General Self-Efficacy and Mortality in the USA; Racial Differences
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General self-efficacy has been historically assumed to have universal health implications. However, less is known about population differences in long-term health effects of general self-efficacy across diverse populations. This study compared black and white American adults for (1) the association between psychosocial and health factors and general self-efficacy at baseline, and (2) the association between baseline self-efficacy and long-term risk of all-cause mortality over 25 years.
The Americans’ Changing Lives (ACL) study, 1986–2011, is a nationally representative longitudinal cohort of US adults. The study followed 3361 black (n = 1156) and white (n = 2205) adults for up to 25 years. General self-efficacy as well as demographics, socioeconomics, stressful life events, health behaviors, obesity, depressive symptoms, and self-rated health were measured at baseline in 1986. The outcome was time to all-cause mortality since 1986. Race was the focal moderator. Logistic regression and proportional hazards models were used for data analysis.
Although blacks had lower general self-efficacy, this association was fully explained by socioeconomic factors (education and income). Our logistic regression suggested interactions between race and education, self-rated health, and stress on general self-efficacy at baseline. Baseline general self-efficacy was associated with risk of mortality in the pooled sample. Race interacted with baseline general self-efficacy on mortality risk, suggesting stronger association for whites than blacks.
Black-white differences exist in psychosocial and health factors associated with self-efficacy in the USA. Low general self-efficacy does not increase mortality risk for blacks. Future research should test whether socioeconomic status, race-related attitudes, world views, attributions, and locus of control can potentially explain why low self-efficacy is not associated with higher risk of mortality among American blacks.
KeywordsEthnic groups African Americans Blacks Mortality Self-efficacy
Shervin Assari is supported by the Heinz C. Prechter Bipolar Research Fund and the Richard Tam Foundation at the University of Michigan Depression Center. The Americans’ Changing Lives (ACL) study was supported by grant no. AG018418 from the National Institute on Aging (DHHS/NIH), and per the NIH Public Access Policy requires that peer-reviewed research publications generated with NIH support are made available to the public through PubMed Central. NIH is not responsible for the data collection or analyses represented in this article. The ACL study was conducted by the Institute of Social Research, University of Michigan.
Shervin Assari designed and analyzed this work and drafted and revised the paper. Shervin Assari had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Compliance with Ethical Standards
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) with the Helsinki Declaration of 1975, as revised in 2000. University of Michigan Institutional review board (IRB) approved the study protocol.
Conflict of Interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from all participants included in the study.
- 1.Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.Google Scholar
- 9.Assari S. Race, sense of control over life, and short-term risk of mortality among older adults in the United States. Arch Med Sci. 2016.DOI: 10.5114/aoms.2016.59740 In Press.
- 14.House JS, Lepkowski JM, Kinney AM, Mero RP, Kessler RC, Herzog AR. The social stratification of aging and health. J Health Soc Behav. 1994;213–34.Google Scholar
- 21.Assari S, Race, self-rated health, and kidney disease deaths in United States; a 25 year cohort with a nationally representative sample. Adv Biomed Res. 2015. In Press.Google Scholar
- 23.Turner RJ. Stress: measurement by self-report and interview. International Encyclodia of the Social and Behavioral Sciences. London: Elsevier; 2001.Google Scholar
- 34.Thompson SC et al. The other side of perceived control: disadvantages and negative effects. In: Spacapan S, Oshkamp S, editors. The social psychology of health. Beverly Hills: Sage; 1988. p. 69–93.Google Scholar
- 44.Hulbary W. Race, deprivation, and adolescent self-image. Soc Sci Q. 1975;56:105–14.Google Scholar
- 45.Crain RL, Weisman CS. Discrimination, personality, and achievement. New York: Academic; 1972.Google Scholar
- 47.Assari S. Psychosocial correlates of body mass index in the United States: intersection of race, gender and age. Iran J Psychiatry Behav Sci. 2016; In Press.Google Scholar
- 48.Assari S, Lankarani MM. Race and gender differences in correlates of death anxiety among elderly in the United States. Iran J Psychiatry Behav Sci. 2016; In Press. doi: 10.17795/ijpbs-2024.Google Scholar
- 49.Assari S, Does baseline stress predict depression 25 years later? Race and gender differences. J Renal Inj Prev. 2015. In Press.Google Scholar
- 51.Assari S, Lankarani MM. Association between stressful life events and depression; intersection of race and gender. J Racial Ethnic Health Dispar. 2015;2(3):1–8.Google Scholar
- 52.Assari S, Burgard SA, Black-white differences in the effect of baseline depressive symptoms on deaths due to renal diseases: 25 year follow up of a nationally representative community sample. J Renal Inj Prev. 2015; In Press.Google Scholar
- 53.King DK. Multiple jeopardy, multiple consciousness: the context of a Black feminist ideology. 1988; 42–72.Google Scholar
- 54.Hunt JG, Hunt LL. Racial inequality and self-image: identity maintenance and identity diffusion. Sociology Social Research. 1977;61:539–59.Google Scholar
- 57.Coleman JS. The evaluation of equality of educational opportunity. U.S. Department of health, education and welfare. Washington: U.S. Government Printing Office; 1966.Google Scholar
- 61.Gurin P, Epps E. Black consciousness, identity, and achievement: a study of students in historically black colleges.Google Scholar
- 63.Gurin P, Gurin G, Morrison BM. Personal and ideological aspects of internal and external control. Soc Psychol. 1978;275–96.Google Scholar
- 66.Porter JR, Washington RE. Black identity and self-esteem: a review of studies of black self-concept, 1968–1978. In: Annual Review of Sociology, vol. 5. Palo Alto: Annual Reviews; 1979. p. 53–74.Google Scholar
- 68.Vaezi S, Fallah N. The relationship between self-efficacy and stress among Iranian EFL teachers. J Language Teaching Res. 2011;2(5):1168–74.Google Scholar
- 71.Gecas V. The self-concept. Annu Rev Sociol. 1982;1–33.Google Scholar
- 75.Cooley CH. Human nature and the social order. New York: Scribner’s; 1902.Google Scholar
- 76.Rosenberg M. Conceiving the self. New York: Basic; 1979.Google Scholar
- 80.Coleman JE, Mcpartland CJ, et al. Equality of educational opportunity. Washington, D.C.: Government Printing Office; 1966.Google Scholar
- 81.Gordon C. Looking ahead. DC. American Sociological Association: Washington; 1969.Google Scholar
- 82.Stennis D, Seth L. Ethnic Differences in Self-Efficacy at Southern Adventist University 2015. Senior Research Projects. Paper 183. http://knowledge.e.southern.edu/senior_research/183.