Unique contribution of education to behavioral and psychosocial antecedents of health in a national sample of African Americans
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Education has demonstrated consistent links with many aspects of physical health and is theorized to relate to a variety of behavioral and psychosocial antecedents of health that may ultimately account for these associations. However, many of these associations and the extent to which they manifest specifically for African Americans have not been thoroughly tested. We examined associations of education—distinct from income—with established behavioral and psychosocial antecedents of health in a national sample of African Americans. Education favorably related to many behavioral (e.g., fruit/vegetable intake, lifetime smoking) and psychosocial (e.g., self-efficacy, personality traits, self-esteem, psychological well-being) antecedents of health, but not to all. Some evidence of stronger salutary relations of education for women was found. Results suggest that, for African Americans, education is generally favorably associated with an array of behavioral and psychosocial antecedents of physical health, partially explaining health disparities and providing a point of intervention moving forward.
KeywordsEducation African American Psychosocial resources Health behaviors Health beliefs
This study was funded by a grant from the National Cancer Institute, (#1 R01 CA 105202). The study was approved by the University of Maryland Institutional Review Board (#373528-1).
Compliance with ethical standards
Conflict of interest
Crystal L. Park, Eddie M. Clark, Emily Schulz, Beverly Rosa Williams, Randi M. Williams, and Cheryl L. Holt declare that they have no conflict of interest.
Human and animal rights and Informed consent
All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
- Assari, S., & Mistry, R. (2018). Educational attainment and smoking status in a national sample of American adults; Evidence for the Black’s diminished return. International Journal of Environmental Research and Public Health, 15, 763. https://doi.org/10.3390/ijerph15040763 CrossRefPubMedCentralGoogle Scholar
- Assari, S., Nikahd, A., Malekahmadi, M. R., Lankarani, M. M., & Zamanian, H. (2017b). Race by gender group differences in the protective effects of socioeconomic factors against sustained health problems across five domains. Journal of Racial and Ethnic Health Disparities, 4, 884–894.CrossRefGoogle Scholar
- Center for Disease Control and Prevention. (2018). https://www.cdc.gov/brfss/index.html Accessed September 8, 2018.
- Costa, P. T., Jr., & McCrae, R. R. (2004). NEO Personality Inventory—Form S. Lutz: Psychological Assessment Resources, Inc.Google Scholar
- Dinwiddie, G. Y., Zambrana, R. E., Doamekpor, L. A., & Lopez, L. (2016). The impact of educational attainment on observed race/ethnic disparities in inflammatory risk in the 2001–2008 National Health and Nutrition Examination Survey. International Journal of Environmental Resources and Public Health, 13, 42.CrossRefGoogle Scholar
- Hampson, S. E., Edmonds, G. W., Barckley, M., Goldberg, L. R., Dubanoski, J. P., & Hillier, T. A. (2016). A Big Five approach to self-regulation: Personality traits and health trajectories in the Hawaii longitudinal study of personality and health. Psychology, Health & Medicine, 21, 152–162.CrossRefGoogle Scholar
- Merkin, S. S., Karlamangla, A., Crimmins, E., Charette, S. L., Hayward, M., Kim, J. K., et al. (2009). Education differentials by race and ethnicity in the diagnosis and management of hypercholesterolemia: A national sample of US adults (NHANES 1999–2002). International Journal of Public Health, 54, 166–174.CrossRefPubMedCentralGoogle Scholar
- Mirowsky, J., & Ross, C. E. (2003). Education, social status, and health. Hawthorne, NY: Aldine de Gruyter.Google Scholar
- OBSSR. (2014). Education and health: New frontiers. Meeting summary. https://obssr.od.nih.gov/wp-content/uploads/2016/07/OBSSR_Education_and_Health_REV_8-22-2014_FINAL_RLA.pdf. Accessed July 26, 2018.
- Ruiz, J. M., Steffen, P., & Prather, C. C. (2012). Socioeconomic status and health. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
- US Census Bureau. (2011). 2011 American Community Survey 1-year estimates. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml. Accessed 5/8/2018.