Racial Discrimination, John Henryism Coping, and Behavioral Health Conditions among Predominantly Poor, Urban African Americans: Implications for Community-Level Opioid Problems and Mental Health Services

Details

• Alternative Title:
  J Community Psychol
• Personal Author:
  Jones, Shawn C.T. ; Brooks, Jennifer B. H. ; Milam, Adam J. ; Barajas, Clara-Belen ; Furr-Holden, C Debra M. ; LaVeist, Thomas A. ; Kane, Erika
• Description:
  The current study examined the relationship between John Henryism Active Coping (JHAC), experiences of racial discrimination, and behavioral health outcomes in a community sample of 319 Black adults. Assessments included primary health care screenings as well as self-reported survey questions to assess JHAC, experiences of discrimination, and self-reported behavioral health. Logistic regression models, adjusted for control variables, found a significant relationship between JHAC and having an opioid problem (odds ratio [OR] = 0.95, p = 0.003) and needing mental health services (OR = 0.95, p < 0.001), such that higher levels of coping were associated with lower odds of reporting an opioid problem and needing mental health services. Notably, racial discrimination was not significantly independently associated with behavioral health. Implications for interventions and community programming are discussed.
• Subjects:
  Adaptation, Psychological Adolescent Adult Behavioral Symptoms Black Or African American Cross-Sectional Studies Female Health Services Needs And Demand Humans Male Mental Health Services Middle Aged Opioid-Related Disorders Poverty Racism Urban Population Young Adult

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• Source:
  J Community Psychol. 47(5):1032-1042
• Pubmed ID:
  30791117
• Pubmed Central ID:
  PMC6581591
• Document Type:
  Journal Article
• Funding:
  P60 MD000214/MD/NIMHD NIH HHS/United States ; U01 CE001954/CE/NCIPC CDC HHS/United States ; U54 MD011227/MD/NIMHD NIH HHS/United States
• Place as Subject:
  Baltimore, MD
• Volume:
  47
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f871742ebcabe10b95fc57a80a6d3bd80af3431c71b209fe81c872d2d0397f5f
• Download URL:
  https://stacks.cdc.gov/view/cdc/79250/cdc_79250_DS1.pdf
• File Type:
  [PDF - 324.94 KB ]