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An Intersectional Approach to Social Determinants of Stress for African American Men: Men’s and Women’s Perspectives
Open accessAbstract
Stress is a key factor that helps explain racial and gender differences in health, but few studies have examined gendered stressors that affect men. This study uses an intersectional approach to examine the sources of stress in African American men’s lives from the perspectives of African American men and important women in their lives. Phenomenological analysis was used to examine data from 18 exploratory focus groups with 150 African American men, ages 30 years and older, and eight groups with 77 African American women. The two primary sources of stress identified were seeking to fulfill socially and culturally important gender roles and being an African American man in a racially stratified society. A central focus of African American men’s daily lives was trying to navigate chronic stressors at home and at work and a lack of time to fulfill roles and responsibilities in different life domains that are traditionally the responsibility of men. Health was rarely mentioned by men as a source of stress, though women noted that men’s aging and weathering bodies were a source of stress for men. Because of the intersection of racism and economic and social stressors, men and women reported that the stress that African American men experienced was shaped by the intersection of race, ethnicity, age, marital status, and other factors that combined in unique ways. The intersection of these identities and characteristics led to stressors that were perceived to be of greater quantity and qualitatively different than the stress experienced by men of other races.
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“These determinants can have profound effects on patients’ health, particularly on older patients that have disproportionately accumulated these effects over the life course (the “Weathering” effect) [73–75].”
From Bias in medical AI: Implications for clinical decision-making (2024) · cites this paper as [73]
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Metadata
- Authors
- Griffith, D. M., Ellis, K. R., & Allen, J. O.
- Affiliations
- Vanderbilt University (US)
- University of Michigan (US)
- Corresponding author
- Griffith, Derek M.
- Venue
- American Journal of Men's Health
- Publisher
- SAGE Publications
- Published
- 2013-03-04
- Volume
- 7
- Issue
- 4_suppl
- Pages
- 19S-30S
- ISSN
- 1557-9883 (ISSN-L)
- 1557-9891
- PMC
- PMC6697096
- OpenAlex
- W2144124826
- Cited by
- 118
- References
- 82
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 15 · 2022: 7 · 2021: 9 · 2020: 19 · 2019: 13 · 2018: 7 · 2017: 9 · 2016: 11 · 2015: 11 · 2014: 2 · 2013: 2
- FWCI
- 26.84
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Men s Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Aging (P30AG015281)
- National Institute of Diabetes and Digestive and Kidney Diseases (R21DK095257)
- Topics
- Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Keywords
- African American men, social determinants of health, chronic stress, intersectionality, gender roles, racism, racial stratification, aging body, weathering, women's perspectives, men's health, work-life balance
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Gender Identity, Health Status, Humans, Interpersonal Relations, Male, Middle Aged, Perception, Socioeconomic Factors, Stress, Psychological, United States, Workplace, Focus Groups, Men's Health
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