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    Journal of Black Studies

    DOI: 10.1177/00219347052774752006; 37; 83Journal of Black Studies

    Shaun L. Gabbidon and Steven A. PetersonAmericans

    Select Social Stressors on the Quality of Life Among BlackLiving While Black: A State-Level Analysis of the Influence of

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    10.1177/0021934705277475JOURNALOFBLACKSTUDIES/SEPTEMBER2006Gabbidon,Peterson/ SOCIALSTRESSORSANDQUALITYOFLIFE

    LIVING WHILE BLACK

    A State-Level Analysis ofthe Influence of Select Social

    Stressors on the Quality of

    Life Among Black Americans

    SHAUN L. GABBIDON

    STEVEN A. PETERSONPennsylvania State University, Harrisburg

    This article examines the effects of select social stressors on the quality of

    life among Black Americans. Specifically, the authors created a state-level

    Living While Black index, which includes the Black poverty level by state,

    the number of Black prisoners by state, the lack of access to health care per

    Black population, the Black infant mortality rate, the Black homicide rate,

    and dollars per Black population of Black businesses. Using multivariatestatistical techniques, the authors carried out a first-order test of the influ-

    ence of the living while Black measures on a quality of life index compris-

    ing the following measures: number of days per month 5 or more drinks,

    percentage of Blacks indicating they have mental health problems, suicide

    rates by state for Blacks, and years of life lost per state for Blacks. The arti-

    cle concludes by discussing the implications of the findings and directions

    for future research.

    Keywords: social stress; Black; African Americans; quality of life; liv-ing while Black

    This article examines the role stress plays on the quality of life

    among Black Americans.For the purposes of this research, stress is

    defined as

    83

    AUTHORS NOTE: This article is a revision of a paper presented at the annual

    meeting of the American Society of Criminology, held in Nashville, TN, Novem-

    ber 16-20, 2004.

    JOURNAL OF BLACK STUDIES, Vol. 37 No. 1, September 2006 83-102

    DOI: 10.1177/0021934705277475

    2006 Sage Publications

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    a situation in which a person perceives that his or her resources areexceeded resulting in psychological and psychosomatic symptoms.Anger, anxiety, and frustration can result when an individual per-ceives that he or she is unable to cope with the situation or unable tomodify his or her response to the situation. (Seaton, 2003, pp. 292-293)

    Considering the way in which Blacks (Africans) arrived in Amer-

    ica, elevated levels of stress among themlikely had its origins in the

    slave trade and the brutal slave system that was the final destination

    for many Africans. Navigating the middle passage (the distance

    between Africa and America) as forced passengers on ships headed

    to destinies unknown, scholars have acknowledged that the stress

    of the voyage caused some Blacks to go insane while others com-

    mitted suicide in the belief that such action would save them from a

    worse fate awaiting them (Poussaint & Alexander, 2000).

    Unfortunately, centuries later, stress remains a part of the Black

    American experienceso much so, that there is a growing body of

    literature that examines the dimensions of the stress and the conse-quences of stress as it relates to being Black (Seaton, 2003). Bor-

    rowing from the work of Russell-Brown (2004), we call this

    dynamic living while Black. In her work, she noted that there are

    several ways that Black skin exacts a social cost (p. 108); that is,

    like Russell-Brown, we believe that there is a special burden of

    being Black in America. As scholars have noted before, at times, in

    more ways than one, being Black in America can literally be haz-

    ardous to your health (Russell, 1998, p. 144).There are a variety of alarming statistics related to the health sta-

    tus of Blacks. For example, in comparison to Whites, Blacks have

    the lowest life expectancyat 72.2 years (Kochanek & Smith, 2004).

    On average, Whites live 5 years longer than Blacks. When separat-

    ing these figures out by gender, Black males have the lowest life

    expectancy at 68.9 years while White females have the highest life

    expectancy at 80.2 years (Kochanek & Smith, 2004). Relatedly,Blacks have some of the highest prevalence rates for diseases such

    as diabetes, hypertension, and prostate cancer (Liao et al., 2004).

    Recent figures from the criminal justice system provide an

    equally disturbing portrait. Data from the 2003 National Crime

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    Victimization Survey (Catalano, 2004) shows that the violent

    crime rate (which includes rape and/or sexual assault, robbery, and

    assaults) for Blacks was several points higher than Whites (29.1 vs.21.5). This trend was consistent during the 11-year period from

    1993 to 2003 (Catalano, 2004). In addition, figures from the annual

    Federal Bureau of Investigations (FBI) Uniform Crime Reports

    shows that Blacks are consistently overrepresented in the arrests

    for more serious offenses, where they account for 50% of the mur-

    ders (including nonnegligent manslaughter), 54% of the robberies,

    34% of the forcible rapes, and 34% of the aggravated assaults (Fed-

    eral Bureau of Investigation, 2003, p. 252). Finally, data from the

    Department of Justice shows that, in 2002, there were more than

    600,000 Blacks incarcerated in prisons throughout the United

    States, while there wereabout 472,800 White, and 250,000 Hispanic

    inmates (Harrison & Beck, 2003).

    Considering the extent of the health and criminal justicerelated

    issues in the Black community, scholars have sought to determine

    their etiology. It is clear that in the case of certain disease-relatedconcerns, a portion of the acute prevalence rates can be traced to

    diet; however, when one looks at the larger picture, one wonders

    whether the conditions, under which many (particularly poor)

    Blacks live, manifest themselves in the form of disease and mental

    health issues. Furthermore, the direct and indirect role of discrimi-

    nation is another factor that likely plays some role. Because of the

    aforementioned statistics, the criminal justice system has also

    come under scrutiny. And as in the case of disease and mental ill-ness, one would get little argument that Blacks have a hand in the

    etiology of the crime in their community as evidenced by the fact

    that they commit a disproportionate number of violent offenses.

    However, race has also been found to play a role in the administra-

    tion of criminal justice (Gabbidon & Taylor Greene, 2005; Mann,

    1993; Smith, 2004; Soss, Langbein, & Metelko, 2003).

    Therefore, as is apparent from the preceding discussion, under-standing the stressors related to Black life is complex and, as a

    result, has been investigated by public health scholars, psycholo-

    gists, sociologists, and criminologists. Following a review of this

    diverse literature, we review the nature and scope of the current

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    study in the Method section. This is followed by a discussion sec-

    tion and our final thoughts in the conclusion.

    LITERATURE REVIEW

    PSYCHOLOGY SCHOLARSHIP ON RACE

    AND STRESS AND/OR MENTAL HEALTH

    The study of the roleof stress and its impacton the mental health

    of Black Americans is not new (Chunn, Dunston, & Ross-Sheriff,

    1983). As with the medical literature, the role of racism and dis-

    crimination is a central theme in the literature. Thompson and

    Neville (1999) provided one of the more comprehensive reviews of

    the racism and mental health literature. They began their work by

    noting that scholars have recognized that there are institutional and

    attitudinal dimensions of racism. Summarizing research on the

    topic, they wrote

    racism consists of two interlocking dimensions: (a) an institutionalmechanism of domination and (b) a corresponding ideologicalbelief that justifies the oppression of people whose physical fea-tures and cultural patterns differ from those of the politically andsocially dominant group-Whites. (p. 163)

    Building on the work of Jones (1981), Thompson and Neville

    (1999) also noted that there are three forms of racism discussed in

    the literature: individual, institutional, and cultural. In addition,

    they argued for a fourth, environmental racism. Individual racism

    refers to individual acts of discrimination and often manifests itself

    in the form of personal acts to humiliate or degrade an individ-

    ual(s) based on his or her racial group membership, such as name-

    calling or physical abuse (p. 166). According to Thompson and

    Neville Institutional racism generally refers to the policies,practices, and norms that incidentally, but inevitably, perpetuate

    inequality (i.e., restrict life opportunities of people of color)

    (p. 167). Cultural racism results in the belief that White culture is

    superior to other cultures. Thompson and Neville described it this

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    lenge negative views. The cognitive avoidant approach enables

    people to avoid confronting race and, thus, maintain an inaccurate

    assessment of ones environment (Thompson & Neville, p. 212).Those who use this approach generally deny racism exists or feel

    that because it is inevitable why bother addressing it. The behav-

    ioral approach includes directly confronting the problem. In prac-

    tice, this is typically achieved through the use of strategies such as

    cultural immersion where individuals immerse themselves in some-

    one elses culture, which, according to Thompson and Neville,

    allows them to obtain more complex social attitudes (p. 213).

    Behavioral avoidance describes situations where people stay away

    from directly dealing with race. By using this approach, and not

    discussing their attitudes on race, misconceptions continue to color

    the race-related views of people who use the behavioral avoidance

    coping strategy (Thompson & Neville, p. 212).

    PUBLIC HEALTH SCHOLARSHIP ON RACE AND STRESS

    For some time, it has been suggested that stress, specifically in

    the form of racism, plays a role in the physical health of Black

    Americans. During the 1990s, two important studies sought to test

    this notion. The first, by a team of researchers at Duke University

    (McNeilly et al., 1995), tested whether racial confrontations

    between Black and White women contributed to higher rates of

    hypertension among the Black women. Making use of 30 Black

    female volunteers, the researchers had them engage in two debateswith a White person. The first debate centered on a controversial

    racial topic, whereas the second debate centered on a noncontro-

    versial topic unrelated to race. The study found that direct, inter-

    active confrontation with racist provocation can elicit immediate

    and significant increases in BP [blood pressure], HR [heart rate],

    and emotional responses of anger, resentment, cynicism, and anxi-

    ety (McNeilly et al., p. 335).

    Around the same time, a more expansive study was conducted

    that also looked at the impact of chronic stress and racism. Kreiger

    and Sidney (1996) conducted a study to assess the relationship

    between self-reported experiences of racial discrimination and

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    blood pressure and the contribution of racial discrimination to

    explaining Black-White disparities in elevated blood pressure

    (p. 1370). The study, which was conducted over several years, andhad more than 4,000 Black and White participants, useda question-

    naire to gather information on the participants experience with

    racial discrimination and unfair treatment. In addition, the research-

    ers noted the blood pressure of the participants. Besides the finding

    that 80% of the Black participants reported experiencing racial dis-

    crimination, like the Duke study, the researchers also found that

    racial discrimination shapes patterns of blood pressure among the

    US Black population and Black-White differences in blood pres-

    sure (p. 1375). Since these two breakthrough studies, other

    researchers have also investigated this link (e.g., Black Issues in

    Higher Education, 2001).

    Steffen, McNeilly, Anderson, and Sherwood (2003) also exam-

    ined the effects of perceived racism on blood pressure among

    Blacks. In their study, 69 African Americans were recruited to par-

    ticipate in the study. Sherwood and his colleagues surveyed the par-ticipants regarding their experience with racism. Given the results

    of past research, it was not surprising that 94% of the participants

    indicated they had experienced racism in their lifetime. To gauge

    the impact of this racism, the researchers asked the participants

    questions that measured the impact of the inhibition of anger and

    the outward expression of anger on blood pressure. The study

    showed that, during the day, perceived racism was related to blood

    pressure. In addition, the researchers noted that perceived racismwas positively correlated with anger inhibition . . . but was not

    related to outwardly expressed anger (Steffen et al., p. 748). Fur-

    thermore, the authors found that anger inhibition did not affect the

    blood pressure of Black Americans while they were awake; how-

    ever, there was an impact while the participants slept. This finding

    suggests that, although perceived racism affects blood pressure

    during the day, anger inhibition in response to racist provocationtakes its toll when Blacks sleep. Thus, according to the authors, a

    partial explanation as to why Blacks have a higher incidence of

    hypertension and hypertension-related diseases is because they

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    internalize their anger from racist provocations (Steffen et al.,

    2003).

    While these medical studies show some promise for linking highblood pressure in Blacks to racism, other factors such as environ-

    ment, diet, genetic factors, and income are also potential contribu-

    tors to elevated blood pressure levels in Blacks. Nevertheless, these

    studies show that stress, in the form of racism, is also a contributor.

    We now turn our attention to studies that have examined the impact

    of stress on Blacks from a criminological vantage point.

    CRIMINOLOGY AND CRIMINAL JUSTICE

    SCHOLARSHIP ON RACE AND STRESS

    The criminological literature on the impact of stress on crime is

    sparse. An early pioneering macro-level work in the area is by

    Linsky and Straus (1986). Linsky and Straus tested the theory that

    stressful events which vitally affect individuals are component

    processes of the social system itself. They are structures and vary

    across such systems and conform to patterns of relationship that

    may not be predictable from knowledge about individuals (p. 11).

    Using social stress theory as their foundation, theycreated the State

    Stress Index to determine the link between stress in social systems,

    crime, disease, andmaladaptivebehaviors. Specifically, their research

    tested the hypothesis that the higher the level of social stress, the

    higher the level of health problems and crime (p. 12). The study

    found that there was a relationship between crime rates and statestress levels (see pp. 65-88). When the authors examined the state

    stress levels and disease, they found a correlation with only 3 (per-

    forated ulcers, asthma, and respiratory disease) of the 11 diseases

    they examined (p. 118). On the other hand, they found a correlation

    between their state-level stress index and all of their indicators of

    maladaptive behaviors such as accidents, alcoholism, heavy smok-

    ing, and suicide (p. 119). Overall, there was considerable support

    for authors hypothesis.

    With the publication of Agnews (1992) revised version of strain

    theory, criminal justice scholars began to consider the role that

    exposure to strain (or stressful situations) could play in the etiology

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    of criminal behavior. Agnew believed that the removal or loss of

    positivestimuli in an environment can contribute to criminal activi-

    ties. As examples of the removal or loss of positive stimuli, Agnewmentioned the death of familymemberor a close friend, the separa-

    tion ofparents, and moving to a new area. The presentationof nega-

    tive stimuli would include exposure to events such as child abuse

    and neglect, negative relations with peers, adverse or negative

    school experiences, and a variety of other stressful life events

    (Agnew, 1992). There has been considerable support for Agnews

    theory (e.g., see Agnew & White, 1992; Aseltine, Gore, & Gordon,

    2000; Paternoster & Mazerolle, 1994). In recent years, the litera-

    ture has becomemore diverse, investigating and finding support for

    the applicability of the theory to females (Broidy & Agnew, 1997;

    Elite, 2002; Katz, 2000; Leeper Piquero & Sealock, 2004), racial

    minorities (Jang & Johnson, 2003; McClusky, 2002; Simons,

    Chen, & Stewart, 2003), and international populations (Bao, Haas, &

    Pi, 2004).

    Returning to the research concerning Agnews theory as itrelates to race, Jang and Johnson (2003) sought to determine

    whether strain theory was applicable to a national sample of 2,107

    African Americans. While they did find support for the theory, they

    also found that religiosity can serve as a buffer against the negative

    effects of emotions (Jang & Johnson, 2003). Simons et al. (2003;

    using longitudinal data from the Family and Community Health

    Study; see www.cfr.uga.edu.html.fachs.html) found an association

    between discrimination and delinquency. Their research showedthat, among boys, discrimination contributes to feelings of anger

    and depression that manifests itself in aggression. While these

    results held true for girls as well, the effect of discrimination was

    less pronounced (and see Elite & Turner, 2003).

    Each of the previously reviewed areas of scholarship provides

    insights into the complex nature of race and stress. The scholarship

    showed that the impact of stress can be far reaching and, at times,affect the mental, physical, and sociological state of Black

    Americans.

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    THE CURRENT STUDY

    Given the varied literature that looks at race and stress, wedecided to conduct a study that combined several aspects of the lit-

    erature reviewed. On the whole, the current study builds on the pio-

    neering work on social stress theory by Linsky and Strauss (1986).

    However, the current study differs from their work in that it sought

    to determine whether being Black in America exacts a social cost

    through the exposure to several social stressors that can severely

    affect the quality of life among Black Americans. As such, we

    investigated the following hypothesis:

    Hypothesis 1: The higher the level of select state-level social stressors

    related to Blacks, the lower the quality of life among Black

    Americans.

    To examine this hypothesis, we constructed a Living While Black

    index and a quality of life index. These indexes are discussed fur-

    ther in the Method section.

    METHOD

    The basic method of the current study was comparative state

    analysis, using the 50 American states as units of analysis (on this

    method, see Blomquist, 1999; Jacob & Vines, 1971).

    DEPENDENT VARIABLE

    The dependent variable is a summed index comprising four vari-

    ables, each of which reflects one aspect of quality of life:

    Chronic drinking problems. The Centers for Disease Control

    (CDC) have compiled data on the extent to which drinking prob-

    lems exist for different groups of Americans across the 50 states(seehttp://cdc.gov). The specific data recorded state by state are the

    percentageof African Americans having 5 ormoredrinks per day.

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    Mental health problems. The Kaiser Family Foundation pub-

    lished State Health Facts Online. One indicator used to assess

    health is a measure of the proportion of states populations withpoor mental health. This was assessedby asking a sample of peo-

    ple the following question: For how many days during the past 30

    days was your mental health not good? There is a breakdown by

    different population subsets, including African Americans, which

    serves as our measure.

    Suicide rate. The CDC, through its National Vital Statistics Sys-

    tem of the National Center for Health Statistics recorded suicide

    rate by state among African Americans in 1998 to 1999 (suicides

    per 100,000 population).

    Years of life lost before age 75. CDCs National Vital Statistics

    System of the National Center for Health Statistics has developed

    an index of years of life lost before age 75. This is an index that can

    be used to determine what factors lead to a shorter life span than

    would be expected. Data on African Americans from 1996 to 1998

    (age adjusted per 100,000 population) per state is the variable usedhere. Each of the preceding four variables was dichotomized, with

    a score of 1 indicating that a state ranks at or higher than the

    national mean; 0 indicates less than the national mean. A maximum

    score of 4 suggests poor quality of life for African Americans in a

    state; a score of 0, of course, would testify to a much more positive

    quality of life.

    INDEPENDENT VARIABLES

    A series of potential stressors associated with living while Black

    were selected to explore the effect of these on quality of life. We

    began with six variables that appear to be valid indicators of stress-

    ful events.

    Number of prisoners. Data on numbers of African American

    prisoners per state were gathered for 1997 (U.S. Department of Jus-

    tice, 1998, p. 77). Then, we divided this number by the number of

    African Americans in each state, to provide a comparable figure

    across the states.

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    Percentage of nonelderly who are uninsured. The Kaiser Foun-

    dation (n.d.) reported on the percentage of nonelderly African

    Americans in each state without medical insurance. We used datafrom 2001. This serves as a variable of the stressful situation of

    being uninsured.

    Sales and receipts of African American owned firms (in millions

    of dollars). The U. S. Department of Commerce, in Bureau of Cen-

    sus data from 1992, reported the dollar value of African American-

    owned firms per state. We divided this amount by the African

    American population to provide a comparable baseline from state

    to state. This is one index of economic vitality in the African

    American community.

    Poverty levels. The Bureau of Census (2004) reported the num-

    ber of African Americans per state who live below the poverty line

    for 2000. We divided this by the number of African Americans in

    each state to get a percentage figure to enhance comparability.

    Infant mortality rate. The 2001 Statistical Abstract of the United

    States (U.S. Census Bureau) was the primary data source for thismetric. This U.S. Census Bureau publication provides state-level

    data on the infant mortality rate per 1,000 live births for African

    Americans in 1998.

    Homicide deaths: 1996-1998. Data were gathered on homicides

    per 100,000 population for 1996-1998 by the CDC (1998).

    We conducted factor analysis on these six variables, reasoning

    that there might be underlying dimensions that would simplify data

    analysis. Table 1 shows the results of factor analysis. We extractedprincipal components and then carried out varimax rotation.

    On rotation, two factors emerged. The first appears to capture a

    combination of death and economic problems (business dollars

    earned divided by population was reverse coded, so that a higher

    score equated to poorer business climate for African Americans).

    The four variables loading on this factor include poverty rate, poor

    business earnings (the economic dimension), and greater death(infant mortality and homicide rates). The second factor comprised

    two variables: imprisonment rate and lack of access to health insur-

    ance. The Kaiser-Meyer-Olkin measure of sampling adequacy is

    .589, somewhat low, but not a bad solution. Bartletts test of sphe-

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    ricity is significant at .099. Subsequent data analysis revealed that

    the second factor had no relationship to the dependent variable;

    hence, only Factor I was used in analysis to come.Control variables were added to data analysis to ensure that find-

    ings are not spurious:

    1. Age: Prior studies have suggested that older African Americans

    appear to handle stressful situations with less adverse conse-

    quences than White older Americans (e.g., Peterson & Somit,

    1994, pp. 112-114). Data from the 2000 Census (U.S. Census

    Bureau, 2004) assessmedianage of African Americans bystate.2. Education level: Education is a key resource; studies have indi-

    cated that those with better education have better life chances and

    more resources to deal with problems of life.

    3. Policy liberalism: Erikson, Wright, and McIver (1994) created a

    measure of policy liberalism for the American states. This index

    captures the extent to which state policy choices represent liberal

    decisions, including in the area of civil rights. A more liberal pol-

    icy environment would appear to be more conducive to addressingsome of the issues central to the stresses of living while Black.

    4. Religion: Literature indicates that religion can buffer people

    from the ill effects of life stress (e.g., Linsky & Strauss, 1986).

    Hence, we gathered data on the number of African Methodist

    Gabbidon, Peterson / SOCIAL STRESSORS AND QUALITY OF LIFE 95

    TABLE 1

    Factor Analysis of Stressful Events (Varimax Rotation)

    Variable Factor I Factor II

    African American poverty rate .659a

    .253

    African American prisoners rate .121 .808a

    African American access to medical care .197 .694a

    African American infant mortality rate .514a

    .231

    Homicide rate .791a

    .206

    African American business dollars per Black population

    (lowest 50%) .604a

    .447b

    Kaiser-Meyer-Olkin measure of sampling adequacy = .589

    Bartletts test of sphericity = .099

    a. These factor coefficients were .5 or more.b. This factor coefficient was from .4 to .5.

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    Episcopal (AME) churches in each state as well as AME. Zion

    churches per state (data were retrieved from http://netministries

    .org). We added the two together for eachstate, divided the total bythe population of African Americans in the state, and used the

    resulting number as an index of social buffering against the invidi-

    ous effects of stressful life events.

    FINDINGS

    Multivariate analysis was carried out to determine if the index ofstressors of everyday lifeamong African Americans has a strong tie

    to negative quality of life. Table 2 provides results from multiple

    regression analysis.

    Model 1 shows the simple relationship between the factor score

    for stressful life events and the quality of life index. Clearly, stress-

    ors have a profound effect, as one would predict. The beta is .469,

    significant at the .01 level.

    When a set of independent variables is added in Model 2 (basedon theory and preliminary correlational analysis), we saw the fol-

    lowing: (a) higher median age of African Americans reduces nega-

    tive quality of life; (b) stressors (Factor I) are linked to an increas-

    ingly negative quality of life. The multiple R is .565, with adjusted

    explained variation at .229. Policy liberalism and education level

    wash out as predictors.

    Theory and findings indicate that buffers can reduce the adverseeffects of stress. In this research, we used religiosity as a metric of

    social buffering. Model 3 includes a buffering variablereligios-

    ity. As one can see, this buffer is associated with a less adverse neg-

    ativequality of life; however, the factor score representing stressors

    still has a major effect on the dependent variable.

    DISCUSSION

    This article began by reviewing the public health, psychology,

    and the criminology and criminal justice literature that looked at

    the role stress plays in the lives of Black Americans. After review-

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    ing that literature, we drew on the social stress perspective of

    Linsky and Strauss (1986) and investigated the hypothesis that the

    higher the level of state-level social stressors, the lower the quality

    of life among Black Americans. To test this supposition, we com-

    bined several measures to create a Living While Black index. To

    measure whether these state-level indicators affected Black Ameri-

    cans, we created a quality of life index, which sought to capture if

    the living while Black measures were affecting Black Americans in

    a negative way. Using these two indexes, we found that economic

    (poor earnings for African Americanowned businesses and pov-erty rate) and death stressors (infant mortality and death rates) were

    correlated with a negativequality of lifeamong Black Americans.

    The significant relationship between the economic stressors

    (earnings of Black businesses and poverty rate) and our quality-of-

    life indexwhile controlling for other variablescould be inter-

    preted a couple of ways. On one hand, it seems only natural that if

    such businesses were not doing well, the quality of life among the

    owners will be diminished. As a consequence, it would not beunusual for such a situation to result in chronic drinking problems,

    mental health issues, some years taken off ones life due to stress,

    and, in the worst case scenario, some people might contemplate

    Gabbidon, Peterson / SOCIAL STRESSORS AND QUALITY OF LIFE 97

    TABLE 2

    Listwise Multiple Regression:

    Predicting Negative Quality of Life (N= 35)Independent Variable Model 1 Model 2 Model 3

    Policy liberalism .148 .220

    African American median age .266* .259*

    African American education level .112 .112

    Economic and death stressors (Factor I) .469*** .398** .437***

    AME + AMZE by African American

    population .214*

    Multiple R .469 .565 .598Adjusted multiple R

    2.197 .229 .247

    SE .7940 .7781 .7689

    Significance .002 .009 .010

    NOTE:AME= AfricanMethodist Episcopal; AMZE = AfricanMethodist EpiscopalZion .*p < .10. **p < .05. ***p < .01

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    taking their lives or actually commit suicide. On the other hand,

    could it be that race has something to do with the sales and receipts

    of Black businesses? Some would argue that is more difficult forBlacks to sustain their businesses.Specifically, it is often suggested

    that itmight alsobemoredifficult for Blacks tosecure the appropri-

    ate funds (i.e., loans) to run their businesses effectively. Although

    the nature of our data cannot provide clear answers to these ques-

    tions, we suspect more research needs to be done in this area.

    The finding that the level of poverty is significantly correlated

    with infant mortality rates and homicide rates is also not new.

    Those in poverty have traditionally had less access to prenatal care

    that is likely an important factor related to infant mortality rates.

    These conditions are typically more prevalent in poor minority

    communities. Furthermore, this finding also clearly supports the

    overwhelming body of research that shows that poverty and eco-

    nomic disadvantage are related to serious crimes. Finally, any com-

    munity with such acute levels of poverty, and the related high rates

    of infant mortality and homicides, will have quality of life issues.For example, chronic drinking is likely an escape for those who

    have lost a child or are daily exposed to homicides (often referred to

    as covictimization). Similarly, for some, mental health problems

    likely develop from such exposure. And it is likely that, for those

    who do not commit suicide, the cumulative effect of exposure to

    these death stressors is years taken off ones life.

    The fact that the number of prisoners and the percentage of

    nonelderly who were uninsured did not correlate with our quality-of-life index might tell us a few things. First, it could be that, even

    with their overrepresentation in state prison populations, Black

    Americans do not have a sense that it is inevitable that they will be

    incarcerated in their lifetime. Therefore, their quality of life is not

    significantly affected by this situation. The finding related to the

    nonelderly who are noninsured suggests that Black Americans

    might be used to not having health insurance; therefore, it does notaffect their quality of life in a significant way.

    It is also worth noting that social buffers may reduce somewhat

    the effects of these life stressors. Using an admittedly imperfect

    measure, the number of churches per state with largely African

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    American membership, we did find buffering associated with

    lower negative quality of life.

    CONCLUSION

    Although our state-level analysis showed support for the social

    stress perspective, and more specifically, the notion that living

    while Black or being a Black American does significantly affect

    ones quality of life, there were several limitations of our research.

    We faced the frustration of missing values. Some states have so few

    African Americans that data are so unreliable that databases code

    values as missing (e.g., the Dakotas or Idaho).

    Future research might want to add state-level arrest data to Liv-

    ing While Black index. The likelihood of being arrested might

    affect more the quality of life among Black Americans than being

    incarcerated because Black Americans might see this as more of a

    potential occurrence than being incarcerated. In terms of depend-ent variables, we would like to add stress-related illnesses, such as

    hypertension. We were unable to identify sources providing such

    data, after extensive searches of databases and the use of the Penn-

    sylvania State Data Center.

    Froma policystandpoint, based on state-level data such as these,

    states might want to review their policies related to several areas.

    For instance, states might want to review if appropriate levels of

    monies are made available to burgeoning Black businesses.Relatedly, they might want to check to see if there has been an

    excessive amount of claims regarding discriminatory loan prac-

    tices. States might also want to insure that community-level clinics

    have the resources required to provide adequate prenatal care that

    can likely help reduce the infant mortality rate in the Black commu-

    nity. States also need to invest in funds that can trickle down to

    community-level programs aimed at keeping at-risk youth out of

    criminal activities. Such programs have the potential to reduce the

    likelihood that Blacks will be involved in serious crime. Even with

    these approaches, it must be expected that, because of the social

    stressors discussed, Blacks will engage in chronic drinking and

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    develop mental health problems. As such, public health officials

    need to insure that there are adequate levels of alcoholismand men-

    tal counseling services. Only through such a comprehensive effortcan the effect of living while Black be diminished. Indeed, we

    believe that this research makes clear that adverse effects of living

    while Black pose a substantial public health issue. As such, efforts

    to ameliorate the negative consequences may prove to be cost-

    effective. Thus, public health strategies, such as the interventions

    mentioned above,may wellpay for themselvesover the long run.

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    Shaun L. Gabbidon is associate professor of criminal justice in the School of Public

    Affairs at Pennsylvania State University (Harrisburg). His areas of interest include

    race andcrime,private security, African American studies, andcriminal justice edu-

    cation. His most current publication is Race and Juvenile Justice (2005).

    StevenA. Peterson is director of theSchool of PublicAffairs andProfessor of Politics

    andPublicAffairs at Pennsylvania StateUniversity(Harrisburg). His research inter-ests include Americanpolitics,publicopinion,biologyandpolitics,andpublic policy

    (AIDS policy andeducationpolicy). He hasauthored or coauthored nearly 20 books

    andmorethan 100journal articles,book chapters,books,and so forth.Hehasserved

    aspresident of theNew YorkStatePoliticalScience Associationandthe Northeastern

    Political Science Association.

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