Stress and Coping Profiles and Cardiometabolic Risk in Low-Income African American Women

Robins, Jo Lynne W.; Kliewer, Wendy

doi:10.1089/jwh.2017.6904

Cited by 7 publications

(4 citation statements)

References 41 publications

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“…3 Studies show that social roles of race/ethnicity, socioeconomic status (SES), and gender as adopted and reinforced by both individuals and society, exert chronic psychosocial stress that has the capacity to alter physiological functions. 4 – 6 African-American (AA) women with socioeconomic disadvantage are, therefore, at substantial risk of associated chronic conditions such as cardiovascular disease (CVD—e.g. hypertension, stroke, congestive heart failure, and coronary heart disease) and diabetes, with poorer outcomes.…”

Section: Introductionmentioning

confidence: 99%

“We get double slammed!”: Healthcare experiences of perceived discrimination among low-income African-American women

Okoro

Hillman

Cernasev

2020

Womens Health (Lond Engl)

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Background: On account of their racial/ethnic minority status, class, and gender, African-American women of low socioeconomic status are among the least privileged, underserved, and most marginalized groups in the United States. Generally, African Americans continue to experience poorer health outcomes, in which disparities have been attributed to socioeconomic inequities and structural racism. This objective of this study was to explore the lived experiences of low-income African-American women in interacting with the healthcare system and healthcare providers. Methods: Twenty-two in-depth one-on-one interviews were conducted with low-income African-American women. The audio-recorded interviews were transcribed verbatim. An inductive content analysis was performed, using an analytical software, Dedoose® to enabled hierarchical coding. Codes were grouped into categories which were further analyzed for similarities that led to the emergence of themes. Results: A key finding was the experience of discriminatory treatment. The three themes that emerged relevant to this category were (1) perceived discrimination based on race/ethnicity, (2) perceived discrimination based on socioeconomic status, and (3) stereotypical assumptions such as drug-seeking and having sexually transmitted diseases. Conclusion and Recommendations: Low-income African-American women experience less than satisfactory patient care, where participants attribute to their experience of being stereotyped and their perception of discrimination in the healthcare system and from providers. Patients’ experiences within the healthcare system have implications for their healthcare-seeking behaviors and treatment outcomes. Healthcare personnel and providers need to be more aware of the potential for implicit bias toward this population. Healthcare workforce training on culturally responsive patient care approaches and more community engagement will help providers better understand the context of patients from this population and more effectively meet their healthcare needs.

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Section: Introductionmentioning

confidence: 99%

“We get double slammed!”: Healthcare experiences of perceived discrimination among low-income African-American women

Okoro

Hillman

Cernasev

2020

Womens Health (Lond Engl)

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“…There are various adaptive and maladaptive coping strategies [ 8 ]. Appropriate application of various coping strategies affects mental and cardiovascular health [ 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors

Yang

Kim

2022

IJERPH

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Work-to-family conflicts (WFC), an aggravating factor of stress, may affect cardiovascular health. However, the link between WFC and cardiovascular health behaviors is not fully defined. This study intends to identify the mediating effect of coping strategy on the relation between WFC with cardiovascular health behaviors, such as smoking, stress management, increased physical activity, and healthy diet habits. The study is a cross-sectional online survey with 358 call center counselors. We adopted a linear regression to confirm the relationship between WFC, coping strategy, and cardiovascular health behavior, which are the main variables of the study. Maladaptive coping partially mediated the relationship between WFC and cardiovascular health behavior. Based on the results, we insist that a support system to reduce WFC is necessary, as well as increasing the availability of resources and policies to reduce WFC in the workplace and find ways to improve maladaptive coping to promote healthy behaviors of call center workers.

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“…Gender and race may impact mental health as these factors influence the differential power and control people have over social determinants, susceptibility, and exposure risk for specific mental health outcomes (Deb & Miller, 2017;World Health Organization, n.d.). Evidence suggests that African American women are at increased risk for mental health problems (Bohrman, et al 2017;Robins & Kliewer, 2019) because they are simultaneously exposed to multiple factors that can cause stress and depression (Holden et al 2013). These factors may include low-socioeconomic status, ongoing exposure to violence, institutional racism, and systemic discrimination, all of which can lead to emotional distress, thus increasing women's risk for poor mental health (Hoggard et al 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests that African American women are at increased risk for mental health problems (Bohrman, et al . 2017; Robins & Kliewer, 2019) because they are simultaneously exposed to multiple factors that can cause stress and depression (Holden et al . 2013).…”

Section: Introductionmentioning

confidence: 99%

‘I was broken in so many different ways’: The intersection of complex factors impacting homeless and at‐risk African American women's mental health and well‐being

Graf

Dressel

Schmitt

et al. 2021

Int J Mental Health Nurs

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African American women are at higher risk of poor mental ill health compared with other racial and ethnic groups in the United States. For low‐income and homeless African American populations, the risk of poor mental ill health is even higher. The purpose of our study was to learn what programmes at a long‐term transitional living centre helped at‐risk and homeless African American mothers to succeed on their own, in accordance with self‐identified goals. We conducted ten focus group interviews with 39 graduates of a long‐term transitional living centre located in a Midwestern city, and an individual interview with the founder of that centre (N = 40). Our study was informed by Black Feminist Thought, Life Course Theory, and an instrumental case study design. Thematic analysis was used to identify patterns in the qualitative data collected. Findings pertaining to mental health included impacts of adverse childhood experiences, lack of social networks, child placement in foster care, and implications on self‐esteem and self‐worth. Our findings demonstrate the need for healthcare providers to take into account the intersecting factors facing African American women experiencing homelessness undergirded by systemic racism, which impacts their mental health and well‐being.

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Stress and Coping Profiles and Cardiometabolic Risk in Low-Income African American Women

Cited by 7 publications

References 41 publications

“We get double slammed!”: Healthcare experiences of perceived discrimination among low-income African-American women

“We get double slammed!”: Healthcare experiences of perceived discrimination among low-income African-American women

Mediation Effect of Maladaptive Coping between Work-to-Family Conflict and Cardiovascular Health Behaviors

‘I was broken in so many different ways’: The intersection of complex factors impacting homeless and at‐risk African American women's mental health and well‐being

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