Perceived Sources of Stress and Resilience in Men in an African American Community

被引:29
作者
Chung, Bowen [1 ,2 ,3 ,4 ]
Meldrum, Marcia [3 ]
Jones, Felica [4 ]
Brown, Anthony [4 ]
Jones, Loretta [4 ]
机构
[1] Harbor UCLA Med Ctr, Dept Psychiat, Torrance, CA 90502 USA
[2] Los Angeles Biomed Res Inst, Los Angeles, CA USA
[3] Univ Calif Los Angeles, David Geffen Sch Med, Semel Inst Neurosci & Human Behav, Ctr Hlth Serv & Soc, Los Angeles, CA 90095 USA
[4] Hlth African Amer Families II, Pittsburgh, PA USA
关键词
Community-based participatory research; men; mental health; health disparities; health promotion; urban population; RANDOMIZED CONTROLLED-TRIAL; PARTNERED PARTICIPATORY RESEARCH; MAJOR DEPRESSIVE DISORDER; J PUBLIC-HEALTH; RACIAL-DISCRIMINATION; PSYCHOLOGICAL DISTRESS; PSYCHIATRIC-DISORDERS; ADDRESS DEPRESSION; LIFE; INTERVENTION;
D O I
10.1353/cpr.2014.0053
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Little is known about the perceived causes of stress and what strategies African American men use to promote resiliency. Participatory research approaches are recommended as an approach to engage minority communities. A key goal of participatory research is to shift the locus of control to community partners. Objective: To understand perceived sources of stress and tools used to promote resiliency in African American men in South Los Angeles. Methods: Our study utilized a community-partnered participatory research approach to collect and analyze open-ended responses from 295 African American men recruited at a local, cultural festival in Los Angeles using thematic analysis and the Levels of Racism framework. Results: Almost all men (93.2%) reported stress. Of those reporting stress, 60.8% reported finances and money and 43.2% reported racism as a specific cause. More than 60% (63.4%) reported that they perceived available sources of help to deal with stress. Of those noting a specific source of help for stress (n = 76), 42.1% identified religious faith. Almost all of participants (92.1%) mentioned specific sources of resiliency such as religion and family. Conclusions: Stress owing to psychosocial factors such as finances and racism are common among African American men. But, at the same time, most men found support for resiliency to ameliorate stress in religion and family. Future work to engage African American men around alleviating stress and supporting resiliency should both take into account the perceived causes of stress and incorporate culturally appropriate sources of resiliency support.
引用
收藏
页码:441 / 451
页数:11
相关论文
共 60 条
  • [1] [Anonymous], 2005, METHODS COMMUNITY BA
  • [2] [Anonymous], 2003, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
  • [3] Arias Elizabeth, 2008, Natl Vital Stat Rep, V57, P1
  • [4] An examination of the African American experience of everyday discrimination and symptoms of psychological distress
    Banks, Kira Hudson
    Kohn-Wood, Laura P.
    Spencer, Michael
    [J]. COMMUNITY MENTAL HEALTH JOURNAL, 2006, 42 (06) : 555 - 570
  • [5] Resilience in the face of serious illness among chronically ill African Americans in later life
    Becker, G
    Newsom, E
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2005, 60 (04): : S214 - S223
  • [6] Self-reported health, perceived racial discrimination, and skin color in African Americans in the CARDIA study
    Borrell, Luisa N.
    Kiefe, Catarina I.
    Williams, David R.
    Diez-Roux, Ana V.
    Gordon-Larsen, Penny
    [J]. SOCIAL SCIENCE & MEDICINE, 2006, 63 (06) : 1415 - 1427
  • [7] Broman C.L., 2000, J BLACK PSYCHOL, V26, P165, DOI DOI 10.1177/0095798400026002003
  • [8] Browne Graeme, 2004, Nurs Health Sci, V6, P37, DOI 10.1111/j.1442-2018.2003.00172.x
  • [9] Understanding major depressive disorder among middle-aged African American men
    Bryant-Bedell, Keneshia
    Waite, Roberta
    [J]. JOURNAL OF ADVANCED NURSING, 2010, 66 (09) : 2050 - 2060
  • [10] Buchanan David, 2009, Am J Public Health, V99 Suppl 3, pS675, DOI 10.2105/AJPH.2008.137810