365
Views
3
CrossRef citations to date
0
Altmetric
Review

Physical and Psychological Health of African American Women Caregivers: Unmasking the Paradox

, BSN, RN, Doctoral StudentORCID Icon

References

  • Abrams, J. A., Hill, A., & Maxwell, M. (2019). Underneath the mask of the Strong Black Woman Schema: Disentangling influences of strength and self-silencing on depressive symptoms among U.S. Black women. Sex Roles, 80(9–10), 517–526. https://doi.org/10.1007/s11199-018-0956-y
  • Allen, A. M., Wang, Y., Chae, D. H., Price, M. M., Powell, W., Steed, T. C., Black, A. R., Dhabhar, F. S., Marquez-Magana, L., & Woods-Giscombe, C. L. (2019). Racial discrimination, the superwoman schema, and allostatic load: Exploring an integrative stress-coping model among African American women. Annals of the New York Academy of Sciences, 1457(1), 104–123. https://doi.org/10.1111/nyas.14188
  • Alzheimer’s Association. (2019). Alzheimer’s disease facts and figures. Alzheimer’s Dementia, 15(3), 321–387. https://www.alz.org/media/documents/alzheimers-facts-and-figures-2019-r.pdf
  • American Psychological Association (APA). (2011). Caregiving facts section: Who are family caregivers? https://www.apa.org/pi/about/publications/caregivers/faq/statistics
  • American Psychological Association (APA). (2020). Dictionary of psychology. https://dictionary.apa.org/masked-depression
  • Anderson, E. T., & McFarlane, J. (2015). Community as partner: Theory and practice in nursing (7th ed.). Wolters Kluwer.
  • Armstrong, N. M., Gitlin, L. N., Parisi, J. M., Roth, D. L., & Gross, A. L. (2019). Association of physical functioning of persons with dementia with caregiver burden and depression in dementia caregivers: An integrative data analysis. Aging & Mental Health, 23(5), 587–594. https://doi.org/10.1080/13607863.2018.1441263
  • Berjot, S., & Gillet, N. (2011). Stress and coping with discrimination and stigmatization. Frontiers in Psychology, 2(2), 33–13. https://doi.org/10.3389/fpsyg.2011.00033
  • Brewster, G. S., Bonds, K., McLennon, S., Moss, K. O., & Lopez, R. P. (2020). Missing the mark: The complexity of African American dementia family caregiving. Journal of Family Nursing, 1–8. https://doi.org/10.1177/1074840720945329
  • Byers, D. J., Beard, T. H., & Wicks, M. N. (2009). African-American women’s perceived health status while caring for a relative with end stage renal disease. Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association, 36(6), 599–611, 632. https://search.proquest.com/docview/216548030
  • Calderón, V., & Tennstedt, S. L. (1998). Ethnic differences in the expression of caregiver burden: Results of a qualitative study. Journal of Gerontological Social Work, 30(1–2), 159–178. https://doi.org/10.1300/J083v30n01_10
  • Cannon, S., & Fawcett, J. (2018). Correlates of psychological and physical health outcomes among African American caregiving daughters. Association of Black Nursing Faculty Journal, 29(3), 86–97. http://eds.a.ebscohost.com/eds/pdfviewer/pdfviewer?vid=1&sid=acdb0fd6-c0ae-412f-8e8a-70d80285f6df%40sessionmgr4006
  • Carthron, D. L., Bailey, D. E., & Anderson, R. A. (2014). The “invisible caregiver”: Multicaregiving among diabetic African-American grandmothers. Geriatric Nursing (New York, N.Y), 35(2 Suppl), S32–S36. https://doi.org/10.1016/j.gerinurse.2014.02.013
  • Carthron, D. L., Johnson, T. M., Hubbart, T. D., Strickland, C., & Nance, K. (2010). "Give me some sugar!" The diabetes self-management activities of African-American primary caregiving grandmothers. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 42(3), 330–337. https://doi.org/10.1111/j.1547-5069.2010.01336.x
  • Centers for Disease Control and Prevention (CDC). (2017). African American health: Creating equal opportunities for health. CDC VitalSigns. Retrieved April 4, 2020, from https://www.cdc.gov/vitalsigns/pdf/2017-05-vitalsigns.pdf
  • Centers for Disease Control and Prevention (CDC). (2019a). Caregiving for family and friends – A public health issue. Alzheimer’s Disease and Healthy Aging. Retrieved April 4, 2020, from https://www.cdc.gov/aging/caregiving/caregiver-brief.html
  • Centers for Disease Control and Prevention (CDC). (2019b). Caregiving. Alzheimer’s Disease and Healthy Aging. Retrieved April 4, 2020, from https://www.cdc.gov/aging/caregiving/index.htm
  • Clay, O. J., Grant, J. S., Wadley, V. G., Perkins, M. M., Haley, W. E., & Roth, D. L. (2013). Correlates of health-related quality of life in African American and Caucasian stroke caregivers. Rehabilitation Psychology, 58(1), 28–35. https://doi.org/10.1037/a0031726
  • Dal Santo, T. S., Scharlach, A. E., Nielsen, J., & Fox, P. J. (2007). A stress process model of family caregiver service utilization: Factors associated with respite and counseling service use. Journal of Gerontological Social Work, 49(4), 29–49. https://doi.org/10.1300/J083v49n04_03
  • Dilworth-Anderson, P., Goodwin, P. Y., & Wallace Williams, S. (2004). Can culture help explain the physical health effects of caregiving over time among African American caregivers? The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 59(3), S138–S145. https://doi.org/10.1093/geronb/59.3.s138
  • Dowd, J. J., & Bengtson, V. L. (1978). Aging in minority populations an examination of the Double Jeopardy Hypothesis. Journal of Gerontology, 33(3), 427–436. https://doi.org/10.1093/geronj/33.3.427
  • Dunbar, P. L. (1922). We wear the mask. The complete poems of Paul Laurence Dunbar. Dodd, Mead and Company.
  • Ekman, P., & Friesen, W. V. (1969). The repertoire of nonverbal behavior: Categories, origins, usage, and coding. Semiotica, 1(1), 49–98. https://doi.org/10.1515/semi.1969.1.1.49
  • Ekman, P., & Friesen, W. V. (2003). Unmasking the face: A guide to recognizing emotions from facial expressions. Malor Books.
  • Erving, C. L., Satcher, L. A., & Chen, Y. (2020). Psychologically resilient, but physically vulnerable? Exploring the psychosocial determinants of African American women’s mental and physical health. Sociology of Race and Ethnicity, 1–18. https://doi.org/10.1177/2332649219900284
  • Family Caregiver Alliance (FCA). (2019). Caregiver statistics: Demographics. Family Caregiver Alliance National Center on Caregiving. Retrieved April 4, 2020, from https://www.caregiver.org/caregiver-statistics-demographics
  • Flaskerud, J. H., & Winslow, B. J. (1998). Conceptualizing vulnerable populations health-related research. Nursing Research, 47(2), 69–78. https://doi.org/10.1097/00006199-199803000-00005
  • Flyckt, L., Fatouros-Bergman, H., & Koernig, T. (2015). Determinants of subjective and objective burden of informal caregiving of patients with psychotic disorders. The International Journal of Social Psychiatry, 61(7), 684–692. https://doi.org/10.1177/0020764015573088
  • Fox, K., Hinton, W. L., Levkoff, S. (1999). Take up the caregiver’s burden: Stories of care for urban African American elders with dementia. Culture, Medicine and Psychiatry, 23, 501–529. https://link.springer.com/content/pdf/10.1023/A:1005520105518.pdf
  • George, L. K., & Gwyther, L. P. (1986). Caregiver well-being: A multidimensional examination of family caregivers of demented adults. The Gerontologist, 26(3), 253–259. https://doi.org/10.1093/geront/26.3.253
  • Green, B. (2019). Strong like my mama: The legacy of “strength,” depression, and suicidality in African American women. Women & Therapy, 42(3–4), 265–288. https://doi.org/10.1080/02703149.2019.1622909
  • Haley, W. E., Gitlin, L. N., Wisniewski, S. R., Feeney Mahoney, D., Coon, D. W., Winter, L., Corcoran, M., Schinfeld, S., & Ory, M. (2004). Well-being, appraisal, and coping in African-American and Caucasian dementia caregivers: Findings from the REACH study. Aging & Mental Health, 8(4), 316–329. https://doi.org/10.1080/13607860410001728998
  • Hansen, B. R., Hodgson, N. A., & Gitlin, L. N. (2019). African-American caregivers' perspectives on aggressive behaviors in dementia. Dementia (London, England), 18(7–8), 3036–3058. https://doi.org/10.1177/1471301218765946
  • Hartweg, D. L. (1991). Dorothea Orem: Self-care deficit theory. SAGE Publications Ltd.
  • Health and Human Services. (2019). Diabetes and African Americans. US Department of Health and Human Services Office of Minority Health. Retrieved April 4, 2020, from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=18
  • Hilgeman, M. M., Durkin, D. W., Sun, F., DeCoster, J., Allen, R. S., Gallagher-Thompson, D., & Burgio, L. D. (2009). Testing a theoretical model of the stress process in Alzheimer's caregivers with race as a moderator. The Gerontologist, 49(2), 248–261. https://doi.org/10.1093/geront/gnp015
  • Institute on Aging. (2018). Women as caregivers. Our mission and history. Retrieved April 4, 2020, from https://www.ioaging.org/aging-in-america
  • Jones, P. S., Winslow, B. W., Lee, J. W., Burns, M., & Zhang, X. E. (2011). Development of a caregiver empowerment model to promote positive outcomes. Journal of Family Nursing, 17(1), 11–28. https://doi.org/10.1177/1074840710394854
  • Kim, G., Allen, R. S., Wang, S. Y., Park, S., Perkins, E. A., & Parmelee, P. (2018). The relation between multiple informal caregiving roles and subjective physical and mental health status among older adults: Do racial/ethnic differences exist? The Gerontologist, 59(3), 499–508. https://doi.org/10.1093/geront/gnx196
  • Kim, J.-H., Knight, B. G., & Flynn Longmire, C. V. (2007). The role of familism in stress and coping processes among African American and White dementia caregivers: Effects on mental and physical health. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 26(5), 564–576. https://doi.org/10.1037/0278-6133.26.5.564
  • Knight, B. G., & Sayegh, P. (2010). Cultural values and caregiving: The updated sociocultural stress and coping model. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65B(1), 5–13. https://doi.org/10.1093/geronb/gbp096
  • Knight, B. G., Silverstein, M., McCallum, T. J., & Fox, L. S. (2000). A sociocultural stress and coping model for mental health outcomes among African American caregivers in Southern California. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(3), P142–P150. https://doi.org/10.1093/geronb/55.3.p142
  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company, Inc.
  • Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1(3), 141–169. https://doi.org/10.1002/per.2410010304
  • Mars, D., Davis, B. L., Montgomery, A. J., Burns, D. P., Baker, S. R., & Coffey, D. (2017). The lived experience of African-American informal caregivers of family members with Alzheimer’s disease and related dementias. The Journal of the National Black Nurses Association, 28(2), 19–25. https://pubmed.ncbi.nlm.nih.gov/30282137/
  • National Academy of Medicine (NAM). (2020). National Academy of Medicine: Action collaborative on clinician well-being and resilience. Retrieved March 24, 2020, from https://nam.edu/initiatives/clinician-resilience-and-well-being/
  • National Alliance for Caregiving (NAC) and the AARP Public Policy Institute. (2015). Caregiving in the U.S. research report: 2015 report. Retrieved March 24, 2020, from https://www.aarp.org/content/dam/aarp/ppi/2015/caregiving-in-the-united-states-2015-report-revised.pdf
  • Pearlin, L. I. (1999). The stress process revisited. In C. S. Aneshensel & J. C. Phelan (Eds.), Handbook of the sociology of mental health (pp. 395–415). Springer.
  • Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337–356. https://doi.org/10.2307/2136676
  • Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30(5), 583–594. https://doi.org/10.1093/geront/30.5.583
  • Rice, M. C., Wicks, M. N., & Martin, J. C. (2008). Health risk characteristics of Black female informal caregivers on welfare. Clinical Nursing Research, 17(1), 20–31. https://doi.org/10.1177/1054773807311689
  • Samuel-Hodge, C. D., Skelly, A. H., Headen, S., & Carter-Edwards, L. (2005). Familial roles of older African-American women with type 2 diabetes: Testing of a new multiple caregiving measure. Ethnicity & Disease, 15(3), 436–443. https://pdfs.semanticscholar.org/68c9/a3dd6443ea10e738812d6380b1001d2ffa04.pdf
  • Scott, C. B., Clay, O. J., Epps, F., Cothran, F. A., & Williams, I. C. (2020). Associations of knowledge of Alzheimer's disease and memory loss and employment status with burden in African American and Caucasian family caregivers. Dementia (London, England), 19(3), 847–860. https://doi.org/10.1177/1471301218788147
  • Sieber, S. D. (1974). Toward a theory of role accumulation. American Sociological Review, 39(4), 567–578. https://doi.org/10.2307/2094422
  • Siefert, M. L., Williams, A.-I., Dowd, M. F., Chappel-Aiken, L., & McCorkle, R. (2008). The caregiving experience in a racially diverse sample of cancer family caregivers. Cancer Nursing Practice, 31(5), 399–407. https://doi.org/10.1097/01.NCC.0000305760.04357.96
  • Siegler, I. C., Brummett, B. H., Williams, R. B., Haney, T. L., & Dilworth-Anderson, P. (2010). Caregiving, residence, race, and depressive symptoms. Aging & Mental Health, 14(7), 771–778. https://doi.org/10.1080/13607861003713257
  • White, T. M., Townsend, A. L., & Parris Stephens, M. A. (2000). Comparisons of African American and White women in the parent care role. The Gerontologist, 40(6), 718–728. https://doi.org/10.1093/geront/40.6.718
  • Witters, D. (2011). In the US, caregivers suffer from poorer physical health: Negative effects of caregiving greatest for those 18 to 29. Well-being. https://news.gallup.com/poll/145940/caregivers-suffer-poorer-physical-health.aspx
  • Woods-Giscombé, C. (2010). Superwoman schema: African American women's views on stress, strength, and health. Qualitative Health Research, 20(5), 668–683. https://doi.org/10.1177/1049732310361892
  • Woods-Giscombe, C., Robinson, M. N., Carthon, D., Devane-Johnson, S., & Corbie-Smith, G. (2016). Superwoman schema, stigma, spirituality, and culturally sensitive providers: Factors influencing African American women’s use of mental health services. Journal in Best Practices in Health Professions Diversity, 9(1), 1124–1144. https://www.jstor.org/stable/26554242
  • Zarit, S. H., Todd, P. A., & Zarit, J. M. (1986). Subjective burden of husbands and wives as caregivers: A longitudinal study. The Gerontologist, 26(3), 260–266. https://doi.org/10.1093/geront/26.3.260

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.