This project will analyze existing national and regional population data to enhance our understanding of how racial minority status, socioeconomic status and stress combine with psychosocial risk factors and resources to affect the social distribution of psychiatric morbidity. The proposed research will consider in a more comprehensive way than has been done previously the extent to which major race-related stressful life events (self-reported discrimination), chronic ongoing perceptions of unfair treatment and racial belief systems combine with more traditional measures of stress and a broad range of social and psychological resources to affect mental health and to explain racial variation in health status. This work has the following specific aim: 1) To understand how race-related stressors, both chronic and acute, combine with other traditional measures of stress to affect mental health status; 2) To understand how discrimination is linked to socioeconomic status (SES) and social roles and can explain racial differences in mental health; 3) To identify possible casual priorities between mental health status and reports of racial/ethnic discrimination; 4) To understand how racial belief systems are linked to mental health; 5) To examine how various social and psychological resources for adapting to stress, such as social support, religious involvement, perceptions of mastery or control, self-esteem, John Henryism, and race-related resources (interracial contact, racial self-esteem), considered singly and in combination, affect perceptions of discrimination, other stress and health, and the relationships among them; and 6) To identify how varying responses to racial/ethnic discrimination are related to mental health status. The availability of these data provide an unprecedented opportunity to assess how specific characteristics limited to racial/ethnic status combine with socioeconomic status and psychosocial resources to affect the mental health of blacks and whites.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
1R01MH057425-01
Application #
2384711
Study Section
Special Emphasis Panel (ZMH1-BRB-K (01))
Project Start
1997-07-01
Project End
2000-06-30
Budget Start
1997-07-01
Budget End
1998-06-30
Support Year
1
Fiscal Year
1997
Total Cost
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Biostatistics & Other Math Sci
Type
Organized Research Units
DUNS #
791277940
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Williams, David R (2002) Racial/ethnic variations in women's health: the social embeddedness of health. Am J Public Health 92:588-97
Williams, D R; Collins, C (2001) Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep 116:404-16
Williams, D R; Neighbors, H (2001) Racism, discrimination and hypertension: evidence and needed research. Ethn Dis 11:800-16
Williams, D R; Williams-Morris, R (2000) Racism and mental health: the African American experience. Ethn Health 5:243-68
Schulz, A; Israel, B; Williams, D et al. (2000) Social inequalities, stressors and self reported health status among African American and white women in the Detroit metropolitan area. Soc Sci Med 51:1639-53
Williams, D R; Rucker, T D (2000) Understanding and addressing racial disparities in health care. Health Care Financ Rev 21:75-90
Williams, D R; Jackson, J S (2000) Race/ethnicity and the 2000 census: recommendations for African American and other black populations in the United States. Am J Public Health 90:1728-30
Schulz, A; Williams, D; Israel, B et al. (2000) Unfair treatment, neighborhood effects, and mental health in the Detroit metropolitan area. J Health Soc Behav 41:314-32
Kessler, R C; Mickelson, K D; Williams, D R (1999) The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav 40:208-30
Williams, D R (1998) African-American health: the role of the social environment. J Urban Health 75:300-21