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Abstract: Blacks who use substances are at heightened risk for health problems. Although negative health outcomes are influenced by several factors related to drug use, these individuals also experience multiple sources of discrimination that may contribute to poor health. Previous work has identified associations between indices of perceived discrimination and health. However, there has been no research examining the relative influence of multiple sources of perceived discrimination on health risk behaviors of Blacks who use substances. The primary aim of this study was to examine how multiple types of discrimination and racial identity centrality contribute to the health risk behaviors of Blacks who use substances.A sample of 279 (203 Black) primary care patients who endorsed substance use completed measures of discrimination, racial identity and health risk behaviors. Outcomes of interest were hazardous drinking, smoking, unprotected sex and low physical activity. Two models were tested by logistic regression: (1) a direct effects model, which proposes unique predictive effects of racial identity centrality and discrimination indices on health risk behaviors, and (2) a buffering model, which proposes racial identity centrality moderates the association between perceived discrimination and health risk behavior.Analyses provided limited support for either model. Single variable effects were not observed. Two interactions were significant. Among those experiencing racial discrimination in health care settings, high centrality was protective against low physical activity. In contrast, among those reporting everyday discrimination, high centrality increased the likelihood of unprotected sex.The current study provided limited support for the hypothesis that perceived discrimination contributes to health risk behaviors among Blacks who use substances. Limited variability in discrimination ratings and health risk outcomes may have obscured the ability to detect main effects of discrimination. Given the number of other factors that contribute to health risk behaviors in this population, the perceived discrimination variables assessed may not have a significant impact on health risk behaviors. Examining these models among Black patients who are not substance users may yield different results. Future work on the influence of discrimination on health may benefit from exploring additional factors, such as stress, in multivariable models.
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
As diversity increases in the U.S., there is a pressing need to understand ethnic identity development in children, particularly in relation to psychological well-being. Previous studies document the importance of ethnic identity development and its influence on positive development, psychological well-being, and academic adjustment in children, particularly from ethnically diverse backgrounds (Booker; 2006; Phinney, 1990, 1995; Thomson & Zand, 2005). However, limited research investigates the relationship between ethnic identity and the well-being of school-aged children, particularly during middle childhood (García Coll & Marks, 2009; Phinney, 1990). This exploratory study sought provide greater understanding of ethnic identity development in children, as well as to fill the gaps in the literature by examining the link between ethnic identity development and well-being in children, including self-concept, self-esteem, hope, and academic self-efficacy. One hundred and thirty-eight children between the ages of 8-12 were recruited for the study. Parametric and nonparametric tests were conducted to look at the study variables of racial and ethnic awareness, perceived discrimination, ethnic identity development and psychological well-being. Overall, this study found that children as young as eight reported experiencing ethnic discrimination and are aware of racial and ethnic differences. Results showed that children were more likely to identify in early stages of ethnic identity development (e.g., Identification, Affirmation, and Commitment) over later and more adult-like stages of Exploration and Achieved Identity, and these scores were impacted differently by nativity, school level, and ethnicity. Support for the connection between ethnic identity development and psychological well-being was not found. These results suggest that more research is needed to look at ethnic identity development as multidimensional, rather than the traditional unidimensional approach of an achieved status model. Further, more research is needed in exploring the connection between ethnic identity development and psychological well-being for this age group.
Introduction -- Theoretical and methodological foundations -- A theoretical overview of the impact of racism on people of color / Alex Pieterse and Shantel Powell -- Applying intersectionality theory to research on perceived racism / Jioni A. Lewis and Patrick R. Grzanka -- Improving the measurement of perceived racial discrimination : challenges and opportunities / David R. Williams -- Moderators and mediators of the experience of perceived racism / Alvin Alvarez, Christopher T.H. Liang, Carin Molenaar, and David Nguyen -- Context and costs -- Racism and mental health : examining the link between racism and depression from a social-cognitive perspective / Elizabeth Brondolo, Wan Ng, Kristy-Lee J. Pierre, and Robert Lane -- Racism and behavioral outcomes over the life course / Gilbert C. Gee and Angie Denisse Otiniano Verissimo -- Racism and physical health disparities / Joseph Keaweaimoku Kaholokula -- The impact of racism on education and the educational experiences of students of color / Adrienne D. Dixson, Dominique Clayton, Leah Peoples, and Rema Reynolds -- The costs of racism on workforce entry and work adjustment / Justin C. Perry and Lela L. Pickett -- The impact of racism on communities of color : historical contexts and contemporary issues / Azara L. Santiago Rivera, Hector Y. Adames, Nayeli Y. Chavez-Dueñas, and Gregory Benson-Flórez -- Interventions and future directions -- Racial trauma recovery : a race-informed therapeutic approach to racial wounds / Lillian Comas-Díaz -- Critical race, psychology and social policy : refusing damage, cataloguing oppression, and documenting desire / Michelle Fine and William E. Cross -- Educational interventions for reducing racism / Elizabeth Vera, Daniel Camacho, Megan Polanin, and Manuel Salgado -- Toward a relevant psychology of prejudice, stereotyping and discrimination : linking science and practice to develop interventions that work in community settings / Ignacio D. Acevedo-Polakovich, Kara L. Beck, Erin Hawks, and Sarah E. Ogdie
"These superb essays illuminate the fascinating process of absorbing West Indian immigrants into New York City's multicultural but racially divided social fabric... They explore how gender, transnational networks, class, economic restructuring, and above all racial stereotyping have affected these black immigrants as they struggle for a better life and how their struggles have in turn influenced the contours of the larger society. The result is a model of multi-disciplinary analysis."—John Mollenkopf, co-author of Place Matters: A Metropolitics for the 21st Century "Islands in the City is a comprehensive collection of the recent findings of the foremost scholars in this field. The premier researchers on West Indians in New York City discuss migration from historical, statistical, theoretical, and experiential points of view. This volume will be used as a model for understanding migration in other areas and it will have importance beyond its field."—Wallace Zane, author of Journeys to the Spiritual Lands: The Natural History of a West Indian Religion "Nancy Foner has pulled together excellent essays by the leading scholars of the emerging study of West Indians in the United States. Islands in the City is a welcome book because of its informative essays on gender, occupation, and culture, to name but a few."—David Reimers, co-author of All the Nations Under Heaven: An Ethnic and Racial History of New York City "West Indians sit right at the center of the crucial divides of race, class, nationality, nativity, gender, generation, and identity. The insights of this book teach us much of what we need to know about our changing nation."—Jennifer Hochschild, author of Facing Up to the American Dream: Race, Class, and the Soul of the Nation
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Contributors present a portrait of low-income, urban American adolescent girls based on fact rather than stereotype, aiming to fill the gap in research about adolescent girls. They explore girls' attitudes and alternatives in areas such as identity, family and peer relationships, sexuality, health, and career development, often allowing the girls to speak for themselves. For undergraduate and graduate students in psychology, sociology, economics, and women's studies, as well as policymakers. Annotation copyright by Book News, Inc., Portland, OR