Abstract
Disparities in health outcomes, or the differential burden of health conditions for specific population groups, are a continuing problem that cuts short the lives and compromises the health and well being of African Americans in the USA. For example, the Centers for Disease Control and Prevention (2007) reported that in 2004, African Americans had the highest age-adjusted death rate for any cause of all races and ethnicities in the USA, and these elevated death rates persist throughout life, from birth through senior citizen years (Williams, 2005). Specifically, African Americans had the highest age-adjusted death rate for heart disease, cancer, diabetes, and HIV/AIDS; Black children in particular had a 200% higher prevalence rate and a 500% higher death rate from asthma, a 250% higher infant mortality rate, and a 200% higher incidence of SIDS as compared to their White peers. Relative to health compromises in daily living, roughly 40% of African American adults have some form of heart disease that can affect daily living, compared to 30% of White men and 24% of White women. African Americans are also twice as likely to suffer from diabetes, 1.7 times more likely to suffer a stroke, and 30% more likely to report serious psychological distress. African American senior citizens are half as likely to receive vaccinations for influenza and pneumonia as their White counterparts. African American children as a group have the highest rates of daily activity limitation (9%) of any child group due to chronic health, including mental health, conditions.
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References
Baldwin, A., Baldwin, C., & Cole, R. (1990). Stress-resistant families and stress-resistant children. In J. Rolf et al. (Eds.), Risk and protective factors in the development of psychopathology (pp. 257–280). New York: Cambridge University Press.
Belle, D., & Doucet, J. (2003). Poverty, inequality, and discrimination as sources of depression among U.S. women. Psychology of Women Quarterly, 27, 101–113.
Betancourt, H., & López, S. (1993). The study of culture, ethnicity, and race in American psychology. The American Psychologist, 48, 629–637.
Bolaffi, G., Bracalenti, R., Braham, P., & Gindro, S. (2003). Dictionary of race, ethnicity, and culture. Thousand Oaks, CA: Sage.
Brody, G., Chen, Y., Murry, V., Ge, X., Simons, R., Gibbons, F., et al. (2006). Perceived discrimination and the adjustment of African American youths: A five-year longitudinal analysis with contextual moderation effects. Child Development, 77(5), 1170–1189.
Brown, T., Williams, D., Jackson, J., Neighbors, H., Torres, M., Sellers, S., et al. (2000). Being black and feeling blue: The mental health consequences of racial discrimination. Race and Society, 2, 117–131.
Centers for Disease Control and Prevention – National Center for Health Statistics. (2007). Health, United States, 2007. Hyattsville, MD: Centers for Disease Control and Prevention. Retrieved Dec 1, 2010, from http://www.cdc.gov/nchs/data/hus/hus07.pdf.
Cornell, S., & Hartman, D. (1998). Ethnicity and race: Making identities in a changing world. Thousand Oaks, CA: Pine Forge.
Garcia, E. (1993). Language, culture, and education. Review of Research in Education, 19, 51–98.
Grant, D., & Haynes, D. (1995). A developmental framework for cultural competence training for children. Social Work in Education, 17, 171–182.
Hill, H., Soriano, F., Chen, S., & LaFromboise, T. (1994). Sociocultural factors in the etiology and prevention of violence among ethnic minority youth. In L. Eron, J. Gentry, & R. Schlegel (Eds.), Reason to hope: A psychosocial perspective on violence and youth (pp. 59–97). Washington, DC: American Psychological Association.
Hudley, C., & Graham, S. (2001). Stereotypes of achievement striving among early adolescents. Social Psychology of Education: An International Journal, 5, 201–224.
Hudley, C., Wakefield, W., Britsch, B., Cho, S., Smith, T., & DeMorat, M. (2001). Multiple perceptions of children’s aggression: Differences across neighborhood, age, gender, and perceiver. Psychology in the Schools, 38, 45–56.
Kaiser Family Foundation. (2009). Medicaid and the uninsured. Washington, DC: Kaiser Family Foundation.
Kitayama, S. (2002). Culture and basic psychological processes – Toward a system view of culture: Comment on Oyserman et al. Psychological Bulletin, 128, 89–96.
Ladson-Billings, G. (1995). Toward a theory of culturally relevant pedagogy. American Educational Research Journal, 32, 465–491.
LaFromboise, T., Coleman, H., & Gerton, J. (1993). Psychological impact of biculturalism: Evidence and theory. Psychological Bulletin, 114, 395–412.
Lamborn, S., Dornbusch, S., & Steinberg, L. (1996). Ethnicity and community context as moderators of the relations between family decision making and adolescent adjustment. Child Development, 67, 283–301.
Lewis, T., Everson-Rose, S., Powell, L., Matthews, K., Brown, C., Karavolos, K., et al. (2006). Chronic exposure to everyday discrimination and coronary artery calcification in African American women: The SWAN Heart Study. Psychosomatic Medicine, 68, 362–368.
Mays, V., Cochran, S., & Barnes, N. (2007). Race, race-based discrimination, and health outcomes among African Americans. Annual Review of Psychology, 58, 201–225.
McAllister, G., & Irvine, J. (2000). Cultural competency and multicultural teacher education. Review of Educational Research, 70, 3–24.
Osofsky, J. (1997). Children in a violent society. New York: Guilford.
Phinney, J. (1990). Ethnic identity in adolescence and adults: A review of research. Psychological Bulletin, 108, 499–514.
Pope-Davis, D., & Coleman, H. (1997). Multicultural counseling competencies: Assessment, education and training, and supervision. Thousand Oaks, CA: Sage.
Pope-Davis, D., Liu, W., Toporek, R., & Brittan-Powell, C. (2001). What’s missing from multicultural competency research: Review, introspection, and recommendations. Cultural Diversity and Ethnic Minority Psychology, 7, 121–138.
Pope-Davis, D., & Ottavi, T. (1994). The relationship between racism and racial identity among White Americans. Journal of Counseling and Development, 72, 293–297.
Pumariega, A. (2001). Cultural competence in treatment interventions. In H. Vance & A. Pumariega (Eds.), Clinical assessment of child and adolescent behavior (pp. 494–512). New York: Wiley.
Purnell, L. (2002). The Purnell model for cultural competence. Journal of Transcultural Nursing, 13, 193–196.
Roosa, M., Dumka, L., Gonzales, N., & Knight, G. (2002, January 15). Cultural/ethnic issues and the prevention scientist in the 21st Century. Prevention & Treatment, 5, Article 0005a. Retrieved January 30, 2003, from http://journals.apa.org/prevention/volume5/pre0050005a.html.
Seligman, M., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. The American Psychologist, 55, 5–14.
Sellers, R., Smith, M., Shelton, J., Rowley, S., & Chavous, T. (1998). Multidimensional model of racial identity: A reconceptualization of African American racial identity. Personality and Social Psychology Review, 2, 18–39.
Stanfield, J. (1993). Epistemological considerations. In J. Stanfield & R. Dennis (Eds.), Race and ethnicity in research methods (pp. 16–36). Newbury Park, CA: Sage.
Sue, S. (1998). In search of cultural competence in psychotherapy and counseling. The American Psychologist, 53, 440–448.
Sue, D. W., Arredondo, P., & McDavis, R. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Multicultural Counseling and Development, 20, 64–88.
Trivedi, A., & Ayanian, J. (2006). Perceived discrimination and use of preventive health services. Journal of General Internal Medicine, 21, 553–558.
Utsey, S., Chae, M., Brown, C., & Kelly, D. (2002). Effect of ethnic group membership on ethnic identity, race-related stress and quality of life. Cultural Diversity & Ethnic Minority Psychology, 8, 366–377.
Villegas, A., & Lucas, T. (2002). Educating culturally responsive teachers: A coherent approach. Albany, NY: SUNY.
Williams, D. (2005). The health of U.S. racial and ethnic populations. Journal of Gerontology, 2, 53–62.
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Hudley, C. (2011). Ethics and Intervention Programming. In: Lemelle, A., Reed, W., Taylor, S. (eds) Handbook of African American Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9616-9_2
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