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Empirical Studies

Mind, body, and spirit: a constructivist grounded theory study of wellness among middle-class Black women

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Article: 2278288 | Received 13 Apr 2023, Accepted 29 Oct 2023, Published online: 18 Nov 2023

References

  • Adelman, L., Smith, L., Herbes-Sommers, C., Strain, T., MacLowry, R., Stange, E., Garcia, R., & Public Broadcasting Service (US). (2008). Unnatural causes: Is inequality making us sick.
  • Assari, S. (2018). High income protects Whites but not African Americans against risk of depression. Healthcare, 6, 37. https://doi.org/10.3390/healthcare6020037
  • Bacchus, D. N. A., & Holley, L. C. (2005). Spirituality as a coping resource. Journal of Ethnic & Cultural Diversity in Social Work, 13(4), 65–19. https://doi.org/10.1300/J051v13n04_04
  • Bauer, G. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science & Medicine, 110, 10–17. https://doi.org/10.1016/j.socscimed.2014.03.022
  • Beauboeuf-Lafontant, T. (2007). You have to show strength: An exploration of gender, race, and depression. Gender & Society, 21(1), 28–51. https://doi.org/10.1177/0891243206294108
  • Bell, K. (2017). Inner peace from the Black woman mental health professional perspective. In S. Y. Evans, K. Bell, & N. K. Burton (Eds.), Black women’s mental health: Balancing strength and vulnerability (pp. 23–42). SUNY Press.
  • Bernstein, A. M., Rudd, N., Gendy, G., Moffett, K., Adams, J., Steele, S., & Frietchen, M. (2014). Beliefs about preventive care, individual health, and lifestyle change among low-income African American women at risk for diabetes. Holistic Nursing Practice, 28(1), 24–30. https://doi.org/10.1097/HNP.0000000000000006
  • Black Women’s Health Imperative. (2019). IndexUs: What healthy black women can teach us about health. https://bwhi.org/wp-content/uploads/2020/01/BWHI_IndexUS_2019_Final-2.pdf
  • Braveman, P. A., Heck, K., Egerter, S., Marchi, K. S., Dominguez, T. P., Cubbin, C., Fingar, K., Pearson, J. A. & Curtis, M. (2015). The role of socioeconomic factors in black–white disparities in preterm birth. American Journal of Public Health, 105(4), 694–702. https://doi.org/10.2105/AJPH.2014.302008
  • Bridges, K. M. (2020). Racial disparities in maternal mortality. New York University Law Review, 95(5), 1229.
  • Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. SAGE Publications.
  • Charmaz, K. (2014). Constructing grounded theory (2nd ed.). SAGE Publications.
  • Charmaz, K., & Thornberg, R. (2021). The pursuit of quality in grounded theory. Qualitative Research in Psychology, 18(3), 305–327. https://doi.org/10.1080/14780887.2020.1780357
  • Chinn, J. J., Martin, I. K., & Redmond, N. (2021). Health equity among Black women in the United States. Journal of Women’s Health, 30(2), 212–219. https://doi.org/10.1089/jwh.2020.8868
  • Chithambo, T. P., & Huey, S. J. (2013). Black/White differences in perceived weight and attractiveness among overweight women. Journal of Obesity, 2013, 1–4. https://doi.org/10.1155/2013/320326
  • Collins, P. H. (2000). Black feminist thought (2nd ed.). Routledge.
  • Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299. https://doi.org/10.2307/1229039
  • Cummings, J. L., & Braboy Jackson, P. (2008). Race, gender, and SES disparities in self-assessed health, 1974-2004. Research on Aging, 30(2), 137–167. https://doi.org/10.1177/0164027507311835
  • Darity, W., Jr., Addo, F. R., & Smith, I. Z. (2020). A subaltern middle class: The case of the missing “Black bourgeoisie” in America. Contemporary Economic Policy, 39(3), 494–502. https://doi.org/10.1111/coep.12476
  • Dedoose Version 9.0.17. (2021). Web application for managing, analyzing, and presenting qualitative and mixed method research data. www.dedoose.com
  • Dodgen, L., & Spence-Almageur, E. (2017). Beyond body mass index: Are weight-loss programs the best way to improve the health of African American women? Preventing Chronic Disease, 14(E8), 1–5. https://doi.org/10.5888/pcd14.160573
  • Donovan, R. A., & West, L. M. (2015). Stress and mental health: Moderating role of the strong Black woman stereotype. Journal of Black Psychology, 41(4), 384–396. https://doi.org/10.1177/0095798414543014
  • Dunn, H. L. (1977). High-level wellness. NJ: Charles B. Slack.
  • Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136. https://doi.org/10.1126/science.847460
  • Everett, J. E., Hall, J. C., & Hamilton-Mason, J. (2010). Everyday conflict and daily stressors: Coping responses of Black women. Affilia, 25(1), 30–42. https://doi.org/10.1177/0886109909354983
  • French, B. H., Lewis, J. A., Mosley, D. V., Adames, H. Y., Chavez-Dueñas, N. Y., Chen, G. A., & Neville, H. A. (2020). Toward a psychological framework of radical healing in communities of color. The Counseling Psychologist, 48(1), 14–46. https://doi.org/10.1177/0011000019843506
  • Gamby, K., Burns, D., & Forristal, K. (2021). Wellness decolonized: The history of wellness and recommendations for the counseling field. Journal of Mental Health Counseling, 43(3), 228–245. https://doi.org/10.17744/mehc.43.3.05
  • Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). Weathering” and age patterns of allostatiic load scores among Black and Whites iin the United States.American. Journal of public health, 96, 826–833. https://doi.org/10.2105/AJPH.2004.060749
  • Glaser, B. G. (1978). Theoretical sensitivity: Advances in the methodology of grounded theory. Sociology Press.
  • Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Aldine Publishing Company.
  • Hancock, A. (2016). Intersectionality: An intellectual history. Oxford University Press.
  • Heath, C. D. (2006). A womanist approach to understanding and assessing the relationship between spirituality and mental health. Mental Health, Religion & Culture, 9(2), 155–170. https://doi.org/10.1080/13694670500116938
  • Hettler, B. (1980). Wellness promotion on a university campus. Family & Community Health, 3(1), 77–95. https://doi.org/10.1097/00003727-198005000-0008
  • Hettler, B. (1984). Wellness: Encouraging a lifetime pursuit of excellence. Health Values, 8(4), 13–17.
  • Hill, C. E., Thompson, B. J., & Williams, E. N. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517–572. https://doi.org/10.1177/0011000097254001
  • Howell, F. M. (2023). Resistance and gendered racism: Middle-class Black women’s experiences navigating reproductive health care systems. Psychology of Women Quarterly, 0(0). https://doi.org/10.1177/03616843231168113
  • Hudson, D., Collins-Anderson, A., & Huston, W. (2023). Understanding the impact of contemporary racism on the mental health of middle-class Black Americans. International Journal of Environmental Research and Public Health, 20(3), 1660. https://doi.org/10.3390/ijerph20031660
  • Hudson, D., Sacks, T., Irani, K., & Asher, A. (2020). The price of the ticket: Health costs of upward mobility among African Americans. International Journal of Environmental Research and Public Health, 17(4), 1179. Article 1179 https://doi.org/10.3390/ijerph17041179
  • Institute for Family Studies. (2018). Black Men who’ve made it in America. https://ifstudies.org/blog/black-men-whove-made-it-in-america
  • Irvine, A. (2011). Duration, dominance and depth in telephone and in-depth interviews: A comparative exploration. International Journal of Qualitative Methods, 10(3), 202–220. https://doi.org/10.1177/160940691101000302
  • Joint Center for Political and Economic Studies Health Policy Institute. (2012). Place matters for health in cook county: ensuring opportunities for good health for all: A report on health inequities in Cook County, Illinois. http://www.chicagobusiness.com/assets/downloads/JointCenterReport.pdf
  • Jones, L. V. (2004). Enhancing psychosocial competence among Black women in college. Social Work, 49(1), 75–84. https://doi.org/10.1093/sw/49.1.75
  • Jones, L. V., Ahn, S., & Chan, K. T. (2014). Expanding the psychological wellness threshold for Black college women: An examination of the claiming your connections intervention. Research on Social Work Practice, 26(4), 399–411. https://doi.org/10.1177/1049731514549631
  • Jones, L. V., Hopson, L., Warner, L., Hardiman, E. R., & James, T. (2015). A qualitative study of Black women’s experiences in drug abuse and mental health services. Affilia, 30(1), 68–82. https://doi.org/10.1177/0886109914531957
  • Jordan-Zachery, J. S. (2007). Am I a Black woman or a woman who is Black? A few thoughts on the meaning of intersectionality. Politics & Gender, 3(2), 254–263. https://doi.org/10.1017/S1743923X07000074
  • Knighton, J., Dogan, J., Hargons, C., & Stevens-Watkins. (2022). Superwoman schema: A context for understanding psychological distress among middle-class African American women who perceive racial microaggressions. Ethnicity & Health, 27(4), 946–962. https://doi.org/10.1080/13557858.2020.1818695
  • Lacy, K. R. (2007). Blue-chip Black: Race, class, and status in the new Black middle class. University of California Press.
  • Lafferty, J. (1979). A credo for wellness. Health Education, 10(5), 10–11. https://doi.org/10.1080/00970050.1979.10619163
  • Lewis, J. A., & Neville, H. A. (2015). Construction and initial validation of the gendered racial microaggressions scale for Black women. Journal of Counseling Psychology, 62(2), 289–302. https://doi.org/10.1037/cou0000062
  • Lewis, J. A., Williams, M. G., Peppers, E. J., & Gadson, C. A. (2017). Applying intersectionality to explore the relations between gendered racism and health among Black women. Journal of Counseling Psychology, 64(5), 475–486. https://doi.org/10.1037/cou0000231
  • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.
  • Mattis, J. S. (2000). African American women’s definitions of spirituality and religiosity. The Journal of black psychology, 26, 101–122. https://doi.org/10.1177/0095798400026001006
  • Mattis, J. S. (2002). Religion and spirituality in the meaning-making and coping experiences of African American women: A qualitative analysis. Psychology of Women Quarterly, 26(4), 309–321. https://doi.org/10.1111/1471-6402.t01-2-00070
  • Mitchem, S. Y. (2002). There is a Blam. Spirituality & healing among African American women, 7(1), 19–33. http://dx.doi.org/10.3998/mfr.4919087.0007.103
  • National Center for Complementary and Integrative Health. (2018). Wellness and well-being. https://www.nccih.nih.gov/health/wellness-and-well-being
  • Neal-Barnett, A. M., Stadulis, R., Payne, M. R., Crosby, L., Mitchell, M., Williams, L., & Williams-Costa, C. (2011). In the company of my sisters: Sister circles as an anxiety intervention for professional African American women. Journal of Affective Disorders, 129(1–3), 213–218. https://doi.org/10.1016/j.jad.2010.08.024
  • Nelson, T., Cardemil, E. V., & Adeoye, C. T. (2016). Rethinking strength: Black women’s perceptions of the “strong Black woman” role. Psychology of Women Quarterly, 40(4), 551–563. https://doi.org/10.1177/0361684316646716
  • Nelson, T., Shahid, N. N., & Cardemil, E. V. (2020). Do I really need to go and see somebody? Black women’s perceptions of help-seeking for depression. Journal of Black Psychology, 46(4), 263–286. https://doi.org/10.1177/0095798420931644
  • Newlin, K., Knafl, K., & Melkus, G. D. E. (2002). African-American spirituality: A concept analysis. Advances in Nursing Science, 25(2), 57–70. https://doi.org/10.1097/00012272-200212000-00005
  • Nicolaidis, C., McKeever, C., & Meucci, S. (2013). A community-based wellness program to reduce depression in African-Americans: Results from a pilot-intervention. Progress in Community Health Partnerships: Research, Education, & Action, 7(2), 145–152. https://doi.org/10.1353/cpr.2013.0017
  • Obi, O. C., Nnonyelu, A. C., Onobrakpeya, A., & Oguundele, O. J. (2023). Benefits and barrieirs to physical activity among African women: A systematic review. Sports Medicine and Health Science, 5(1), 59–66. https://doi.org/10.1016/j.smhs.2022.12.001
  • O’Connor, C., & Joffe, H. (2020). Intercoder reliability in qualitative research: Debates and practical guidelines. International Journal of Qualitative Methods, 19, 1–13. https://doi.org/10.1177/1609406919899220
  • Oliver, M. D., II, Datta, S., & Baldwin, D. R. (2019). Wellness among African-American and Caucasian students attending a predominantly White institution. Journal of Health Psychology, 24(12), 1637–1645. https://doi.org/10.1177/1359105317694484
  • Pearson, A. (2004). Balancing the evidence: Incorporating the synthesis of qualitative data into systematic reviews. JBI Reports, 2(2), 45–64. https://doi.org/10.1111/j.1479-6988.2004.00008.x
  • Pew Research Center. (2023). Facts about the U.S. Black population. https://www.pewresearch.org/social-trends/fact-sheet/facts-about-the-us-black-population/
  • Ray, R. (2014). An intersectional analysis to explaining a lack of physical activity among middle class Black women. Sociology Compass, 8(6), 780–791. https://doi.org/10.1111/soc4.12172
  • Reed, T. D., & Neville, H. A. (2013). The influence of religiosity and spirituality on psychological well-being among Black women. Journal of Black Psychology, 40(4), 384–401. https://doi.org/10.1177/0095798413490956
  • Roscoe, L. J. (2009). Wellness: A review of theory and measurement for counselors. Journal of Counseling & Development, 87(2), 216–226. https://doi.org/10.1002/j.1556-6678.2009.tb00570.x
  • Rowe, J. (2010). Voices from the inside: African American women’s perspectives on healthy lifestyles. Health Education & Behavior, 37(6), 789–800. https://doi.org/10.1177/1090198110365992
  • Sacks, T. K. (2017). Performing Black womanhood: A qualitative study of stereotypes and the healthcare encounter. Critical Public Health, 28(1), 59–69. https://doi.org/10.1080/09581596.2017.1307323
  • Sacks, T. K. (2019). Invisible visits: Black middle-class women in the American healthcare system. Oxford University Press.
  • Sechrist, W. C. (1979). Total wellness and holistic health. Health Education, 10(5), 27. https://doi.org/10.1080/00970050.1979.10619168
  • Spates, K., Evans, N. M., Watts, B. C., Abubakar, N., & James, T. (2020). Keeping ourselves sane: A qualitative exploration of Black women’s coping strategies for gendered racism. Sex Roles, 82(9–10), 513–524. https://doi.org/10.1007/s11199-019-01077-1
  • Strauss, A., & Corbin, J. M. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). SAGE Publications.
  • Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. Gerontologist, 42(Spec No 3), 24–33. https://doi.org/10.1093/geront/42.suppl_3.24
  • Thomas, A. J., Witherspoon, K. M., & Speight, S. L. (2008). Gendered racism, psychological distress, and coping styles of African American women. Cultural Diversity & Ethnic Minority Psychology, 14(4), 307–314. https://doi.org/10.1037/1099-9809.14.4.307
  • Tucker, J. (2019). The wage gap for Black women: Working longer and making less. https://nwlc.org/wp-content/uploads/2019/08/Wage-Gap-for-Black-Women.pdf
  • Utsey, S. O., Bolden, M. A., Williams, O., III, Lee, A., Lanier, Y. & Newsome, C. (2007). Spiritual well-being as a mediator of the relation between culture-specific coping and quality of life in a community sample of African Americans. Journal of Cross-Cultural Psychology, 38(2), 123–136. https://doi.org/10.1177/0022022106297296
  • Waite, R., & Killian, P. (2008). Health beliefs about depression among African American women. Perspectives in Psychiatric Care, 44(3), 185–195. https://doi.org/10.1111/j.1744-6163.2008.00173.x
  • Walton, Q. L., & Boone, C. (2019). Voices unheard: An intersectional approach to understanding depression among middle-class Black women. Women & Therapy, 42(3–4), 301–319. https://doi.org/10.1080/02703149.2019.1622910
  • Walton, Q. L., & Oyewuwo-Gassikia, O. B. (2017). The case for #BlackGirlMagic: Application of a strengths-based, intersectional practice framework for working with Black women with depression. Affilia: Journal of Women and Social Work, 32(4), 461–475. https://doi.org/10.1177/0886109917712213
  • Wilcox, W. B., Wang, W. R., & Mincy, R. B. (2018). Black men making it in America: The engines of economic success for black men in America. AEI Institute for Family Studies. https://www.aei.org/wp-content/uploads/2018/06/BlackMenMakingItInAmerica-Final_062218.pdf
  • Williams, D. R. (2002). Racial/Ethnic variations in women’s health: The social embeddedness of health. American Journal of Public Health, 92(4), 588–597. https://doi.org/10.2105/ajph.92.4.588
  • Woods-Giscombé, C. L. (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-Giscombé, C. L., & Black, A. R. (2010). Mind-body interventions to reduce risk for health disparities related to stress and strength among African American women: The potential of mindfulness-based stress reduction, loving-kindness, and the NTU therapeutic framework. Complementary Health Practice Review, 15(3), 115–131. https://doi.org/10.1177/1533210110386776
  • World Health Organization. (2020). Basic Documents. Forty-ninth edition. https://apps.who.int/gb/bd/pdf_files/BD_49th-en.pdf