TITLE

DEVELOPMENT AND PSYCHOMETRIC TESTING OF A MULTIDIMENSIONAL INSTRUMENT OF PERCEIVED DISCRIMINATION AMONG AFRICAN AMERICANS IN THE JACKSON HEART STUDY

AUTHOR(S)
Sims, Mario; Wyatt, Sharon B.; Gutierrez, Mary Lou; Taylor, Herman A.; Williams, David R.
PUB. DATE
January 2009
SOURCE
Ethnicity & Disease;Winter2009, Vol. 19 Issue 1, p56
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objedive: Assessing the discrimination-health disparities hypothesis requires psychometrically sound, multidimensional measures of discrimination. Among the available discrimination measures, few are multidimensional and none have adequate psychometric testing in a large, African American sample. We report the development and psychometric testing of the multidimensional Jackson Heart Study Discrimination (JHSDIS) Instrument. Methods: A multidimensional measure assessing the occurrence, frequency, attribution, and coping responses to perceived everyday and lifetime discrimination; lifetime burden of discrimination; and effect of skin color was developed and tested in the 5302-member cohort of the Jackson Heart Study. Internal consistency was calculated by using Cronbach α coefficient. Confirmatory factor analysis established the dimensions, and intercorrelation coefficients assessed the discriminant validity of the instrument. Setting: Tri-county area of the Jackson, MS metropolitan statistical area. Results: The JHSDIS was psychometrically sound (overall α= .78, .84 and .77, respectively, for the everyday and lifetime subscales). Confirmatory factor analysis yielded 11 factors, which confirmed the a priori dimensions represented. Conclusions: The JHSDIS combined three scales into a single multidimensional instrument with good psychometric properties in a large sample of African Americans. This analysis lays the foundation for using this instrument in research that will examine the association between perceived discrimination and CVD among African Americans.
ACCESSION #
37368397

 

Related Articles

  • Cardiometabolic Health in African Immigrants to the United States: A Call to Re-examine Research on African-descent populations. Commodore-Mensah, Yvonne; Himmelfarb, Cheryl Dennison; Agyemang, Charles; Sumner, Anne E. // Ethnicity & Disease;Summer2015, Vol. 25 Issue 3, p373 

    In the 20th century, Africans in Sub-Saharan Africa had lower rates of cardiometabolic disease than Africans who migrated. However, in the 21st century, beyond infectious diseases, the triple epidemics of obesity, diabetes and hypertension have taken hold in Africa. Therefore, Africans are...

  • Race and Health Care – An American Dilemma? Geiger, H. Jack // New England Journal of Medicine;9/12/96, Vol. 335 Issue 11, p815 

    This editorial looks at race and health in America and says the disparity of medical treatment in the two groups continues. A study in this issue showed that people of color in the U.S. are offered fewer medical options to treat chronic diseases. The author suggests that unconscious racism could...

  • RACIAL DISPARITIES IN HYPERTENSION AWARENESS AND MANAGEMENT: ARE THERE DIFFERENCES AMONG AFRICAN AMERICANS AND WHITES LIVING UNDER SIMILAR SOCIAL CONDITIONS? Thorpe Jr., Roland J.; Bowie, Janice V.; Smolen, Jenny R.; Bell, Caryn N.; Jenkins Jr., Michael L.; Jackson, John; LaVeist, Thomas A. // Ethnicity & Disease;Summer2014, Vol. 24 Issue 3, p269 

    Objective: To examine the nature of disparities in hypertension awareness, treatment, and control within a sample of Whites and African Americans living in the same social context and with access to the same health care environment. Design: Cross-sectional study Setting: Southwest Baltimore,...

  • MEASURING RACIAL DISCRIMINATION. Wright, Kynna // Ethnicity & Disease;Winter2009, Vol. 19 Issue 1, p78 

    The article offers an overview of the study which examined whether the Jackson Heart Study (JHS) Discrimination instrument (JHSDIS) appropriately measured perceived discrimination among African Americans' participants in the JHS in Jackson County, Mississippi. Scope of the investigations covered...

  • HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH AMONG AFRICAN-AMERICAN WOMEN UNDERGOING PERCUTANEOUS CORONARY INTERVENTIONS (PCI). Kamble, Shital; Boyd, A. Suzanne // Journal of Cultural Diversity;Fall2008, Vol. 15 Issue 3, p132 

    This review of minority health describes the existing health disparities, the barriers to healthcare access and utilization, the role of three social determinants of health [i.e., (1) socioeconomic status, (2) education, and (3) stress and/or depression], the existing public-policies; and a...

  • Psychosocial Model: Racism as a Predictor of Adherence and Compliance to Treatment and Health Outcomes among African Americans. Kennedy, Bernice Roberts // Journal of Theory Construction & Testing;Spring/Summer2009, Vol. 13 Issue 1, p20 

    African Americans have more health problems than the majority population, due in part to lack of access to health care, poorer quality of health care and nonadherence/compliance to recommended treatment. The author proposes a psychosocial model of racism intended to predict adherence/compliance...

  • ADAPTING THE EVERYDAY DISCRIMINATION SCALE TO MEDICAL SETTINGS: RELIABILITY AND VALIDITY TESTING IN A SAMPLE OF AFRICAN AMERICAN PATIENTS. Peek, Monica E.; Nunez-Smith, Marcella; Drum, Melinda; Lewis, Tené T. // Ethnicity & Disease;Autumn2011, Vol. 21 Issue 4, p502 

    Objective: Despite evidence that discrimination within the health care system may play an important role in perpetuating health disparities, instruments designed to measure discrimination within the health care setting have not been adequately tested or validated. Consequently, we sought to test...

  • AFRICAN AMERICAN COLLEGE STUDENTS' PERCEPTIONS OF PSYCHOSOCIAL FACTORS INFLUENCING RACIAL DISPARITIES IN HEALTH. Zekeri, Andrew A.; Habtemariam, Tsegaye // College Student Journal;Dec2006, Vol. 40 Issue 4, p901 

    Objective: This study examined African American college students' perceptions of psychosocial factors that influence racial disparities in health. Methods: We conducted focus groups in two Alabama Black Belt Counties from June to August 2005. Data were collected using a standardize discussion...

  • Equity advocate.  // Minnesota Medicine;Oct2015, Vol. 98 Issue 10, p8 

    The article focuses on the advocacy of Tamiko Morgan, pediatrician and medical director of Metropolitan Health Plan (HP) in Minneapolis, Minnesota. Morgan's effort of writing the book titled "VIP: Very Important Patient: The African-American Woman's Guide to Health Care, Health & Wellness" to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics