Using Network Analysis to Assess the Effects of Trauma, Psychosocial, and Socioeconomic Factors on Health Outcomes Among Black Women Living with HIV

Sharma, Ratanpriya; Dale, Sannisha K.

doi:10.1007/s10461-022-03774-7

Cited by 6 publications

(4 citation statements)

References 78 publications

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“…Within this model, aspects of gendered racial identity are conceptualized as moderators of the coping-mediated association between gendered racism and health outcomes. Gendered racial microaggressions have been positively associated with greater psychological distress (Lewis & Neville, 2015; Williams & Lewis, 2019), greater negative mental and physical health outcomes (Lewis et al, 2017), greater anxiety symptoms (Wright & Lewis, 2020), and greater traumatic stress symptoms (Dale & Safren, 2019; Moody & Lewis, 2019; Sharma & Dale, 2022; Sissoko et al, 2022; Watson & Henderson, 2022) among Black women.…”

Section: Gendered Racismmentioning

confidence: 99%

“…However, most studies have focused on race or gender and do not account for the gendered racial microaggressions of women of color (Abdullah et al, 2021; Cherry & Wilcox, 2021; Torres & Taknint, 2015). Only a few studies have explored the link between gendered racial microaggressions and trauma and have found that Black women who experience greater gendered racial microaggressions also report greater traumatic stress (Dale & Safren, 2019; Moody & Lewis, 2019; Sharma & Dale, 2022; Sissoko et al, 2022; Watson & Henderson, 2022). These studies provide further evidence of the need to explore the link between discrimination and traumatic stress symptoms, particularly for Black women, who experience intersectional oppression.…”

Section: Discrimination and Traumatic Stressmentioning

confidence: 99%

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Gendered Racism, Coping, and Traumatic Stress Among Black Women: The Moderating Roles of the Strong Black Woman Schema and Womanist Attitudes

Moody

Lewis

Owens

2022

Psychology of Women Quarterly

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The purpose of this study was to investigate the associations between gendered racism, coping strategies, the Strong Black Woman (SBW) schema, womanist attitudes, and traumatic stress symptoms among Black women. Specifically, this study utilized an intersectionality framework to test the link between gendered racism and traumatic stress as mediated by coping strategies (detachment, internalization, drug/alcohol use, education/advocacy, and resistance), and moderated by two aspects of Black women’s identity (SBW schema and womanist attitudes). Participants were 185 Black women from across the United States who completed an online survey. Results from a mediation analysis indicated that disengagement coping (detachment and drug/alcohol use) significantly mediated the gendered racism-traumatic stress link. In addition, the SBW schema moderated the gendered racism-detachment coping link, such that this association was stronger at high levels of SBW schema. Results from the moderated mediation analyses were not significant, though SBW schema was associated with greater disengagement coping (internalization and detachment) and womanist attitudes was associated with greater engagement coping (education/advocacy and resistance). These findings highlight the importance of understanding how Black women cope with gendered racism as well as internalized beliefs that may be beneficial or harmful.

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Section: Gendered Racismmentioning

confidence: 99%

Section: Discrimination and Traumatic Stressmentioning

confidence: 99%

Gendered Racism, Coping, and Traumatic Stress Among Black Women: The Moderating Roles of the Strong Black Woman Schema and Womanist Attitudes

Moody

Lewis

Owens

2022

Psychology of Women Quarterly

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“…By analyzing the interrelations between different psychosocial variables, network analysis can contribute to the identification of the most influential factors affecting mental health 51 , 52 . Identifying these central factors can help prioritize interventions and allocate resources more effectively 53 .…”

Section: Introductionmentioning

confidence: 99%

Differential network interactions between psychosocial factors, mental health, and health-related quality of life in women and men

Weiß

Gründahl

Deckert

et al. 2023

Sci Rep

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Psychosocial factors affect mental health and health-related quality of life (HRQL) in a complex manner, yet gender differences in these interactions remain poorly understood. We investigated whether psychosocial factors such as social support and personal and work-related concerns impact mental health and HRQL differentially in women and men during the first year of the COVID-19 pandemic. Between June and October 2020, the first part of a COVID-19-specific program was conducted within the “Characteristics and Course of Heart Failure Stages A-B and Determinants of Progression (STAAB)” cohort study, a representative age- and gender-stratified sample of the general population of Würzburg, Germany. Using psychometric networks, we first established the complex relations between personal social support, personal and work-related concerns, and their interactions with anxiety, depression, and HRQL. Second, we tested for gender differences by comparing expected influence, edge weight differences, and stability of the networks. The network comparison revealed a significant difference in the overall network structure. The male (N = 1370) but not the female network (N = 1520) showed a positive link between work-related concern and anxiety. In both networks, anxiety was the most central variable. These findings provide further evidence that the complex interplay of psychosocial factors with mental health and HRQL decisively depends on gender. Our results are relevant for the development of gender-specific interventions to increase resilience in times of pandemic crisis.

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“…Trauma and HIV. In addition to the well-documented disproportionate impact of trauma on people living with HIV, 3,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] trauma negatively affects people who provide HIV services as secondary and vicarious trauma. 29,30 Secondary trauma is the immediate or sudden response to hearing a person's traumatic experience; vicarious trauma refers to a person's complete shift in attitude and how they view the world due to prolonged exposure to others' suffering.…”

mentioning

confidence: 99%

Addressing Traumatizing Environments: A Case Study of the Showing up for Black Power, Liberation, and Healing Initiative

Stanley,

Stanton,

Traylor

et al. 2023

hpu

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Effectively combating HIV will require southern HIV Service Organizations (SHSOs) to support Black staff while they navigate traumas related to structural racism driving the epidemic. HIV organizational capacity-building research lacks effective community-led approaches to anti-racist organizational change centered on Black people's experiences. This participatory case study examines "Showing Up for Black Power, Liberation and Healing," an organizational capacity-building initiative that leads to individual and organizational change, developed and implemented by the SUSTAIN, an intermediary purveyor organization (IPO). Evaluation data include participant observation notes and in-depth, open-ended evaluation reports analyzed using interpretive phenomenological analysis. The intervention consisted of a two-part shared learning collaborative. Qualitative impact themes highlighted: 1) the power of defining and valuing Black-centered spaces to address trauma; 2) reframing self-care from an individualistic responsibility to an institutionally supported, communal means of healing; and 3) the role of the intervention in spurring organizational changes related to dismantling White supremacy work culture in SHSOs.

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Using Network Analysis to Assess the Effects of Trauma, Psychosocial, and Socioeconomic Factors on Health Outcomes Among Black Women Living with HIV

Cited by 6 publications

References 78 publications

Gendered Racism, Coping, and Traumatic Stress Among Black Women: The Moderating Roles of the Strong Black Woman Schema and Womanist Attitudes

Gendered Racism, Coping, and Traumatic Stress Among Black Women: The Moderating Roles of the Strong Black Woman Schema and Womanist Attitudes

Differential network interactions between psychosocial factors, mental health, and health-related quality of life in women and men

Addressing Traumatizing Environments: A Case Study of the Showing up for Black Power, Liberation, and Healing Initiative

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