Intimate partner abuse of educated,employed black South African women: sociocultural factors

This study aimed to explore the influence of African culture and tradition on the abuse experiences of Black South African women who are educated and employed. Interviews were conducted with seven Black South African women (age range 38 to 47) who are college educated and employed. All participants were married for seven or more years and self-reporting to be in an abusive relationship. Interviews were transcribed verbatim and analysed using thematic content analysis. The results indicate sociocultural factors such as patriarchal values within their culture as an underlying reason for their husbands’ abusive behaviour. Abuse seemed likely when the women perceived gender roles that were in conflict with their husband's gender role expectations of them. The cultural expectation that women should not leave a marriage appeared to play an implicit role in their staying in an abusive relationship.     

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.     

Spirituality as a coping mechanism for family caregivers of persons with aphasia

This study sought to describe spirituality resourcing of family caregivers for people with aphasia (PWA). A purposive sample of 14 female family caregivers of PWA from a historically disadvantaged South African community were participants (married = 42%; age range 21 to 65 years). They completed interviews regarding the spiritual support that they received when caring for their family member with aphasia. Thematic analysis of the data yielded findings to suggest spiritual interpretation of their experiences, importance of prayer as a source of hope and healing, and significance of social support from church fellowship. Spirituality is a resource for coping with the carer-role among community women with responsibility over family members with aphasia.     

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.     

Couples with Schizophrenia "Becoming like Others" in South Korea: Marriage as Part of a Recovery Process

Very little is known about the married life of couples with schizophrenia. In this paper, authors report perceptions and experiences of 5 married couples with schizophrenia on their strategies in forming and maintaining healthy marriage. Our data reveal that participants had realistic expectations of marriage, and recognized benefits as well as obstacles in their marriages with respect to their recovery. This paper examines the importance of extended family members, mental health professionals, and the larger society's attitudes toward marriage as a factor in the recovery process for persons with schizophrenia. The authors identify implications for mental health professionals regarding the respect of client dignity and the applicability of a strengths perspective when working with couples with schizophrenia. The authors argue that mental health professionals' decisions regarding the balance between respecting a client's self-determination and protecting a client from risks associated with cohabitation and marriage should no longer be a dilemma for those working with people with mental illness.     

The Contributions of Political Life Events to Psychological Distress Among South African

The psychological consequences of adverse political experiences among South African youth were studied in a sample of 540 black and white adolescents from two age groups, evenly divided by gender. Three questionnaires were administered, measuring exposure to political life events, the presence of symptoms of psychopathology, and stressful personal life events during the previous 5 years. The first hypothesis, predicting a substantial contribution of stressful political experiences to psychopathology, was strongly supported; when stressful personal life events were partialed out, a significant effect for political life events remained both on general distress and symptomatology indices. The second hypothesis of a linear relation between exposure to political life events and severity of distress was also confirmed. The findings underscore the enduring impact on children's mental health of past apartheid policies in South Africa specifically, and adverse political environments in general.     

GENDER AS A MODERATOR OF THE RELATION BETWEEN RACE-RELATED STRESS AND MENTAL HEALTH SYMPTOMS FOR AFRICAN AMERICANS

The present study tested gender as a moderator of the relationship between race-related stress and mental health symptoms among African American adults. Because African American women are exposed to stressors associated with race and gender, we hypothesized that African American women would have higher levels of race-related stress and more severe mental health outcomes related to experiences of race-related stress compared to African American men. Multivariate analyses revealed that African American men had higher stress appraisals for institutional racism than did women. No significant gender differences were found for cultural and individual racism. Moderated regression analyses revealed that increases in stress appraisals for individual racism were associated with increases in anxiety and obsessive-compulsive symptoms for African American women. Race-related stress had no significant effects on mental health symptoms for African American men. The findings suggest that gender is an important factor in determining the impact of race-related stress on mental health.     

Mental health,self-esteem,and influences on sexual values and attitudes among black South African adolescent males

This study investigated the relationships between sexual values and attitudes, self-esteem, and mental health among black South African adolescents. Adolescent males (n = 522) aged between 13 and 21 years participated in the study. They completed the Mathteck Sexuality Questionnaire for Adolescents: Attitude and Value Inventory, the Rosenburg Self-esteem Scale, and the Mental Health Continuum. Structural Equation Modelling (Mplus 7.31) was computed to identify an explanatory model for sexual values and attitudes as correlated to self-esteem and mental health of black adolescent males. Results suggest the youth's self-esteem significantly mediate the relationship between mental health and sexual values and attitudes. Specifically, mental health had indirect effects on values about sexuality and on healthy attitudes towards aspects of intimacy, through the teenagers’ self-esteem.     

The effects of widowhood on physical and mental health, health behaviors, and health outcomes: The Women's Health Initiative.

This study examined whether widowhood was associated with physical and mental health, health behaviors, and health outcomes using a cross-sectional (N=72,247) and prospective (N=55,724) design in women aged 50-79 years participating in the Women's Health Initiative observational study (85.4% White). At baseline, married women reported better physical and mental health and generally better health behaviors than widowed women. Whereas women who remained married over the 3-year period showed stability in mental health, recent widows experienced marked impairments and longer term widows showed stability or slight improvements. Both groups of widows reported more unintentional weight loss over the 3-year period. Changes in physical health and health behaviors were inconsistent, with generally small effect sizes. Findings underscore the resilience of older women and their capacity to reestablish connections, but point to the need for services that strengthen social support among women who have difficulty during this transition.     

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.     

Employment and health among married women with children

A sample of nearly 500 urban married women with children was used to evaluate the possible effect of outside-the-home employment on the mental and physical health of married mothers. Six measures of health were used, some drawn from interviews with the women, others from a medical examination. After controlling for ethnicity, education, and age of the women, the husband's occupation, number of children in the family, and length of time the woman has been married, it was found that wives who had been employed for more than a year were healthier than wives not employed outside the home and wives who had worked less than one year. Housewives who had never worked outside the home were healthier, on the whole, than wives who had been employed at some time in the past. Poor marital relationships and having no preschool age children seemed to increase the health advantage of long-term employed wives over those in the housewife categories. The occupational status of wife and husband did not seem to change these health differences very much.An earlier version of this paper was presented at the annual meeting of the Southwest Social Science Association, San Antonio, March 1975. The authors would like to thank Donna Duvall, Ministry of State for Urban Affairs, Ottawa; Elaine Hess, University of Nebraska at Omaha; and David R. Johnson, University of Nebraska — Lincoln for their comments. Gilles Robert and Marie Josepha Hebert ably assisted with various aspects of this project. Support for the project was provided by the Ministry of State for Urban Affairs, but the views expressed here are those of the authors and not necessarily those of the Ministry.     

The Relationship Between Family Stress and Behavioral Health Among African American Adolescents

African American youth, especially those who live in low-income communities, are at increased risk for experiencing higher juvenile justice involvement, poorer mental health, low school engagement, higher illicit drug use, and STIs, relative to their higher income peers and those from other ethnic backgrounds. However, few studies have examined the relationship between family stressors and these multiple youth concerns. This study examines the relationship between family stress (i.e., having an adult in the home with a history of mental illness, substance use, and incarceration) and youth concerns such as substance use, mental health challenges, low school engagement, juvenile justice involvement, and STI risk behaviors. A total of 638 African American adolescents living in predominantly low-income, urban communities participated in the study by completing self-report measures on the above constructs. Logistic regressions controlling for age, gender, socioeconomic status, and sexual orientation indicated that adolescents who reported higher rates of family stress were significantly more likely to report mental health problems, delinquent behaviors, juvenile justice involvement, drug use, risky sex, and lower school engagement factors. Findings suggest that attending to the developmental concerns of youth also requires addressing the needs of the family unit.     

Direct and Indirect Effects of Caregiver Social Support on Adolescent Psychological Outcomes in Two South African AIDS-Affected Communities

Caregiver social support has been shown to be protective for caregiver mental health, parenting and child psychosocial outcomes. This is the first known analysis to quantitatively investigate the relationship between caregiver social support and adolescent psychosocial outcomes in HIV‐endemic, resource–scarce Southern African communities. A cross‐sectional household survey was conducted over 2009–2010 with 2,477 South African adolescents aged 10–17 and their adult caregivers (18 years or older) in one urban and one rural community in South Africa’s KwaZulu‐Natal province. Adolescent adjustment was assessed using adult caregiver reports of the Strengths and Difficulties questionnaire (SDQ), which measures peer problems, hyperactivity, conduct problems, emotional symptoms and child prosocial behavior. Hierarchical linear regressions and multiple mediation analyses, using bootstrapping procedures, were conducted to assess for: (a) direct effects of more caregiver social support on better adolescent psychosocial wellbeing; and (b) indirect effects mediated by better parenting and caregiver mental health. Direct associations (p < .001), and indirect associations mediated through better parenting, were found for all adolescent outcomes. Findings reinforce the importance of social support components within parenting interventions but also point to scope for positive intervention on adolescent psychosocial wellbeing through the broader family social network.     

Alcohol use and problem drinking in South Africa: Results from a national-population-based survey 2014-2015

The aim of this study was to estimate the pattern of alcohol use among South African adults by their socio-demographic and health status indicators. We analysed data from a 2014–2015 South African national population-based survey which sampled 22 752 adults (mean age 37.1 years, SD?=?17.6, age range of 15–109 years). Results indicate 3.9% were hazardous or harmful alcohol users. In adjusted logistic regression analysis, both men and women who self-reported to use tobacco, and women to have hypertension, were at higher risk for harmful alcohol use. Age and socioeconomic status moderated harmful alcohol use among men so that those in middle age (35–49 years) and with above average household income were at lower risk for hazardous or harmful alcohol use. Socio-demographic factors appear to primarily influence risk for hazardous or harmful alcohol use among South African adults.     

Women’s breast-feeding meanings in the context of mother-to-child transmission of HIV

This study explored infant feeding practice meanings of HIV-positive mothers. Informants were eight black South African mothers (age range 18–29 years) enrolled in a mother-to-child transmission (MTCT) prevention programme. In-depth interviews on factors that influence exclusive breast-feeding were conducted with the mothers. Thematic analysis of the data yielded meanings around practices of knowledge contestation with health care providers and family, work demands, and personal preferences. Moreover, successful breast-feeding by mothers with HIV status may depend on addressing contradictory messages by health workers on infant feeding and community and family pressure to mix-feed the infant children.     

Contrast and contradiction: Being a black adolescent in contemporary South Africa

This study aimed to gain in-depth understanding of the lived identity of black African adolescents in a contemporary South African setting. A purposive sample of 59 adolescents (females = 47%; Sesotho = 46%, Setswana = 36%, Other = 18%) from the Motheo district of the Free State, South Africa, participated in focus group discussions and in-depth individual interviews. Thematic analysis suggested that black South African adolescents experience transitional identities characterised by contrasts and contradictions. Altruism, autonomy, religiosity and cultural experiences were important to their lived identities. The interplay between African rituals, Christian principles, Western values and the globalisation of cultures provided fertile ground for developing a nuanced and multi-dimensional identity as an adolescent living in contemporary South Africa.     

Unwanted early sexual experiences among Belgian and South African university women students

This study examined the unwanted early sexual experiences of 736 South African and 1,587 Belgian women students. The Early Sexual Experiences Checklist was administered to all consenting women students attending orientation programmes at a Belgian and a South African university. Respondents were Belgians (M age = 18.2 yr., SD = 1.0) and South Africans (M age = 19.6 yr., SD = 4.1). Such experiences were found for 31.3% (231) of South African respondents and 14.2% (226) of Belgian respondents. 64% of South African women indicated that such an experience occurred only once, and 65% of Belgian women reported this also. 34% of Belgian and 32% of South African respondents reported not being bothered at all by the unwanted experience at the time the event took place; 23% of Belgian and 36% of South African respondents were extremely bothered by the experience.     

There is a Balm in Gilead

The purpose of this essay is to contribute to the understanding that mental health problems are often endemic to the life experiences of Black women, and that the ways of womanists within the context of therapeutic Black churches can offer healing responses to problems that are occasioned primarily by the oppressive social infrastructures of racism, sexism, and classism. This paper will attempt to draw connections between the political, social, and economic contexts of Black women's lives and "dis-eased" states, and to promote an integrated understanding of the life and mental health experiences of "churched" African American womanists.     

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.