The COVID‐19/racial injustice syndemic and mental health among Black Americans: The roles of general and race‐related COVID worry, cultural mistrust, and perceived discrimination

Kevin Cokley · Nolan T. Krueger · Suzanne Cunningham · A. Kathleen Burlew · Shaina Hall · Keoshia J. Harris +2 more

60 citations0/0 files storedJournal of Community Psychology

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COVID-19 and Mental Health Health disparities and outcomes Racial and Ethnic Identity Research

Abstract

This study explored intersecting concerns about COVID-19 and racial injustice against Black people in the United States using a syndemic perspective. Findings from a multistate COVID-19 needs assessment project examined the association of general and race-related concerns about COVID-19 and concerns about police violence against Black people with mental health symptoms in a sample of 2480 Black Americans. The role of cultural mistrust in vaccination status was also examined. Concerns about COVID-19 were positively associated with concerns about police violence and associated with worse mental health. Nonvaccinated individuals were higher in cultural mistrust but lower in perceived discrimination than vaccinated individuals. Perceived discrimination partially mediated the relationship between race-related concerns about COVID-19 and mental health symptoms. Findings can inform the development of culturally responsive strategies to address the syndemic effects of COVID-19 and racial injustice.

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2017The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education 1997Racial Differences in Physical and Mental Health 2009Perceived discrimination and health: A meta-analytic review.2009An Ultra-Brief Screening Scale for Anxiety and Depression: The PHQ-4 2008Discrimination and racial disparities in health: evidence and needed research 2020Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020 2003Racial/Ethnic Discrimination and Health: Findings From Community Studies 2011Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness

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