Tera R. Hurt

The Influence of Physical and Sexual Abuse on Marriage and Cohabitation

Using ethnographic and survey data on low-income families residing in Boston, Chicago, and San Antonio, we examine the relationship between womens patterns of union formation and their experience of physical and sexual abuse. Both sets of data suggest that women who have been physically or sexually abused are substantially less likely to be married or to be in stable, long-term cohabiting relationships. The data also suggest that the timing and different forms of abuse may have distinctive associations with union formation. Women who have experienced abuse beginning in childhood, particularly sexual abuse, are less likely to be in sustained marriages or stable cohabiting relationships and instead are more likely to experience transitory unions: multiple short-term, mostly cohabiting unions with brief intervals between them. Women who have not been abused in childhood but experience adult physical abuse, however, are less likely to be in either a marriage or a cohabiting union, long-term or transitory; and some have withdrawn from having relationships with men. The relevance of these findings for the decline of marriage among low-income women and men is discussed.

It Takes a Village: Protecting Rural African American Youth in the Context of Racism

Prior research demonstrates negative consequences of racism, however, little is known about community, parenting, and intrapersonal mechanisms that protect youth. Using a mixed-methods approach, this study illuminated linkages between positive and negative contextual influences on rural African American adolescent outcomes. Quantitative results provide support for Structural Ecosystems Theory, in that the influence of discrimination and collective socialization on adolescent outcomes was mediated by racial socialization and positive parenting. Parenting and community influences contributed to adolescent racial identity and self image, which protected against common negative responses to racism; including academic underachievement, succumbing to peer pressure, and aggressive tendencies. Qualitative results indicate that current measures of discrimination may underestimate adolescents’ experiences. Adolescents reported racist experiences in the domains of school, peers, and with the police (males only). Moreover, qualitative findings echoed and expanded quantitative results with respect to the importance of the protective nature of parents and communities.

Developing Effective Diabetes Programming for Black Men.

The purpose of this study is to obtain feedback from 20 men on developing effective programming to reduce the impact of diabetes (t2dm) among Black men. Three focus groups were convened in Des Moines, Iowa. Men were recruited, all either diagnosed with t2dm (n = 10), pre-diabetic (n = 1), or experienced t2dm through family and friends (n = 9). The results highlighted themes related to t2dm knowledge, masculinity, and behavioral health; gender-centered diabetes management education; and family support and functioning. Men provided recommendations for program format and content, desirable facilitator characteristics, and whether to include spouses/partners, relatives, and friends. These results provide guidance and ideas to nurses wishing to enhance t2dm education and patient outcomes for Black men.

Toward a Deeper Understanding of the Meaning of Marriage Among Black Men

Black men benefit from healthy, satisfying marriages in domains of physical, psychological, and financial well-being. Yet marriage among Black men has declined and remains elusive for many. One gap in the research concerns the positive meaning that Black men find in their marriages. Prior research has failed to collect in-depth accounts of Black men’s experiences of marriage. The purpose of this qualitative study is to explore the meaning of marriage among 52 Black men, using interview data. Findings highlight four themes in the meaning of marriage—secure emotional support, lifelong commitment, enhanced life success, and secure attachment. Two themes emerged from the data related to important influences on the construction of meaning relative to marriage—faith, and the dynamics of give and take. Responses among the men concerning the change in marriage over time related to transitions in American marriages and a deepened respect for marriage. Implications are discussed.

Engaging African American men in empirically based marriage enrichment programs: lessons from two focus groups on the ProSAAM project.

To better meet the needs of eligible African American men who were reluctant to enroll in a 5-year study called the Program for Strong African American Marriages (ProSAAM), we employed two focus groups to listen to the voices of a sample of the population being recruited and to explore their feedback about taking part in such a marriage enrichment program and how best to recruit other African American men. We explain our application of the focus group results to our recruitment of African American married couples for ProSAAM. The positive outcomes from the implementation of these results can provide potential ideas for those seeking innovative means to improve recruitment of African American men to programs that strengthen marital relationships.

Elucidating Parenting Processes That Influence Adolescent Alcohol Use: A Qualitative Inquiry.

This study’s purpose was to learn why some youth who participated in the Strong African American Families (SAAF) program increased alcohol use after 2 years whereas other youth did not. Using a sample of 28 African American caregiver-youth dyads, the authors collected qualitative data to explore these issues. Findings underscore the importance of caregivers’ practicing vigilant monitoring to keep their adolescents from experimenting with alcohol. Recommendations for limiting access to alcohol and encouraging vigilant parenting are discussed.

Determinants and long-term effects of attendance levels in a marital enrichment program for african american couples

Although most efficacious marital enrichment programs are multisession, few studies have explored whether outcomes differ according to session attendance, particularly among minority groups with lower than average participation in prevention programs. This study therefore investigates attendance levels and long-term improvements in couple functioning among 164 couples participating in the Promoting Strong African American Families program. Structural equation models indicated session attendance predicted 2-year changes for mens reports of communication, commitment, and spousal support (marginally) but not for womens. Individual and couple characteristics that predicted attendance levels were also identified. Results highlight distinct gender differences in the effects of sustained attendance as well as characteristics that provide early identifiers for African American couples at increased risk of low program attendance.

Black Men and the Decision to Marry

The purpose of this descriptive study is to understand the decision to marry among a sample of 52 married Black men. Qualitative inquiry was used to explore this issue. The men noted five factors that encouraged marriage: wifes characteristics, spirituality, desire to be together, readiness to marry, and encouragement from others. Five barriers to marriage were personal reservations, perceived loss of freedom, disapproval from others, prior relationship experiences, and finances. If they had to make the choice to marry again, 44% reported they would marry at the same time, 30% would opt to marry later, and 23% would select to marry earlier. Three percent of men would not choose to marry again. Implications are discussed.

The Influence of Stress, Gender, and Culture on Type 2 Diabetes Prevention and Management Among Black Men A Qualitative Analysis

This study used focus-group methodology to seek understanding about the unique influence of stress, gender, and culture on type 2 diabetes mellitus (t2dm) prevention and management among Black men. Twenty men from Iowa were recruited from a larger longitudinal study on Black families; each of these men participated in one of three focus groups. Ninety-five percent of the men in the sample were Black and all were either diagnosed with t2dm (n = 10), were prediabetic (n = 1), or had experience with t2dm through family and friends (n = 9). Our results revealed the existence of significant stress and some pessimism with respect to perceived ability to prevent and manage t2dm. The participants made it clear that, while their families are primary sources of support for managing stress, including t2dm, they can also be a source of stress, particularly with respect to parenting. Black men had mixed opinions on their relationships with respect to their health care providers; some had positive, long-standing relationships while others reported little or no relationship with their providers. In response to life stress, Black men reported experiencing inadequate and disrupted sleep as well as consuming too much alcohol at times. Some of the participants reported engaging in physical activity to manage their stress. The study concluded that, as researchers develop t2dm prevention and management programs, they should continue to consider the unique role that stress in its various forms, plays in the lives of Black men.

Black Women’s Recommendations for Developing Effective Type 2 Diabetes Programming

The purpose of this study was to learn from 29 Black women how to develop effective Type 2 diabetes programming. Three focus groups were held in Des Moines, Iowa, during fall 2012. Results highlighted themes related to diabetes knowledge, diabetes management and prevention, physical activity, diet, and diabetes management programming. Opinions were shared as to whether family members should be included in programs for supporting those diagnosed with diabetes. These results provided guidance and ideas to scholars and health care professionals aiming to improve effectiveness of diabetes programs for Black women and families.