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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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