Religious Involvement and Health Over Time: Predictive Effects in a National Sample of African Americans

In this study, two telephone interviews that assessed both religious involvement and health‐related quality of life were conducted approximately 2.5 years apart in a national sample of 290 African Americans. Religious involvement was assessed with an instrument that measured both personal religious beliefs (e.g., having a personal relationship with God) and more public religious behaviors (e.g., attending church services). Health‐related quality of life was measured with version 2 of the Medical Outcomes Study 12‐item short form (SF‐12v2). Structural equation models indicated that higher religious beliefs at baseline predicted better physical and mental health 2.5 years later. Higher religious behaviors at baseline contributed smaller, complementary suppression effects. Physical and mental health indicators from the SF‐12v2 at baseline did not predict changes in either religious beliefs or religious behaviors over time. These findings indicate that, for African Americans, personal religious beliefs lead to beneficial health effects over time, whereas individual differences in health do not appear to predict changes in religious involvement.     

Heaven and Health: How Black,Latino, and Korean Christians View the Relationship Between Faith and Health

Religious congregations have increasingly been viewed as potential access points to health care in underserved communities. Such a perspective stems from a robust literature identifying the unique civic role that churches potentially play in African American and Latino communities. Yet, research on congregational health promotion has often not considered how congregants view the connections between religious faith, physical health, and the church community. In order to further interrogate how congregants view the church’s role in health promotion, we compare views on the relationship between faith and health for two groups that are overrepresented in American Christianity and underrepresented in medical careers (African Americans and Latinos) with a group that is similarly religious but comparatively well-represented in medical professions (Korean Americans). Drawing on data from focus groups with 19 pastors representing 18 different congregations and 28 interviews with church members, we find that churches across all three groups promote initiatives to care for the physical health of their members. Nonetheless, notable differences exist in how each group frames the interface between religious faith and physical health. African Americans and Latinos highlighted the role of faith in providing physical healing while Korean Americans saw the support of the religious community as the main benefit of their faith. Distrust of medicine was primarily articulated by members of African American churches. The results offer important implications for the future potential and nature of health initiatives in racial minority communities.     

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.     

Influences of stereotype and social distance on prejudice toward African Americans

The study sought to identify the influential factors of stereotypes, social distance, and prejudice toward racial/ethnic minorities in the United States. We used data from the American General Social Survey (GSS) of 2012, and analysed the data of 4 820 individuals (3 700 Caucasians, 722 African Americans, and 398 others; males?=?44.2%, females?=?55.8%). Data were analysed using the SPSS 18.0 Statistics Program. In order to test for differences in racial prejudice by demographic characteristics by stereotyping and social distancing, we utilised variance and regression analyses procedures. Results suggest that stereotypes and social distance effects on prejudice toward African Americans vary according to ethnicity, gender, age, education, and income. Specifically, older and less-educated white males were more prejudiced toward African Americans than were individuals from other sociodemographic groupings. There was a direct relationship between the holding of stereotypical views and social distance, in that those who showed higher levels of stereotyping maintained a greater social distance from African Americans and showed greater implicit prejudice toward them. Racism toward African Americans remains a major social concern in the USA, and is largely influenced by sociodemographic factors.     

The relationship between ethnicity,Christian orthodoxy,and mental health

Although researchers have noted differences in the role of religiosity in the lives of people from different ethnic backgrounds, the components of religion's influence (i.e., membership and orthodoxy) on mental health have not been previously examined. In the current study, Christian participants’ Christian Orthodox Scale (COS) scores were used to predict scores on mental health. As hypothesized, African Americans with higher COS scores exhibited fewer mental-health problems than did all ethnicities studied with lower COS scores. Implications and future directions for understanding the cultural influence of religion on African Americans are discussed.     

Race,Religion, and Anti‐Poverty Policy Attitudes

Using the 2008 National Politics Study, the present study indicates that while African Americans are more likely than whites to hear sermons about poverty and other political issues, hearing such sermons more consistently associates with support for anti‐poverty government programs among non‐Hispanic whites than among both African Americans and Hispanics. The racially/ethnically marginalized status of blacks and Hispanics may contribute to these groups being more receptive than whites to religious messages emphasizing social inequality. The contrasting racial experiences of dominance and marginalization may also help explain why hearing politicized sermons is more meaningful to the progressive social welfare attitudes of whites than to African Americans and Hispanics. This expectation is rooted in the heightened variability of perspectives among whites and their religious organizations regarding the government's role in aiding the economically disadvantaged. Conversely, the vast majority of blacks and Hispanics support the government helping individuals who fallen upon hard times. The greater variability in opinion among whites may also allow for greater differences in opinion to emerge between whites who attend relative to those outside of religious congregations led by clergy emphasizing spiritual and political solidarity with the poor than is the case for African Americans and Hispanics.     

Social Support and Use of Mental Health Services By Mexican Americans and Non-Hispanic Whites

It has been hypothesized that lack of social resources is associated with use of professional mental health services. Social resources may also have different relationships to mental health service use in cultural groups whose attitudes about use differ. This study tested these hypotheses using survey data from 1,149 non-Hispanic Whites and 1,244 Mexican Americans. The unmarried were more likely than the married to seek help from informal sources. People with little social support from their spouse or relatives were more likely to consult professional providers. Associations of social resources with help seeking did not decrease substantially when psychiatric disorder was controlled, suggesting that these relationships are direct, rather than being mediated by effects of soda1 support on mental health status. Social resources had similar associations with help seeking among Mexican Americans and non-Hispanic Whites.     

Attitudes toward human service organizations: perspectives from an urban black community.

Previous research has suggested that black Americans tend to view mental health services and community mental health centers more negatively than do white Americans. This article discusses a recent study that sought to determine whether black persons possess positive or negative attitudes, what factors influence attitude formation, and the implications of these findings. Based on a sample of black residents in a city in the Northeast, the study found that fewer than 20% of black persons possess negative attitudes toward community mental health centers, that 34% possess positive attitudes, that women and married persons tend to possess more positive attitudes than do men and unmarried persons, that those with high levels of racial consciousness tend to possess more positive attitudes than those who do not, and that those with a high tolerance of substance use tend to possess more negative attitudes than do less tolerant persons. The author suggests that human service agencies should educate social and health workers to become more aware of the cultural diversity and attitudes of the black community so that they may more effectively serve black clients.     

African American marriage in the 20th century

It is not possible to understand African American marriages fully without attention to the social, economic, racial, and historical factors that have stressed male-female relationships beyond those stresses experienced by majority couples. I propose that the societal projection process (Bowen, 1978) has entrapped African Americans in ways that have continually and severely strained their marital and couple relationships. These experiences, and the ways in which African Americans have responded to them, have created a vulnerability that is compounded by societal shifts and changes, and is manifest in the precipitous decline of marriages at a rate higher than that found in all other racial groups in the U.S. I will examine the state of African American marriages in this cultural context, with specific attention to the effects of the unequal sex ratio, socioeconomic conditions, and overstressed male-female relationships. I will then discuss implications and offer suggestions for therapists who work with this population.     

Race differences in psychopathology and disparities in treatment seeking: Community and jail-based treatment seeking patterns

Whites in community samples utilize mental health services at a much higher rate than African Americans (Kessler, et al., 2005). Is this also the case among those in jails? In this study of jail inmates (229 African American, 185 White) there were no race difference in the overall need for mental health treatment (63% of participants had significant symptoms on the Personality Assessment Inventory) but race differences in the level and types of symptoms were evident. Additionally, while Whites were more likely to report pre-incarceration treatment there were no differences in treatment seeking or access to mental health programs while in jail, implying that if barriers to treatment in the community were removed (cost/insurance, location/transportation, time) racial disparities in treatment utilization may be reduced.     

Race,Religion, and Black Lives Matter: Assessing the Association between Sermon Content and Racial Justice Attitudes and Behaviors

We use the 2020/2021 National Politics Study to examine two central questions: 1. How do religious beliefs and clergy sermons about race associate with support for Black Lives Matter (BLM) and racial justice work? And 2. Is the relationship between religion and BLM-related attitudes and activism similar or different across race groups? We found the following: In the months following the summer of 2020 protests in response to George Floyd's murder, African, Hispanic, and White American worship goers who heard sermons about race and policing were more likely than were their co-ethnics to approve of BLM and to engage in racial justice work. Identifying with the religious left and believing that social justice is a core part of one's religaious beliefs is also associated with these groups approving of BLM and engaging in racial justice work. That said, race matters. These forms of religion tend to maintain stronger relationships with White BLM-related attitudes and activism than they do for African Americans and Hispanics.     

A Developmental Shift in Black-White Differences in Depressive Affect across Adolescence and Early Adulthood: The influence of early adult social roles and socio-economic status

This study examined black-white differences in growth of depressive affect using a longitudinal sample of middle-class, suburban US subjects (n = 956) that spanned from adolescence to early adulthood. Specifically, this study examined whether black-white differences in growth of depressive affect shift over time, and the extent to which that shift, if any, was associated with racial differences in the rate and mental health consequences of early adult social roles (e.g., living arrangements, work/college status, and single-parenthood) and socio-economic status (SES). As expected, growth in depressive affect pivoted around the onset of early adulthood, with the trajectory pivoting upward for Black Americans and downward for White Americans. Due to deficits in SES, the relation between challenging early adult social roles - under/unemployment in particular - and growth in depressive affect was more positive for Black Americans. This differential "vulnerability" appears to underlie racial differences in early adult growth (and by connection contribute to racial differences in growth pivot). The extent to which Black Americans were at a greater risk (relative to White Americans) for an upward pivot increased as the number of challenging roles increased. Black Americans facing only optimal early adult social roles were not at a greater risk, while those facing only challenging social roles were at the greatest risk.     

Ethnic, gender, and socioeconomic differences in young adults' self-disclosure: who discloses what and to whom?

Self-disclosure of feelings, thoughts, experiences, and beliefs is central to our lives as social beings and has numerous implications for relationships and health. Although prior research suggests that men and underrepresented groups disclose less, ethnicity is conflated with socioeconomic status and there are few data regarding the types of information that different groups disclose and whether this information is disclosed equally to different people. The current study measured self-disclosure in 203 young adults (50% African American, 50% female), in respect of seven domains and 10 interpersonal targets. As expected, disclosure was not lower among African Americans once income was controlled, although both ethnicity and gender interacted with domain of disclosure and interpersonal target. Importantly, young men and African Americans reported disclosing less in the context of more intimate relationships. Together, these results suggest that income may be as important in predicting low disclosure as ethnicity or gender and that lower disclosure in low-disclosing groups is particularly evident in intimate relationships. Results are discussed in terms of their implications for patterns of interpersonal relating and physical and mental health processes.     

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.