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Age differences in health effects of stressors and perceived control among urban African American women
Journal article   Open access   Peer reviewed

Age differences in health effects of stressors and perceived control among urban African American women

A. B Becker, B. A Israel, A. J Schulz, E. A Parker and L Klem
Journal of urban health, Vol.82(1), pp.122-141
03/2005
DOI: 10.1093/jurban/jti014
PMCID: PMC3456625
PMID: 15738329
url
https://doi.org/10.1093/jurban/jti014View
Published (Version of record) Open Access

Abstract

A conceptual model of the stress process has been useful in examining relationships among a variety of stressors, health status, and protective factors that modify the health-stress relationship. The model can contribute to an understanding of variations in health among people living in urban environments experiencing high degrees of stress. This study examines social contextual stressors in the neighborhood, health outcomes, and perceived control at multiple levels beyond the individual as a protective factor, among a random sample (N=679) of predominantly low-income African American women who reside on Detroit’s east side. Findings suggest that although stress has a consistently negative impact on health, perceived control may buffer against the deleterious effects of stress. The buffering role of perceived control, however, depends on age, the type of stressor examined, and the context or level at which perceived control is assessed (e.g., organizational, neighborhood, beyond the neighborhood). For young women, perceived control was found to be health protective. Among older women, perceived control in the face of stressors was inversely related to health. These findings suggest the need for health and social servive programs and policy change strategies to both increase the actual influence and control of women living in low-income urban communities and to reduce the specific social contextual stressors they experience.
Community empowerment Urban health Perceived control Stress African American women

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