The Relationships among Vigilant Coping Style, Race, and Depression
Open accessAbstract
Although Black-white differences in depression are well documented, vigilant coping style as an explanation for the observed inequalities in depression is less understood. Using data from 718 adults in the Exploring Health Disparities in Integrated Communities (EHDIC) Study, we estimated logistic regression models to examine the cross sectional relationship between race, vigilant coping style, and depression. After controlling for demographic variables, white adults were more likely to report depression than Black adults. Moreover, when accounting for coping style, the Black-white difference in depression widened. This association persisted even with the addition of the covariates. While high rates of depression among whites compared with Blacks are well documented, the degree of the differences appears to be greater than previously reported once vigilance is accounted for. This finding suggests that if it were not for the high prevalence of vigilant coping in blacks, the well-documented black advantage regarding depression compared to whites would likely be even greater.
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Such neurobiological changes may be precursors to racism-related vigilance and rumination, which are emerging as health risk factors.
“Such neurobiological changes may also be precursors to racism-related vigilance and rumination which are emerging as health risk factors in their own right [406–411].”
From Racism as a Determinant of Health: A Systematic Review and Meta-Analysis (2015) · cites this paper as [406]
The Discussion (page unavailable) identifies vigilant coping as a possible mental-health risk factor and reports its association with increased odds of depression. The paper does not address rumination or establish that neurobiological changes precede racism-related vigilance or rumination. (LLM, conf=0.87)
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- Authors
- LaVeist, T. A., Thorpe, R. J., Pierre, G., Mance, G. A., & Williams, D. R.
- Affiliations
- Johns Hopkins University (US)
- American University (US)
- Harvard University (US)
- Corresponding author
- LaVeist, Thomas A.
- Venue
- Journal of Social Issues
- Publisher
- Wiley
- Published
- 2014-06
- Volume
- 70
- Issue
- 2
- Pages
- 241-255
- ISSN
- 0022-4537 (ISSN-L)
- 1540-4560
- PMC
- PMC4061746
- OpenAlex
- W2155199556
- Cited by
- 86
- References
- 43
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 8 · 2023: 16 · 2022: 10 · 2021: 8 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 7 · 2014: 3
- FWCI
- 21.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Social Issues (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (NIMHD) of the National Institutes of Health (P60MD000214)
- Pfizer, Inc. to Dr. LaVeist
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression, racial disparities, black-white disparities, race, health disparities, sustained attention
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