Ann Kathleen Burlew

Black Consciousness, Self-Esteem, and Satisfaction with Physical Appearance Among African-American Female College Students

There is little doubt that American women are concerned with their appearance. Americans spend billions trying to improve their health, bodies, and appearance. In general we are healthier and more fit than ever, but less satisfied with the way we look (Cash, Winstead, & Janda, 1986). Despite their efforts to attain what is often an unattainable image, many women are dissatisfied with their own appearance. Psychological researchers have rigorously addressed the issue of physical appearance and its importance to women, namely White women. Notwithstanding the importance of such research, much of it has failed to examine these issues among African-American women. Failure to incorporate African-Americans as subjects in research on appearance detracts from the generalizability of prior findings to this group. The current research investigates the extent to which two variables, Black consciousness and self-esteem, are associated with satisfaction with physical appearance among African-American women. It is unclear who African-American women use as their reference group in defining their own attractiveness: the larger society, the

Measurement and data analysis in research addressing health disparities in substance abuse

This article describes concrete strategies for conducting substance abuse research with ethnic minorities. Two issues associated with valid analysis, measurement and data analysis, are included. Both empirical (e.g., confirmatory factor analysis, item response theory, and regression) and nonempirical (e.g., focus groups, expert panels, pilot studies, and translation equivalence) approaches to improve measures are described. A discussion of the use of norms and cutoff scores derived from a different ethnic group along with the effects of the ethnicity of the interviewer or coder on measurement is included. The section on data analysis describes why the use of race-comparison designs may lead to misleading conclusions. Alternatives to race-comparison analysis including within-group and between-group analyses are described. The shortcomings of combining ethnic groups for analyses are discussed. The article ends with a list of recommendations for research with ethnic minorities.

The Experiences of Black Females in Traditional and Nontraditional Professions

This study is an investigation of differences in the backgrounds, attitudes, and career-related expectations of black college females pursuing traditional (e.g. teaching, social work, and nursing) and nontraditional (e.g. sciences, engineering, pre-law, business) careers for women. The subjects were 147 black female undergraduates attending a large urban university in the midwest who completed a questionnaire. The results showed that mothers of nontraditionals were likely to be better educated than mothers of traditionals. Also, the mothers of nontraditionals were more likely to have worked in nontraditional fields themselves. Nontraditionals were more likely to have had an early work experience, were more confident in their own ability to complete nontraditional educational programs, and had less traditional views about appropriate roles for women than traditionals. However, nontraditionals were less confident than traditionals that they and other women could actually achieve the careers they themselves were pursuing. Finally, nontraditionals did not think they were any less likely than traditionals to marry because of their career choices. However, nontraditionals did expect that they would have fewer female but more male friends because of their careers.

Academic performance among children with sickle cell disease: setting minimum standards for comparison groups.

The conclusions from previous research on childhood adjustment to sickle cell disease (SCD) have been inconsistent. One possible explanation for this inconsistency is that such children sometimes have been compared to children with different demographic characteristics. This study examined whether 42 African-American children with sickle cell disease differ in academic performance from a comparison group of 26 with similar demographic characteristics. The two groups were similar by sex, age, race, and socioeconomic status. School data were collected for both groups. The differences between the two groups on academic performance were not significant. One implication of the findings is the importance of setting minimum standards for comparison groups in studies of children with sickle cell disease.

Motivational enhancement therapy for African American substance users: a randomized clinical trial.

Limited empirical evidence concerning the efficacy of substance abuse treatments among African Americans reduces opportunities to evaluate and improve program efficacy. The current study, conducted as a secondary analysis of a randomized clinical trial conducted by the Clinical Trials Network of the National Institute of Drug Abuse, addressed this knowledge gap by examining the efficacy of motivational enhancement therapy (MET) compared with counseling as usual (CAU) among 194 African American adults seeking outpatient substance abuse treatment at 5 participating sites. The findings revealed higher retention rates among women in MET than in CAU during the initial 12 weeks of the 16-week study. Men in MET and CAU did not differ in retention. However, MET participants self-reported more drug-using days per week than participants in CAU. Implications for future substance abuse treatment research with African Americans are discussed.

Empirically Derived Guidelines for Assessing the Psychosocial Needs of Children and Adolescents with Sickle Cell

Abstract This paper introduces an empirically derived psychosocial assessment form that may facilitate the incorporation of the growing body of research on sickle cell into the psychosocial assessment process. The psychosocial assessment form was guided by two theoretical models that explain the variability in adjustment among children and adolescents with sickle cell-the Disability-Stress-Coping Model (Wallender, Varni, Babani, Banis, & Wilcox, 1989) and the Transactional Stress and Coping Model (Thompson. Gustafson, George Spock, 1994). The Psychosocial Assessment Form consists of two sections. The first section includes primary indicators of adjustment such as internalizing disorders, externalizing disorders, school performance, and difficulties in social relationships. The second section lists secondary indicators of adjustment including intrapersonal factors, stress processing factors, and social ecological factors. The literature that guided this form is also reviewed.

Does treatment readiness enhance the response of African American substance users to Motivational Enhancement Therapy

The development of effective treatments for African Americans and other ethnic minorities is essential for reducing health disparities in substance use. Despite research suggesting that Motivational Enhancement Therapy (MET) may reduce substance use among African Americans, the findings have been inconsistent. This research examined the extent to which readiness-to-change (RTC) affects response to MET among African American substance users. The study was a secondary analysis of the 194 African American substance users participating in a multisite randomized clinical trial evaluating MET originally conducted within the National Drug Abuse Treatment Clinical Trials Network. The participants were randomly assigned to receive either three sessions of MET or Counseling-As-Usual (CAU) followed by the ordinary treatment and other services offered at the five participating outpatient programs. Participants were categorized as either high or lower on RTC based on their scores on the University of Rhode Island Change Assessment. The participants reported their substance use at baseline and throughout the 16 weeks after randomization. Among the high RTC participants, those in MET tended to report fewer days of substance use per week over time than participants in CAU. However, among the lower RTC participants, the CAU group tended to report fewer days of substance use over time than MET participants. In contrast to previous thinking, the findings suggest that MET may be more effective for high than lower RTC African American participants.

Measurement Equivalence of the Trauma Symptom Checklist-40 for Chemically Dependent African American and Caucasian Women: A Preliminary Study

The Trauma Symptom Checklist-40 (TSC-40) is a brief self-report measure of trauma-related symptoms. Using a confirmatory factor analysis framework, this preliminary study examined whether the TSC-40 provided a good fit for 50 African American and 52 Caucasian economically and educationally disadvantaged women enrolled in a residential treatment program. A 5-factor structure of the TSC-40 appeared to be more applicable for our sample than the original 6-factor model. This 5-factor model includes negative mood, interpersonal problems, sleep disturbance, dissociative-like symptoms, and sexual problems. Equivalent factor structure and factor loadings emerged for the two ethnic and racial groups. Implications pertaining to trauma assessment are discussed.

Age Differences in Knowledge about HIV Transmission among African-American Men and Women

To test whether knowledge about HIV transmission may be one contributing factor to the disproportionately high rates of HIV and AIDS cases among older African Americans, this study examined data from 448 African-American men and women, who completed the AIDS Knowledge and Awareness Scale. Overall the findings supported the hypothesis that older African Americans were not as knowledgeable as their younger counterparts. However, the analyses also indicated older (age 61+) African-American women were significantly less knowledgeable about HIV transmission than the younger women. However, the difference between older and younger men was not significant. One implication is that older African Americans, especially women, should be targets of educational efforts.