Preventive health practices of African American women

Preventive health practices of African American women (AAW) have been little studied. This study explores the participation of middle-income AAW in health promotion/disease prevention behavior. In-depth, audiotape, and semi-structured interviews were held with 36 AAW between the ages of 26 and 75 years. Results indicated that the majority of the women participated in diet control behavior for health purposes. Participation in weight management and exercise behavior was less extensive. The women were involved in other types of preventive health practices to keep healthy. The findings reveal the need for increased educational efforts in the areas of weight management, exercise behavior, mammography, and in the practice of breast self-examination. Results of the study have implications for researchers, educators, and clinicians.     

Staging of dietary patterns among African American women

This article describes the development of a behavioral staging algorithm for use in the Eat Well, Live Well Nutrition Program, a peer-delivered community-based program for African American women (N = 301). The authors examined whether increased frequency in performing low-fat eating behaviors and lower percentage calories from fat intake resulted as a participant moved through five stages of readiness to change each of five low-fat dietary patterns. Frequency of performing low-fat dietary behaviors was significantly different (p<.05) between four stages for the pattern of avoid fried foods, three stages for modify meats, and two stages for the patterns of substitution, avoid fat as seasoning, replacement. Percentage calories from fat were significantly different (p<.05) between four stages for the pattern of replacement, three stages for avoid fried foods and modify meats, and two stages for substitution and avoid fat as seasoning. Implications of these findings for the tailoring of community-based dietary programs are presented.     

Predicting mammography and breast self-examination in African American women

In the past ten years four sportsmen with a traumatic perilymphatic fistula were treated. Three of these four patients were surgically treated: two of them underwent a labyrinthectomy and with one of them, the oval window was grafted. After the analysis of these cases, we have made a study of the literature. Careful attention to the patient history and accurate review of the recurrent vestibulocochlear symptomatology isolate a clinical "audiovestibular syndrome of perilymphatic fistule". There is lack of precise preoperatoire diagnostic test. Nevertheless, entire positionnal audiometric test is a reliable and easy to perform test. The medical management is based on bed rest during a reasonable period. Only patients with significant suggestive symptomatology are surgically explored . They sometimes need destruction of vestibular function without preservation of hearing.     

Prevalence of eating disorders among African American women.

This study was the first to establish Diagnostic and Statistical Manual of Mental Disorders (DSM—IV; American Psychiatric Association, 1994) prevalence rates for eating disorders by targeting an entire sample of African American college women. Participants were 413 African American women enrolled at a large, predominantly Caucasian public university in the midwestern United States. Participants were given the Questionnaire for Eating Disorder Diagnoses (L. B. Mintz, M. S. O'Halloran, A. M. Mulholland, & P. A. Schneider, 1997). No respondents were classified as having anorexia nervosa or bulimia nervosa, and 2% were classified as having an eating disorder not otherwise specified. Twenty-three percent were classified as symptomatic. Although there is some evidence that these prevalence rates may be underestimated, they are nevertheless in the same range as those obtained for comparative Caucasian samples. Implications for future research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Womanism: a methodologic framework for African American women

Socially anxious (N = 41) and non-anxious (N = 41) individuals participated in a getting acquainted situation that was based on the reciprocity self-disclosure paradigm. Subjects' appraisals of the situation were manipulated to be either positive or negative by highlighting the likelihood of positive or negative social outcomes. Subjects' social goals and use of safety behaviors were assessed, as were others' reaction to the subjects. As predicted, socially anxious individuals elicited significantly more negative responses from others in the negative appraisal condition, where they employed safety behaviors, than in the positive appraisal condition, where they did not. The results supported a cognitive model of social anxiety, rather than alternative explanations.     

Explanatory models of overweight among African American, Euro-American, and Mexican American women

Ethnographic interviewing methods were used to explore women's explanatory models (EMs) of overweight and the congruence of these models with professional models and professionally recommended treatments for overweight. Through community-based snowball and theoretical sampling, 40 African American, 40 Euro-American, and 40 Mexican American women of varying social status and weight participated in multiple ethnographic interviews, which were subsequently interpreted using domain analysis and constant comparison. Study participants' EMs of overweight ranged from simple to complex, were generally similar across the three study groups, and only partially congruent with professional EMs of obesity. Major differences in EMs between the study groups were found in the dimensions of etiologies and consequences of overweight. There was partial congruence between participants' EMs and professionally recommended treatments for overweight.     

Thriving older African American women: aging after Jim Crow

Success of glaucoma filtration surgery is influenced by the wound healing response. Attention has been focused on pharmacological agents to control a process that leads to excessive scarring and eventual failure of glaucoma filtration surgery. Several agents, including 5-fluorouracil and mitomycin C, as well as other antiproliferative drugs will be discussed. Newer antifibrotic agents and novel drug delivery systems are under development in tissue culture and animal models in an effort to improve efficacy and safety. This article summarizes current treatment modalities and future prospects to prevent excessive wound healing and improve the success of glaucoma filtration surgery.     

Culturally competent interventions for abused and suicidal African American women.

This article focuses on interventions with low-income, African American women who are survivors of domestic abuse and who have made one or more suicide attempts. The authors review the literature on domestic abuse and suicidal behavior in African American women, and discuss the association between abuse and suicide in this population. Next, they propose an integrated theoretical model for understanding suicidal behavior as one possible coping response to the stress of a domestic abuse situation. The model utilizes concepts from the literature on stress and coping as well as stages of change. A culturally sensitive group treatment intervention that is based on the theoretical model is presented. The intervention focuses on ensuring women's safety, increasing coping skills and resource mobilization, and promoting supportive relationships in a manner that is consistent with each woman's sociocultural context. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ratings of family functioning of suicidal and nonsuicidal African American women.

This study compared ratings of family functioning between female African American suicide attempters (n?=?126) and nonattempters (n &≠?112) (aged 18-64 yrs). Attempters reported poorer family-of-creation (physical and nonphysical partner abuse, family strengths, and marital adjustment) and family-of-origin (physical, sexual, and emotional abuse and emotional neglect) functioning than did controls. In a multivariate logistic regression, only marital discord and childhood sexual abuse were risk factors for suicide attempts. A cumulative risk model was also tested and indicated that the presence of 4 or more of the risk factors increased a woman's likelihood of making a nonfatal suicide attempt more than threefold. This study offers one of the first investigations of the families of suicidal African American women and highlights the importance of focusing on family concerns when working with this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Deconstructing the monolith: Differences in attitudes about mammography among low-income African American women.

The purpose of this study was to explore how health beliefs may vary within a minority group. In this mixed-method study, 63 low-income African American women engaged in six focus groups discussing beliefs that inhibited or facilitated mammography. Differences in cognitive complexity, self-efficacy, and attributions of causality occurred across neighborhoods despite the geographic proximity and demographic similarity. The attitude change that occurred during the discussion suggested ways to construct effective health interventions. The data suggest (a) that women were similarly knowledgeable about mammography and cancer, (b) knowledge did not correspond with attitudes, (c) attitudes must be addressed before knowledge can be utilized, (d) attitudes are developed and maintained within neighborhood social networks and that stories maintain these attitudes, (e) increasing the discussion among peers should lead to greater attitude change and discussion leads to increased thought, and (f) motivation and follow through are connected to women’s roles within their communities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risk and protective factors for suicidal behavior in abused African American women.

This study examined risk and protective factors that differentiate low-income, abused African American women (N=200) who attempted suicide from those who had never made a suicide attempt. Results from multivariate analyses revealed that numerous and/or severe negative life events, a history of child maltreatment, high levels of psychological distress and depression, hopelessness about the future, and alcohol and drug problems were factors associated with attempter status. Protective factors associated with nonattempter status included hopefulness, self-efficacy, coping skills, social support, and effectiveness in obtaining material resources. Culturally competent intervention approaches for abused women should target increasing their protective factors and reducing their risk factors to decrease the likelihood that these women engage in suicidal behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beauty is in the soul of the beholder: psychological implications of beauty and African American women

An in vitro receptor binding and in vivo microdialysis study was performed to further investigate the modulation of dopamine (DA) D2 receptors by neurotensin (NT) peptides. Saturation experiments with the D2 agonist [3H]NPA (N-propylnorapomorphine) showed that 10 nM of NT, 10 nM of neuromedin N (NN) and 1 nM of the C-terminal NT-(8-13) fragment significantly increased the KD values by 125%, 181%, and 194%, respectively without significantly affecting the Bmax value of the [3H]NPA binding sites in coronal sections of rat ventral forebrain mainly containing the nucleus accumbens (Acb) and the olfactory tubercle. In line with the previous findings that NT can increase GABA release in the Acb and that NT receptors are not found on DA terminals in this brain region, the present in vivo microdialysis study demonstrated that local perfusion of NT (1 nM) counteracted the D2 agonist pergolide (2 mu M) induced inhibition of GABA, but not of DA release in the rat Acb. This result indicates that NT counteracts the D2 agonist induced inhibition of GABA release in the rat Acb, via an antagonistic postsynaptic NT/D2 receptor interaction as also suggested by the inhibitory regulation of D2 receptor affinity in the Acb by the NT peptides demonstrated in the present receptor binding experiments. Thus, the neuroleptic and potential antipsychotic profile of the NT peptides may involve an antagonistic NT/D2 receptor regulation in the ventral striatum.     

Context framing to enhance HIV-antibody-testing messages targeted to African American women.

African American women (N?=?100) recruited from an urban clinic were randomly assigned to view 1 of 3 experimental videotapes promoting HIV testing: (a) an ethnicity-matched information control videotape; (b) the same ethnicity-matched videotape presented by an African American woman (gender-ethnicity-matched control condition), or (c) an experimental videotape with a culturally relevant context that embedded HIV-testing information within a frame of reference emphasizing personal loss. Consistent with D. Kahneman and A. Tversky's (1979) prospect theory, women who viewed the context-framing videotape were most likely to have been tested during a 2-wk follow-up interval. Among women who expressed intentions to get tested after viewing the videotapes, 63% of those in the message-framing condition were tested for HIV during a 2-wk period compared with 23% in the gender-ethnicity-matched condition, and none in the ethnicity matched condition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intimate partner violence and its effects on the health of African American HIV-positive women.

The medical outcomes of women infected with HIV are typically worse than those of HIV-positive men. HIV-positive women report high rates of intimate partner violence, and there is evidence that traumatic events have a negative impact on health status. In addition, African American women make up 1 of the fastest growing groups of HIV-positive individuals. Therefore, this study sought to examine the impact of intimate partner violence on HIV medication adherence, HIV-related physical health outcomes, and health-related quality of life in 40 HIV-positive African American women. The results were that women who had experienced intimate partner violence had worse HIV-related health as indicated by reduced CD4 counts and increased HIV viral load. In addition, posttraumatic stress disorder symptoms were related to both intimate partner violence and health-related quality of life. Lastly, HIV medication adherence mediated the relationships between intimate partner violence and the HIV-related health outcomes. Implications for further work and clinical interventions to address intimate partner violence, medication adherence, and health-related quality of life in this population are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anger expression in Mexican American and White non-Hispanic adolescents.

This study explored aggressive anger expression in adolescents. A 3-factor model proved best (i.e., Expression through Verbal Assault, Physical Assault Toward People, and Physical Assault Toward Objects). These factors correlated positively with each other and with anger, anxiety, and depression. Correlations of aggressive anger expression styles with anger were larger than their correlations with anxiety and depression. Gender, ethnicity, and developmental effects were found; males reported more physical assault on people than females, and White non-Hispanic and older youths reported more verbal assault than Mexican American and younger, students. Both middle and high school students reported greater verbal assault than physical assault on objects which, in turn, was higher than physical assault on people. These findings suggest that adolescent aggressive anger expression is not unidimensional, but is more differentiated and meaningfully related to gender, ethnicity, and developmental status. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Discrimination and unfair treatment: Relationship to cardiovascular reactivity among African American and European American women.

This study examined the relationship of cardiovascular reactivity to both interpersonal mistreatment and discrimination in a community-based sample of African American and European American women (N?=?363) in midlife. Subtle mistreatment related positively to diastolic blood pressure (DBP) reactivity for African American participants but not their European American counterparts. Moreover, among the African American participants, those who attributed mistreatment to racial discrimination exhibited greater average DBP reactivity. In particular, these women demonstrated greater DBP reactivity to the speech task, which bore similarities to an encounter with racial prejudice but not to a nonsocial mirror tracing task. These findings are consistent with the hypothesis that racial discrimination is a chronic stressor that can negatively impact the cardiovascular health of African Americans through pathogenic processes associated with physiologic reactivity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

African American women and the academy: Using career mentoring to increase research productivity.

The success of African American women academicians has been hampered by sex and racial discrimination. Difficulties with developing a successful research program are the primary reasons many are denied promotions and tenure. The majority of the mentoring literature details the benefits of receiving mentorship to assist African American women to cope with psychosocial difficulties, but the benefits of research mentoring are rarely discussed. This position article explores the sex- and race-related factors that directly and indirectly affect African American women faculty's research and provides suggestions for specific research mentoring at the predoctoral and postdoctoral levels to increase career advancement among African American women in research-oriented academic institutions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Direct and moderating effects of community context on the psychological well-being of African American women.

The effects of community characteristics on well-being were examined among 709 African American women. Direct and moderating effects of neighborhood characteristics on distress were tested. Aggregate-level ratings of neighborhood cohesion and disorder were significantly related to distress, although the relation between cohesion and distress became nonsignificant when individual risk factors were statistically controlled. Aggregate-level neighborhood variables interacted significantly with individual risk and resource variables in the prediction of distress, consistent with trait-situation interaction theories (D. Magnusson & N. S. Endler, 1977). Community cohesion intensified the benefits of a positive life outlook. Community disorder intensified both the benefits of personal resources and the detrimental effects of personal risk factors. Results showed evidence of resilience among African American women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Acculturation, alcohol consumption and AIDS-related risky sexual behavior among African American women

The present study examined the relationship between acculturation, alcohol consumption and AIDS-related risky sexual behavior in a national probability sample of 533 African American women. Results indicated that women who were the heaviest drinkers were also the least acculturated. However, women most likely to engage in risky sexual behavior, including having multiple partners, being nonmonogamous or in a nonmonogamous relationship, and being nonmonogamous or in a nonmonogamous relationship and not using a condom consistently, were high in acculturation rather than low. Alcohol use proved related to risky sexual behavior when considered in conjunction with respondents' level of acculturation. Women at risk for contracting AIDS were not low acculturated African American women who drank heavily, but high acculturated African American women. Findings from this study extend our understanding of risk and contain implications for research and prevention efforts in the area of alcohol use and AIDS-related sexual behavior among African American women.