Strengths despite stress: Social-structural stressors and psychosocial buffers of depressive symptoms among U.S. Black men.

Author(s):  
Ana María del Río-González ◽  
Mary Mbaba ◽  
Caroline Johnson ◽  
Michelle Teti ◽  
Jenné S. Massie ◽  
...  
Social Work ◽  
2020 ◽  
Vol 65 (3) ◽  
pp. 235-244
Author(s):  
Janelle R Goodwill ◽  
Natasha C Johnson ◽  
Daphne C Watkins

Abstract Recent reports have highlighted disparities in representation of Black men within research, calling for more work to be done with this group. The authors take up this call by exploring whether adherence to masculine norms influences mental health outcomes among young Black men. The sample included survey responses from 18- to 30-year-old Black men (N = 273) enrolled at five colleges and universities in the midwestern United States. Two theoretically relevant subscales from the Conformity to Masculine Norms Inventory (that is, self-reliance and emotional control) were used to measure adherence to masculine norms, and depressive symptoms were measured using the Patient Health Questionnaire. Confirmatory factor analysis results indicate that the model fit the data well. Furthermore, self-reliance was associated with higher rates of depressive symptoms (β = .358, p < .001), but emotional control was not (β = .137, p = .099). Study findings suggest that depression treatment interventions should be tailored to incorporate aspects of masculinity that are most salient to young Black men. In addition, social work researchers, clinicians, and service providers are uniquely positioned to contribute to the promotion of mental wellness among this underserved population and should be prepared to attend to young Black men’s mental health needs.


2016 ◽  
Vol 12 (1) ◽  
pp. 52-63 ◽  
Author(s):  
Angelitta M. Britt-Spells ◽  
Maribeth Slebodnik ◽  
Laura P. Sands ◽  
David Rollock

Research reports that perceived discrimination is positively associated with depressive symptoms. The literature is limited when examining this relationship among Black men. This meta-analysis systematically examines the current literature and investigates the relationship of perceived discrimination on depressive symptoms among Black men residing in the United States. Using a random-effects model, study findings indicate a positive association between perceived discrimination and depressive symptoms among Black men ( r = .29). Several potential moderators were also examined in this study; however, there were no significant moderation effects detected. Recommendations and implications for future research and practice are discussed.


1985 ◽  
Vol 21 (4) ◽  
pp. 21-29 ◽  
Author(s):  
L. E. Gary

Author(s):  
Ryan M. Wade ◽  
Alida M. Bouris ◽  
Torsten B. Neilands ◽  
Gary W. Harper

Abstract Introduction Online dating is widespread among young adults, and particularly young sexual minority men. Racialized sexual discrimination (RSD), also known as “sexual racism,” is frequently reported to occur within these digital spaces and may negatively impact the psychological wellbeing of young sexual minority Black men (YSMBM). However, the association between RSD and psychological wellbeing is not well understood. Methods Using data (collected between July 2017–January 2018) from a cross-sectional web-survey of YSMBM (N = 603), six multivariable regression models were estimated to examine the association between five RSD subscales and depressive symptoms and feelings of self-worth. RSD subscales were derived from the first preliminarily validated scale of sexual racism. Results Analyses revealed that White superiority (β = .10, p < .01), same-race rejection (β = .16, p < .001), and White physical objectification (β = .14, p < .01) were all significantly associated with higher depressive symptoms, and White physical objectification (β = -.11, p < .01) was significantly associated with lower feelings of self-worth. Conclusions This study is among the first to examine the relationship between multiple, distinct manifestations of RSD and depressive symptoms and self-worth using quantitative analyses and provides evidence that RSD is negatively associated with psychological wellbeing. Policy Implications Site administrators should institute robust anti-racism policies on their platforms and hold users accountable for discriminatory behavior. Activists may also consider forming coalitions and/or developing campaigns to bring about greater awareness of RSD, in an effort to influence site administrators to enact policy change.


2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Roland J Thorpe ◽  
Ryon Cobb ◽  
Keyonna King ◽  
Marino A Bruce ◽  
Paul Archibald ◽  
...  

Abstract Background and Objectives Among the multiple factors posited to drive the health inequities that black men experience, the fundamental role of stress in the production of poor health is a key component. Allostatic load (AL) is considered to be a byproduct of stressors related to cumulative disadvantage. Exposure to chronic stress is associated with poorer mental health including depressive symptoms. Few studies have investigated how AL contributes to depressive symptoms among black men. The purpose of the cross-sectional study was to examine the association between AL and depressive symptoms among middle- to old age black men. Research Design and Methods This project used the 2010 and 2012 wave of the Health and Retirement Study enhanced face-to-face interview that included a biomarker assessment and psychosocial questionnaire. Depressive symptoms, assessed by the endorsement of 3 or more symptoms on the Center for Epidemiological Studies—Depression 8-item scale, was the outcome variable. The main independent variable, AL, score was calculated by summing the number values that were in the high range for that particular biomarker value scores ranging from 0 to 7. black men whose AL score was 3 or greater were considered to be in the high AL group. Modified Poisson regression was used to estimate prevalence ratios (PRs) and corresponding 95% confidence intervals (CIs). Results There was a larger proportion of black men in the high AL group who reported depressive symptoms (30.0% vs. 20.0%) compared with black men in the low AL group. After adjusting for age, education, income, drinking, and smoking status, the prevalence of reporting 3 or more depressive symptoms was statistically significant among black men in the high AL group (PR = 1.61 [95% CI: 1.20–2.17]) than black men in the low AL group. Discussion and Implications Exposure to chronic stress is related to reporting 3 or more depressive symptoms among black men after controlling for potential confounders. Improving the social and economic conditions for which black men work, play, and pray is key to reducing stress, thereby potentially leading to the reporting of fewer depressive symptoms.


2016 ◽  
Vol 21 (4) ◽  
pp. 1163-1170 ◽  
Author(s):  
Carl A Latkin ◽  
Hong Van Tieu ◽  
Sheldon Fields ◽  
Brett S. Hanscom ◽  
Matt Connor ◽  
...  

2017 ◽  
Vol 27 (4) ◽  
pp. 429 ◽  
Author(s):  
Ballington L. Kinlock ◽  
Lauren J. Parker ◽  
Daniel L. Howard ◽  
Janice V. Bowie ◽  
Thomas A. LaVeist ◽  
...  

<p><strong>Objectives: </strong>The objectives of our study were to determine the prevalence of major depressive symptoms and identify factors that are associated with major depressive symptoms among Black men with prostate cancer (PCa). <strong></strong></p><p><strong>Design: </strong>This study consisted of 415 Black men aged 40-81 years that entered the North Carolina Central Cancer Registry during the years 2007-2008. The primary outcome variable was depressive symptoms (CES-D). Factors included age, income, education, insurance status, treatment received, time between diagnosis and treatment, Gleason score, medical mistrust and experience with racism/discrimination. Logistic regression models were used to assess factors associated with the odds of having major depressive symptoms. <strong></strong></p><p><strong>Results: </strong>The prevalence of major depressive symptoms (≥16 on CES-D) among our sample of Black men with PCa was approximately 33%. Approximately 15% of the study participants underwent radiation beam treatment. Age was significantly associated with the odds of reporting major depressive symptoms (OR= .95, CI .91-.99) among Black men. In addition, compared with all other forms of treatment, Black men who underwent radiation beam treatment had higher odds (OR=2.38, CI 1.02- 5.51) of reporting major depressive symptoms. <strong></strong></p><p><strong>Conclusion: </strong>Nearly one-third of Black men with PCa in this study reported major depressive symptoms. Clinicians should pay closer attention to the mental health status of Black men with PCa, especially those who are younger and those who have undergone radiation beam treatment. Cancer survivorship, particularly quality of life, may be enhanced by opportunities for assessment, evaluation and intervention of depressive symptoms among these men disproportionately affected by PCa.</p><p><em>Ethn Dis. </em>2017;27(4);429-436; doi:10.18865/ ed.27.4.429 </p>


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