“White Box” Epidemiology and the Social Neuroscience of Health Behaviors: The Environmental Affordances Model
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Crucial advances have been made in our knowledge of the social determinants of health and health behaviors. Existing research on health disparities, however, generally fails to address a known paradox in the literature: While blacks have higher risk of medical morbidity relative to non-Hispanic whites, blacks have lower rates of common stress-related forms of psychopathology such as major depression and anxiety disorders. In this article we propose a new theoretical approach, the Environmental Affordances Model, as an integrative framework for the origins of both physical and mental health disparities. We highlight early empirical support and a growing body of experimental animal and human research on self-regulatory health behaviors and stress coping that is consistent with the proposed framework. We conclude that transdisciplinary approaches, such as the Environmental Affordances Model, are needed to understand the origins of group-based disparities to implement effective solutions to racial and ethnic group inequalities in physical and mental health.
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One of the environmental affordances model's main arguments is that health-related self-regulatory coping strategies, such as substance use and consumption of unhealthy foods, although psychologically protective, are key contributing factors to poor physical health among Black Americans.
“One of the EA model’s main arguments is that health-related self-regulatory coping strategies, such as substance use and consumption of unhealthy foods, although psychologically protective, are key contributing factors to poor physical health among Black Americans (Jackson et al. 2010; Mezuk et al. 2013).”
From Is John Henryism a Health Risk or Resource?: Exploring the Role of Culturally Relevant Coping for Physical and Mental Health among Black Americans. (2021) · cites this paper as Mezuk et al. 2013
The experience of lifespan stressors may shape the selection and engagement of poor health behaviors.
“As proposed elsewhere (Umberson et al., 2008; Mezuk et al., 2013), the experience of lifespan stressors may shape the selection and engagement of poor health behaviors.”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Mezuk et al., 2013
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“As proposed elsewhere (Umberson et al., 2008; Mezuk et al., 2013), the experience of lifespan stressors may shape the selection and engagement of poor health behaviors.”
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- Authors
- Mezuk, B., Abdou, C. M., Hudson, D., Kershaw, K. N., Rafferty, J. A., Lee, H., & Jackson, J. S.
- Affiliations
- Virginia Commonwealth University (US)
- University of Southern California (US)
- Washington University in St. Louis (US)
- Northwestern University (US)
- University of Michigan (US)
- University of Washington (US)
- Venue
- Society and Mental Health
- Publisher
- SAGE Publications
- Published
- 2013-03-27
- Volume
- 3
- Issue
- 2
- Pages
- 79-95
- ISSN
- 2156-8693 (ISSN-L)
- 2156-8731
- PMC
- PMC3820104
- OpenAlex
- W2015154679
- Cited by
- 231
- References
- 99
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 20 · 2023: 26 · 2022: 35 · 2021: 29 · 2020: 22 · 2019: 16 · 2018: 17 · 2017: 18 · 2016: 11 · 2015: 12 · 2014: 3 · 2013: 2
- FWCI
- 10.62
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Society and Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Open Scholarship Institutional Repository (Washington University in St. Louis) (submittedVersion)
- Funders
- National Institute on Aging (P30AG043073, P30AG015281)
- National Institute of Mental Health (K01MH093642)
- National Institute on Minority Health and Health Disparities (R01MD006085, P60MD002249)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Public Health and Social Inequalities
- Keywords
- social neuroscience, health disparities, stress coping, major depressive disorder, anxiety disorders, psychopathology, social determinants of health, black-white disparities
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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