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Biomedical subjects

C L Broman

Publications and source records attributed to C L Broman.

12 recordsLinked to original sources
PubMed1995

Leisure-time physical activity in an African-American population.

Despite the many important benefits of leisure-time physical exercise on health, many Americans do not engage in exercise. This is more the case for the African-American population. This study assesses the impact of efficacy cognitions on leisure-time physical activity (LTPA) in an African-American sample. Our findings show that LTPA is predicted by the sense of efficacy in this African-American sample. Further analyses address significant factors in the prediction of the sense of efficacy. We find that the general sense of mastery predicts efficacy in this African-American sample. This may be especially significant for the African-American population. Also, analysis reveals surprising findings concerning characteristics predictive of efficacy cognitions. The highly educated are least likely to believe in the efficacy of preventive health behavior.

Adolescent↗
PubMed1995

Race, gender, and the response to stress: autoworkers' vulnerability to long-term unemployment.

A three-wave panel study of auto plant closings focused on the mental health effects of unemployment on blue-collar workers. This paper explores how the impact of long-term unemployment varies across race and gender. We also examine whether other demographic factors can themselves modify the impacts of race and gender. Dependent variables include two measures of distress and two drinking measures. Results showed that the effect of long-term unemployment on distress and drinking was more severe among less educated workers, and responses of blacks were especially sensitive to level of education. In addition, men showed a greater association of long-term unemployment with depression (and to some extent anxiety) than did women. Marriage affected the responses of men but not of women, and of whites but not of blacks. Explanatory variables--the worker's experiences of financial hardship, other negative life events, and lack of a confidant--largely accounted for male-female differences. We conclude by discussing theoretical implications of these effects and address the limitations of the traditional term "vulnerability" in describing them.

Adaptation, Psychological↗
PubMed1994

Impact of mental health services use on subsequent mental health of autoworkers.

Collecting three waves of panel data offered an unusual opportunity to examine the long-term outcomes of the use of mental health services. Data are drawn from a panel study of autoworkers. Waves 1, 2, and 3 consisted of 1,597, 1,288, and 1,136 workers, respectively, from four closing and 12 non-closing plants in Southeastern Michigan. Our results revealed a surprising finding: use of mental health services, whether in the general or specialty sectors, had a negative impact on the subsequent mental health of autoworkers in our sample. The use of mental health services is associated with increased levels of psychological distress. Further, we show that the negative association between use of mental health services and distress was greater for certain demographic groups, notably Blacks, men, older workers, the poorly educated, and the unemployed, depending upon the type of service used. Finally, we sought to uncover the reasons for the negative impact of services use. Results suggest that self-blame, for one, contributed to the negative impact of using mental health services.

Adult↗
PubMed1993

Social relationships and health-related behavior.

The relationship of social ties to health behavior is studied in this paper. The general hypothesis tested is that those with social relationships are more likely to avoid health damaging behavior. Patterns regarding specific social ties and particular health behaviors are examined. Findings indicate the relationships of spouse, organization member, and friend are related to preventive health behavior; spouses are less likely smokers, drinkers, and heavy drinkers. The friend relationship is related to decreased smoking behavior, while the employee relationship is related to increased drinking. A consistent predictor of health behaviors is the social tie of organization member. People with relationships as organization members are more likely always to wear seat belts, smoke and drink less, and consume lower amounts of these substances.

Adult↗
PubMed1993

Unemployment, distress, and coping: a panel study of autoworkers.

This study of coping with unemployment traces the distress levels of workers in 4 closing and 12 nonclosing General Motors (GM) plants. Workers were interviewed 3 months before plants closed, 1 year after, and 2 years after (final N = 1,136). Tested were (a) effects of unemployment on symptoms of depression, anxiety, and somatization; (b) linkages between depression and subsequent unemployment, controlling for workers' gender, race, marital status, age, education, prior income, and seniority; and (c) the relationship between workers' coping decisions and subsequent depression. Results showed that unemployment at Waves 2 and 3 was related to prior frequency of symptoms of depression. Depression, in turn, was alleviated for workers whose coping decisions at Wave 2 fit with their Wave 3 outcomes: those who both wanted and found a job, lost a job they disliked, or remained unemployed as planned.

Adaptation, Psychological↗
PubMed1990

Hard times and vulnerable people: initial effects of plant closing on autoworkers' mental health.

Large-scale 1987 General Motors plant shutdowns offered an unusual opportunity to study effects of actual and anticipated unemployment on mental health. Workers from four closing and 12 nonclosing plants (Ns = 831 and 766 respectively) were interviewed approximately three months before scheduled plant closings. Dependent variables were baseline frequencies of somatic, depressive, and anxiety symptoms. The quasi-experimental design made it possible to explore systematically the mental health problems of individual autoworkers as a function of their employment status, their demographic characteristics, and the interaction of the two. Three groups were formed by dividing workers at closing plants into those already laid off and those anticipating layoff; the third group consisted of workers in nonclosing plants. Results revealed a pattern of interaction between unemployment and demographic variables, showing differential vulnerability to job loss. Less educated blacks were especially affected; follow-up analyses showed that their more distressed mental health could not be attributed entirely to other, prior stressors.

Adult↗
PubMed1989

Social mobility and hypertension among blacks.

This paper considers the role of social mobility to hypertension among blacks. Using a nationally representative sample of the adult black population, this research finds no effects of intergenerational socioeconomic mobility. Minimal effects are found for geographic mobility; geographic moves bears a small positive relationship to hypertension. The implications for a theory of mobility effects on black health are discussed.

Adult↗
PubMed1988

Anger expression and life stress among blacks: their role in physical health.

This study examines the relationship between anger expression and life stress in a nationally representative sample of black adults. Recent research of mostly white subjects has shown that anger-hostility, one of the components of the Type A behavioral pattern, is an important predictor of health problems. The findings of the present inquiry indicate that anger-hostility is an important predictor of life stress, and that people with higher levels of anger conflict are more likely to experience negative life events. Moreover, negative life events and anger are shown to be independent predictors of health problems among blacks. The implications of these results for future studies of the health of black Americans are discussed.

Adolescent↗
PubMed1987

The relationship of anger expression to health problems among black Americans in a national survey.

This study examined the relationship between anger expression, other psychosocial measures, and health problems in a nationally representative, cross-sectional sample of 1277 black adults. Subjects indicating a high level of outwardly expressed anger during a period in which they experienced a severe personal problem had a significantly higher number of health problems than their counterparts who expressed low and moderate levels of anger. Anger expression also significantly interacted with a measure of life strain (employment status) to predict health problems. Blacks who were unemployed were more likely to have a higher number of health problems if anger was expressed outwardly at a high level. The relationship was found to be independent of age, gender, urbanicity, smoking, and drinking problems. The overall pattern of the findings suggests that blacks who are at increased risk for health problems may be identified by how often anger is experienced and expressed during periods of emotional distress.

Adult↗
PubMed1987

Race differences in professional help seeking.

Using data from two national surveys, findings from this research indicated that blacks were more likely than whites to seek help from mental health professionals, particularly for economic and physical health problems. Blacks also sought help more often than whites from other sources of professional help, such as teachers, lawyers, social workers and emergency rooms. On the other hand, whites were more likely to seek help from medical sources for all types of problems, and from clergy members.

Adult↗
PubMedDate not supplied

The health consequences of racial discrimination: a study of African Americans.

This investigation focuses on the relationship between racial discrimination and health. Many studies have shown a link between race and differential health outcomes, but few have actually measured racial discrimination. Such studies leave unanswered the question of exactly how the experience of racial discrimination might affect health. Racial discrimination is argued to act in the same fashion as other chronic stressors by increasing blood pressure. However, racial discrimination may also give rise to the sense of thwarted aspirations, itself a stressor, and make the active coping style of "John Henryism" more likely. In these data, we measure perceived racial discrimination for a sample of African Americans and find that experiencing racially-based discriminatory treatment does not impact health. There is no relationship between doctor-diagnosed hypertension and cardiovascular disease, and being the victim of racially biased treatment. We discuss possible reasons for this, and argue that greater conceptualization about the postulated link between discrimination and health is necessary, as well as explicitly designed studies for the purpose of examining this postulated relationship.

Adult↗