African American Women's Attitudes Research Articles

Anxiety and depression among African American women: The costs of strength and negative attitudes toward psychological help-seeking.

The Strong Black Woman (SBW) race-gender schema prompts African American women to use self-reliance and self-silence as coping strategies in response to stressors. Utilizing the coping strategies associated with the SBW race-gender schema could trigger anxiety and depression symptoms that may intensify when coupled with negative attitudes toward professional psychological help. The present study investigated whether African American women's endorsement of the SBW race-gender schema predicted increased symptoms of anxiety and depression and whether attitudes toward professional psychological help-seeking intensified psychological distress. Data were collected from 95 participants ranging in age from 18 to 65. Hierarchical regression analysis demonstrated significant main effects for the SBW race-gender schema and greater anxiety and depression, respectively. Greater indifference to stigma, 1 dimension of help-seeking attitudes, predicted lower levels of anxiety. African American women's attitudes toward professional help-seeking did not moderate the associations between endorsement of the SBW race-gender schema and anxiety or depression, respectively. Finally, endorsement of the SBW race-gender schema was inversely and significantly associated with 2 facets of help-seeking attitudes: (a) psychological openness and (b) help-seeking propensity. Taken together, these findings provide empirical support for the role of cultural factors, like the SBW race-gender schema, in African American women's experience of psychological distress and potential underutilization of mental health services. Future research directions are discussed. (PsycINFO Database Record

Pregnant African American women's attitudes toward perinatal depression prevention.

Depression during the perinatal period is common, debilitating, and consequential for women and their children, particularly among low income African American women. Viable approaches to prevention of depression have emerged. Yet little is known about women's preferences for approaches to preventing depression. A sample of 60 pregnant, low-income African American women seeking routine prenatal care was presented with standardized descriptions of three approaches to depression prevention (pharmacotherapy and two psychosocial approaches) and measures of preferences, perceived credibility, and personal reactions to each approach. Women also completed measures of perceived barriers and facilitators and current depression. Consistent with expectations, both of the psychosocial approaches were rated as more strongly preferred, more credible, and associated with more positive personal reactions relative to the pharmacotherapy approach. Depression did not alter women's preferences among the approaches. Contrary to prediction, women with clinically significant levels of depression did not find the pharmacotherapy approach to be more credible or to have more favorable personal reactions to it than women with low depression symptom levels. Exploration of women's perceptions of barriers revealed the importance of logistics, beliefs, and stigma barriers whereas women reported that concern about depression being impairing and ease of pragmatics would both facilitate engagement with preventive interventions. The findings suggest the need to examine the role of preferences in tests of the effectiveness of approaches to the prevention of perinatal depression in order to enhance service delivery among low income African American women.

Weight Loss Programs for Urban-based, Postpartum African-American Women: Perceived Barriers and Preferred Components

There are currently 1.85 million reproductive-aged women in the United States with diabetes or glucose intolerance. While it is known that postpartum weight retention can lead to obesity and diabetes, particularly among African-American women, little is known about African-American women's preferences for postpartum weight loss programs. Our objective was to explore urban-based African-American women's attitudes toward weight gain, perceived barriers to postpartum weight loss, and preferences for weight intervention strategies. Focus groups of pregnant African-American women (n = 22) were conducted by a race-concordant moderator. Open-ended questions were posed to stimulate discussions which were audio taped and transcribed verbatim. Transcriptions were independently reviewed by two investigators who extracted quotations and coded each statement to identify major themes. The median age of participants was 26 years. Median pre-pregnancy or first trimester body-mass index was 31 kg/m(2). Fifty-seven percent of the women were multiparous and 68% were Medicaid recipients. We identified 16 themes with the majority of participant comments focused on: (1) effect of postpartum depression on motivation to lose weight; (2) strong desire to lose weight; (3) knowledge of adverse effects of obesity; (4) costs of weight loss programs; (5) negative impact of media coverage of successful celebrity postpartum weight loss; (6) limitations of childcare on ability to exercise; and (7) family-centered lifestyle behaviors that promote unhealthy eating. Weight loss interventions for African-American women with postpartum obesity should address psychological effects of childbearing, affordability, and perceptions of body image. Interventions should incorporate family-centered approaches and weight loss maintenance strategies.

Early Influences on African American Women's Sexuality

Few researchers have examined the sexual values and attitudes of African American women. Through the use of focus group interviews, this study examined how African American women's sexual values and attitudes were shaped by their experiences with parental, peer, and cultural influences. The findings revealed that most of the participants were dissatisfied with the quality and quantity of sex education provided by caregivers and that this lack of information created barriers to intimacy in relationships. Future research needs to consider how racial/ethnic, cultural, socioeconomic, and geographical differences influence sexual values and attitudes.

The Influence of Social Institutions on African American Women's Sexual Values and Attitudes

Few researchers have examined the sexual values and attitudes of African American women. Through the use of focus group interviews, this study examined how African American women's sexual values and attitudes were shaped by their experiences with certain social institutions. The researcher (MRA) found that the sexual values and attitudes of African American women were negatively influenced by their experiences with sexuality education, religious institutions, and health care providers. The largely negative experiences reported by participants lead to the intemalization of negative feelings and affected participants' emotional and sexual development.

Menopause Symptoms and Attitudes of African American Women: Closing the Knowledge Gap and Expanding Opportunities for Counseling

Menopause a normal midlife transition for women, remains poorly understood, especially for minority women. A total of 226 African American midlife women completed the Menopause Symptoms List (J. M. Perz, 1997); Menopause Attitude Scale (C. Bowles, 1986); Attitudes Toward Menopause checklist (B. L. Neugarten, V. Wood, R. J. Kraines, & B. Loomes, 1963); and instruments to elicit information about health status, stressful life events, social support, and demographics. The results reveal strengths as well as areas of concern for African American women in responding to normative midlife changes. Implications for counselors are explored.

Do extenuating circumstances influence African American women's attitudes toward suicide?

African American women commit suicide less than other U.S. women and men, perhaps partly due to strong, anti-suicide attitudes. To see if suicide attitudes might be softened by extenuating circumstances such as terminal illness, 192 African American and European American women imagined themselves in one of four extenuating circumstances, then completed measures of suicide acceptability and religiosity. Both ethnic groups reported a greater likelihood of suicide when imagining depression, regardless of religiosity. Religiosity, but not extenuating circumstances, corresponded with negative attitudes toward suicide and physician assisted suicide. These African American and European American young women remained steadfastly against suicide, regardless of circumstance.

African-American Women in the Workplace:

This article looks at the perceptions and professional perspectives of African-American female EAPs who work with African-American women in various industries. It provides an exploration into the attitudes of African-American women about several workplace and personal issues including: sexual harassment and discrimination racial discrimination career opportunities work assignment disparity organization culture and sensitivity organizational supports These concerns have been examined against a backdrop of actual demographic changes that have occurred for minority and all women over the last decade. The author has used her own experiences as an EAP professional for the last ten years, in addition to those of other African-American women EAPs, in order to highlight and identify the central issues of concern for Afiican-American female clients. The data were gathered through indepth, face-twface interviews with six African-American female Employee Assistance professionals. Their experiences illustrated the di...