Verna M. Keith

THE BLACKER THE BERRY Gender, Skin Tone, Self-Esteem, and Self-Efficacy

Using data from the National Survey of Black Americans, this study examines the way in which gender socially constructs the importance of skin tone for evaluations of self-worth and self-competence. Skin tone has negative effects on both self-esteem and self-efficacy but operates in different domains of the self for men and for women. Skin color is an important predictor of self-esteem for Black women but not Black men. And color predicts self-efficacy for Black men but not Black women. This pattern conforms to traditional gendered expectations of masculinity and femininity. Moreover, there are conditions of success that allow women to escape the effects of colorism. The impact of skin tone on self-esteem was much weaker for women from higher social class. Those who had lower self-esteem scores were dark-skinned women from working classes and dark-skinned women who were judged unattractive.

Katrina and Migration: Evacuation and Return by African Americans and Vietnamese Americans in an Eastern New Orleans Suburb

Hurricane Katrina constitutes the most costly natural as well as technology-induced disaster, in terms of both human suffering and financial loss in the history of the United States. Even years later, it continues to profoundly impact the livelihoods and the mental and physical health of those who have experienced evacuation and return and those who have begun lives anew elsewhere. Our study focuses on these geographical processes associated with the Katrina disaster experiences of African Americans and Vietnamese Americans comprising an overwhelming majority (93.4 percent) of residents in a racially mixed pre-Katrina eastern New Orleans neighborhood. We examine the spatial morphology of routes, volumes, and frequencies of evacuees; their return rates and experiences; and rationales and motivations to return or stay. The conceptual framework is based on the disaster migration, place attachment, and social network literature. Both quantitative and qualitative evidence indicates that the evacuation and return experiences of each minority group substantially differed, especially among African American women, and this was strongly influenced by existing social networks.

The Social Support of Employed African American and Anglo Mothers

Using the National Survey of Families and Households (NSFH), we investigate the support received by employed African American and Anglo mothers of young children. Supports investigated include care of sick and out-of-school children, general baby-sitting assistance, and help with transportation. Supports received from family and friends were analyzed separately. Care for sick and out-of-school children is deemed to be a particularly important source of support, and African Americans are more likely than Anglos to receive this support from relatives. A discouraging finding is that for every type of support, mothers below the poverty line are no more likely to receive support than more affluent mothers.

Body image, acculturation, and substance abuse among boys and girls in the Southwest.

This study explored body image as measured by perceptions of weight and appearance and its impact on adolescent drug use among predominately Mexican American middle school students in the southwest. Outcomes analyzed included lifetime and recent alcohol, cigarette, and marijuana use and antidrug norms. Disliking ones looks was more of a risk factor for boys, whereas negative weight perceptions were more of a risk factor for girls. Relative to more acculturated (English-dominant) Latinos (N = 903), non-Latino Whites (N = 121), and other non-Latino youth (N = 107), less acculturated (Spanish-dominant) Latino youth (N = 212) reported the poorest body image. However, more acculturated Latino youth with poor body image had the greatest risk of substance use. More acculturated Latino boys who disliked their looks reported relatively greater amounts of recent alcohol use, and those who rated their bodies as too thin reported higher lifetime cigarette use, a greater amount and frequency of recent cigarette use, and weaker antidrug norms. More acculturated Latina girls who thought they were too fat reported a greater amount and frequency of recent cigarette use. These findings suggest that low levels of acculturation may protect some Latino youth with poor body image from coping via substance use. In addition, they suggest that poor body image among some Latinos may result less from adoption of American thinness ideals but rather from attitudes and behaviors that devalue the characteristics of Latino appearance.

Resilient History and the Rebuilding of a Community: The Vietnamese American Community in New Orleans East

As the floodwaters have receded from New Orleans and rebuilding has begun, new sto-ries of race relations have emerged and new histories are being written. One is the his-tory of a predominantly Catholic Vietnamese American community located in eastern New Orleans. Before Hurricane Katrina, Vietnamese Americans constituted less than 1.5 percent of the city’s population. Since Katrina, the small Vietnamese American com-munity in eastern New Orleans has received significant press coverage due to its mem-bers’ high rate of return and the rapid rebuilding of their community. This essay will explore how shared refugee experiences, the leadership role of the Catholic Church, and the historically specific circumstances of Vietnamese immigrant settlement in eastern New Orleans contributed to this community’s mobilization and empowerment. Some might attribute the community’s ability to recover so quickly to a strong work ethic and an innate identity—both features of the myth of Asian Americans as “model minorities.” That myth is a 1950s and 1960s construction that has since been deployed to justify racist assumptions about African Americans, Hispanics, and American Indians. It also obscures historical processes. This essay argues that the eastern New Orleans Vietnamese American community’s response to Katrina is clearly rooted in its particular history and collective memory. As the experience of the Vietnamese American community in Village de L’Est demonstrates, history and memory are more than analytical artifacts—they are political resources.

Racial Identity and Well-Being among African Americans

How racial identity influences self-esteem and psychological well-being among African Americans remains unresolved due to unexplained inconsistencies in theoretical predictions and empirical findings. Using data from the National Survey of American Life (N = 3,570), we tested hypotheses derived from social identity theory and the internalized racism perspective. Findings support social identity theory in showing that African Americans strongly identify with their group and view it very positively. In addition, those who identify more with their group and evaluate it more positively have greater self-esteem, greater mastery, and fewer depressive symptoms. However, findings also support the internalized racism perspective by showing that when group evaluation is relatively negative, racial identification is related to lower mastery and higher depressive symptoms. We conclude that both social identity theory and the internalized racism perspective are necessary for understanding how racial identity is related to self-attitudes and mental health among African Americans.

Assessing the effects of race and ethnicity on use of complementary and alternative therapies in the USA

Objective To investigate the use of alternative therapies among different racial/ethnic groups in the USA. Specifically, we examined whether alternative medicine use differs for working aged whites, Asian Americans, African Americans, and Hispanics. Design Using the 1996 Medical Expenditure Panel Survey, racial differences in utilization were investigated at two levels: (1) the bivariate level with no controls for other factors and (2) at the multivariate level with controls for age, sex, region, marital status, education, income, health status, satisfaction with conventional healthcare, and access measures. Results Americans in this sample population used alternative and complementary therapies at a fairly low rate (6.5%). This 6.5%, however, was not consistent across all groups. African Americans and Hispanics were less likely than whites to utilize alternative therapies, whereas Asian Americans did not differ significantly from whites. Conclusions The use of alternative and complementary therapies varied across racial/ethnic groups. Evidence showed that individuals who were dissatisfied with the availability of conventional healthcare, who were in poor health, but very satisfied with their conventional provider were more likely to use complementary and alternative medicine (CAM) therapies. The addition of these variables to a logistic regression model did not change the findings for differential use by ethnicity, the relative ranking of groups, or the overall strength of the relationship.

Economic Vulnerability, Discrimination, and Hurricane Katrina: Health Among Black Katrina Survivors in Eastern New Orleans

BACKGROUND : Few works have viewed disaster relief in the context of socioeconomic disparity and racial inequality before Katrina. OBJECTIVE : By using the vulnerable-populations conceptual framework, our study aimed to investigate the relationship among economic vulnerability, perceived discrimination, and health outcomes among 69 Black Katrina survivors in Eastern New Orleans. STUDY DESIGN : A mixed-method approach, including survey and focus groups, was applied to collect data. RESULTS : Our findings suggested that a higher level of perceived racial discrimination during Katrina and financial strain post-Katrina were associated with more posttraumatic stress disorder (PTSD) symptoms; support provided by network members served to enhance mental and physical health. Compared with Black males, female survivors reported more PTSD symptoms and worse mental health. CONCLUSIONS : It is imperative for nursing scholars and public policies to directly address the intricacies of race, class, and gender inequality to deliver interventions tailored to meet the unique needs of vulnerable populations. J Am Psychiatr Nurses Assoc, 2007; 13(5), 257-266. DOI: 10.1177/1078390307307260

CAN A HIGH SENSE OF CONTROL AND JOHN HENRYISM BE BAD FOR MENTAL HEALTH

Social stratification profoundly affects mental health. Specifically, substantial empirical evidence finds that higher status promotes mental health via a higher sense of control and a propensity to cope actively with problems. An unresolved issue, though, is whether the effects of sense of control and active coping on mental health are uniformly beneficial across levels of socioeconomic status. Perceived control and John Henryism, an active coping style, may undermine mental health, especially for lower-status persons, who lack resources. Using data from the National Comorbidity Survey for African Americans, Hispanics, and whites, we find that both sense of control and John Henryism tend to be monotonically related to positive mental health regardless of socioeconomic status and race/ethnicity.

Problems in estimating the prevalence of physical activity from national surveys

Health policy in the United States has paid scant notice to physical activity until recently. This current policy focus on physical activity has revealed not only that there is less than adequate data about it but also that the single survey questions used for the purpose of measuring its prevalence should be interpreted carefully. A case in point is the example presented in this article, which gives estimates of physical activity prevalence levels for women of child-bearing ages from several National Center for Health Statistics (NCHS) surveys. The amount of physical activity reported, and thus the proportion of women at risk for various diseases due to limited activity, depends on how the question is asked and the type of responses offered as options. Various questions used in three different NCHS surveys produced prevalence estimates of limited physical activity levels ranging from 3.9 to 39.1%. These findings have important implications for survey assessments of physical activity at all policy levels.