Harold W Neighbors
Biographic Data
| ID | 89708 |
|---|---|
| NAME | Harold W Neighbors |
| GIVEN NAMES | Harold W |
| FAMILY NAME | Neighbors |
| SIGNATURE | NEIGHBORS H W |
| AFFILIATIONS | University of Michigan |
| ORCID | 0000-0002-5162-9883 |
| VERIFIED | Yes |
| TOTAL WORKS | 64 |
| TOTAL CITATIONS | 1000 |
| AUTHOR COUNT | 64 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1982 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 16 |
Patient and Provider Concordance: Do Patients Prefer Physicians of Their Own Race or Ethnicity
BACKGROUND: Understanding whether patients' preferences for physicians are influenced by racial or ethnic concordance is crucial for balancing patient care satisfaction and health care workforce diversity. OBJECTIVES: To investigate whether patients' preferences for physicians are influenced by racial or ethnic concordance and whether these preferences are reflected in the availability of physicians by race. RESEARCH DESIGN: A patient-focused ran…
African Americans, Caregiving, and Physical Health Ratings: Does Culture, Religion and Spirituality Provide Support
Place-based access to integrated mental health services within substance use disorder treatment facilities in the US
Goal-Striving Stress and Bodily Pain among Working-Age Black and White Americans
This study tests novel research questions regarding Black-White disparities in bodily pain and goal-striving stress (GSS). A largely overlooked chronic stressor, GSS measures the psychosocial strains of blocked opportunity and dashed aspirations. We address our research questions among a socioeconomically diverse sample of Black and White working-age adults from Nashville, Tennessee (2011-2014; n = 1,252). We find that White adults with low socio…
An Examination of John Henryism in Adults Living with Sickle Cell Disease
Background John Henryism (JH) is a behavioral predisposition for high-effort coping with adversity. JH has been associated with hypertension in Black Americans with low socioeconomic status (SES) and is also found to be associated with psychological well-being. Sickle cell disease (SCD), a rare genetic disease largely affecting Black Americans in the United States, presents as a chronic condition that may benefit from a deeper understanding of th…
Racial and Ethnic Disparities in Mental Health Problems and Tobacco and Cannabis Use Among US Emerging Adults
James S. Jackson and the program for research on Black Americans: Contributions to psychology and the social sciences
James S. Jackson (1944-2020) is remembered as a groundbreaking social psychologist whose career contributions in scholarship, research, and service were fundamental to the field of psychology. This article briefly outlines his career-long work and contributions. A strong believer in interdisciplinary work, his research spanned other related social science disciplines (e.g., sociology, political science), as well as health and social welfare profe…
The contribution of research to racial health equity? Blame and responsibility in navigating the status quo of anti-black systemic racism
Ethnic and Gender Differences in Help Seeking for Substance Disorders Among Black Americans
Interactive Effect of Immigration-Related Factors with Legal and Discrimination Acculturative Stress in Predicting Depression Among Asian American Immigrants
Racial Discrimination, John Henryism, and Depression Among African Americans
Evidence from previous studies indicates that racial discrimination is significantly associated with depression and that African Americans with higher levels of socioeconomic status (SES) report greater exposure to racial discrimination compared to those with lower SES levels. Coping strategies could alter the relationship between racial discrimination and depression among African Americans. This study first examined whether greater levels of SES…
Ethnic Differences in Separate and Additive Effects of Anxiety and Depression on Self-rated Mental Health Among Blacks
An exploration of how psychotic-like symptoms are experienced, endorsed, and understood from the National Latino and Asian American Study and National Survey of American Life
Findings suggest that variations exist by race/ethnicity in both psychotic-like symptom endorsement and in self-reported attributions/understandings for these symptoms on a psychosis screening instrument. Ethnic/racial differences could result from culturally sanctioned beliefs and idioms of distress that deserve more attention in conducting culturally informed and responsive screening, assessment and treatment
The Experience of Symptoms of Depression in Men vs Women: Analysis of the National Comorbidity Survey Replication
Importance When men are depressed they may experience symptoms that are different than what is included in the current diagnostic criteria. Objective To explore whether sex disparities in depression rates disappear when alternative symptoms are considered in the place of, or in addition to, more conventional depression symptoms. Design, Setting, Participants, and Main Outcomes and Measures Using data from the National Comorbidity Survey Replicati…
The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans
PURPOSE: Findings from previous studies have not revealed significant, inverse relationships between socioeconomic position (SEP) and depression among African Americans. This study examined the relationship between multiple indicators of SEP and Major Depressive Episode (MDE) among African Americans. METHODS: Data were drawn from the National Survey of American Life main interview and re-interview. MDE, at both 12 month and lifetime intervals, wa…
The Challenge of Understanding the Mental Health of African Americans: The Risks and Rewards of Segregation, Support, and John Henryism
Goal‐striving stress and the mental health of college‐educated Black American Men: The protective effects of system‐blame
The present study examined the relationship between goal-striving stress and well-being in a survey of 399 college-educated Black American men who were members of a Black fraternal organization. Regression analyses revealed that goal-striving stress was associated with decreased psychological well-being, controlling for demographics and various psychosocial factors. When asked to explain their failure to reach life goals, half of the men attribut…
Use of ministers for a serious personal problem among African Americans: Findings from the National Survey of American Life
This study examined use of ministers for assistance with a serious personal problem within a nationally representative sample of African Americans (National Survey of American Life-2001-2003). Different perspectives on the use of ministers-social stratification, religious socialization, and problem-oriented approach-were proposed and tested using logistic regression analyses with demographic, religious involvement, and problem type factors as pre…
Ethnicity, Nativity, and the Health of American Blacks
There have been few empirical studies of ethnic differences in health within the American Black population. Logistic regressions were used to examine the relationships among ethnicity, nativity, depressive symptoms, and physical health in the two largest ethnic groups of American Blacks, African Americans and Caribbean Blacks. The data were from the National Survey of American Life, a national household survey representative of the non-institutio…
Race, SES, and Obesity Among Men
Goal-Striving Stress and Racial Differences in Mental Health
Depression Care in the United States: Too Little for Too Few
OBJECTIVE: To determine the prevalence and adequacy of depression care among different ethnic and racial groups in the United States. DESIGN: Collaborative Psychiatric Epidemiology Surveys (CPES) data were analyzed to calculate nationally representative estimates of depression care. SETTING: The 48 coterminous United States. PARTICIPANTS: Household residents 18 years and older (N = 15 762) participated in the study. MAIN OUTCOME MEASURES: Past-ye…
Differences in Professional and Informal Help Seeking Among Older African Americans, Black Caribbeans, and Non-Hispanic Whites
This study uses a national probability sample of older adults to examine racial and ethnic differences in the use of professional services and informal support for a stressful personal problem. Using data from the National Survey of American Life, this study focuses on African Americans, Black Caribbean immigrants, and Whites aged 55 years and older who experienced a personal problem that caused them significant distress (n=862). Multinomial logi…
Race and Ethnic Self-Identification Influences on Physical and Mental Health Statuses Among Blacks
Ethnic Differences in Delays to Treatment for Substance Use Disorders: African Americans, Black Caribbeans and Non-Hispanic Whites
Prior research has shown that minority groups experience greater levels of disability associated with psychiatric and substance use conditions due to barriers to treatment. Treatment delays are an important part of the overall problem of service utilization and access to treatment, yet little work has been done to understand the factors associated with treatment delays among ethnic minorities. This study compares African Americans, Caribbean Blac…
Being black and feeling blue: The Mental Health Consequences of Racial Discrimination
A New Perspective on the Relationships Among Race, Social Class, and Psychological Distress
Ronald C. Kessler, Harold W. Neighbors, A New Perspective on the Relationships Among Race, Social Class, and Psychological Distress, Journal of Health and Social Behavior, Vol. 27, No. 2 (Jun., 1986), pp. 107-115
Racial Discrimination, John Henryism, and Depression Among African Americans
Evidence from previous studies indicates that racial discrimination is significantly associated with depression and that African Americans with higher levels of socioeconomic status (SES) report greater exposure to racial discrimination compared to those with lower SES levels. Coping strategies could alter the relationship between racial discrimination and depression among African Americans. This study first examined whether greater levels of SES…
Racial Group Identification among Black Adults
The Mental Health of Black Caribbean Immigrants: Results from the National Survey of American Life
Objectives. We examined the prevalence of psychiatric disorders among Black Caribbean immigrant (“Caribbean Black”) and African American populations and the correlates of psychiatric disorders among the Caribbean Black population. Methods. We conducted descriptive and age-adjusted analyses of the data from the National Survey of American Life—an in-person household mental health survey of noninstitutionalized US Blacks. We assessed psychiatric di…
Racial/Ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976-89
BACKGROUND. This paper reports racial/ethnic differences in the use of licit and illicit drugs by high school seniors in the United States. METHODS. The study uses questionnaire data from annual, nationally representative surveys of seniors from 1976 through 1989. Combined sample sizes were 57,620 for 1976-79; 75,772 for 1980-84; and 73,527 for 1985-89. RESULTS. Native American had the highest prevalence rates for cigarettes, alcohol, and most il…
The use of informal and formal help: Four patterns of illness behavior in the black community
Most studies of professional help use among black Americans fail to describe this group's relationship to blacks experiencing distress but not requesting professional help, and generally ignore the salience of informal social support processes. A more comprehensive understanding of black help-seeking behavior would come from an approach which describes both the users and nonusers of formal helping services, and examines the benefits derived from …
Race, Ethnicity, John Henryism, and Depressive Symptoms: The National Survey of American Life Adult Reinterview
We used data from the adult reinterview portion of the National Survey of American Life (Jackson, Torres, et al., 2004 Jackson, J. S., Neighbors, H. W., Nesse, R. M., Trierweiler, S. J. and Torres, M. 2004. Methodological innovations in the National Survey of American Life.. International Journal of Methods in Psychiatric Research, 13: 289–298. [Crossref] , [Google Scholar]) to investigate the relationships of John Henryism Active Coping Scale (J…
Effects of Goal-Striving Stress on the Mental Health of Black Americans
Although many scholars have theorized about how responding to the stress of blocked opportunities can affect the well-being of black Americans, few scholars have empirically examined the relationships between striving efforts, personal goals, and mental health among black Americans. This investigation examines the relationship between goal-striving stress and mental health in a national sample of black Americans. Results indicate that goal-strivi…
Effects of Racial Discrimination and Health Behaviors on Mental and Physical Health of Middle-Class African American Men
This research is an examination of the effects of racial discrimination and health-promoting behaviors on the physical and mental health of a sample of 399 well-educated African American men. One would think that the attainment of higher education would increase health-promoting behaviors and might decrease discriminatory experiences that impact health. However, regression analysis indicated a more complex picture. Health-promoting behaviors were…
Seeking professional help for personal problems: Black American's use of health and mental health services
Ethnicity, Nativity, and the Health of American Blacks
There have been few empirical studies of ethnic differences in health within the American Black population. Logistic regressions were used to examine the relationships among ethnicity, nativity, depressive symptoms, and physical health in the two largest ethnic groups of American Blacks, African Americans and Caribbean Blacks. The data were from the National Survey of American Life, a national household survey representative of the non-institutio…
Use of Mental Health Services and Subjective Satisfaction With Treatment Among Black Caribbean Immigrants: Results From the National Survey of American Life
Objectives. We examined the use rates and correlates of formal psychiatric services among the US-born and immigrant Caribbean Black population. Methods. We compared overall mental health service use in samples of Caribbean Blacks and African Americans and examined the within-sample ethnic variation among Caribbean Blacks, including for ethnic origin (Spanish Caribbean, Haiti, and English Caribbean), nativity status (those born in or outside the U…
Racial Differences in DSM Diagnosis Using a Semi-Structured Instrument: The Importance of Clinical Judgment in the Diagnosis of African Americans
Schizophrenia is diagnosed more frequently among African Americans while mood disorders are identified more often among whites. Such findings have raised serious questions about the accuracy of clinical judgment. This article analyzes data on 665 African American and white psychiatric inpatients using a semi-structured diagnostic instrument. The paper explores the relationship of patient race to schizophrenia, schizoaffective disorder, major depr…
Size of Informal Helper Network Mobilized during a Serious Personal Problem among Black Americans
Linda M. Chatters, Robert Joseph Taylor, Harold W. Neighbors, Size of Informal Helper Network Mobilized during a Serious Personal Problem among Black Americans, Journal of Marriage and Family, Vol. 51, No. 3 (Aug., 1989), pp. 667-676
John Henryism and Self-Reported Physical Health Among High–Socioeconomic Status African American Men
We performed a cross-sectional survey of high–socioeconomic status (SES) African American men and their health to examine the relationship between John Henryism (the strong behavioral predisposition to directly confront barriers to upward social mobility) and selfreported physical health status. We found a positive association between John Henryism and better physical health among high-SES African American men. The study of social and behavioral …
Differences in Professional and Informal Help Seeking Among Older African Americans, Black Caribbeans, and Non-Hispanic Whites
This study uses a national probability sample of older adults to examine racial and ethnic differences in the use of professional services and informal support for a stressful personal problem. Using data from the National Survey of American Life, this study focuses on African Americans, Black Caribbean immigrants, and Whites aged 55 years and older who experienced a personal problem that caused them significant distress (n=862). Multinomial logi…
The contribution of research to racial health equity? Blame and responsibility in navigating the status quo of anti-black systemic racism
Goal-Striving Stress and Racial Differences in Mental Health
Using national data sets to improve the health and mental health of Black Americans: Challenges and opportunities
National datasets provide a unique opportunity to examine racial and ethnic disparities in health and mental health. In this article, the authors discuss some of the ways in which national datasets can facilitate our understanding of key pathways and mechanisms that explain racial and ethnic disparities and some of the conceptual and measurement issues that continue to hinder disparities research. Utilizing infant mortality and major depression a…
Sex differences in professional help seeking among adult black Americans
This paper provides baseline data on sex differences in the use of professional help for serious personal problems in a nationally representative sample of adult black Americans. Bivariate analyses revealed that women had higher levels of psychological distress and were significantly more likely to seek professional help than were men. They were also more likely to utilize physicians and social service agencies. The relationship of gender to thes…
The Use of Social Service Agencies by Black Americans
This paper explores demographic variations in the use of social service agencies by adult black Americans. Only 14 percent of the respondents who sought professional help contacted a social service agency. Bivariate results indicate that low-income, low-educated, and older respondents are more likely to use social services. Persons with economic problems are also more prone to use social services. Multivariate analyses revealed that low-income re…
Clinician race, situational attributions, and diagnoses of mood versus schizophrenia disorders
This research examined clinicians' consideration of situational factors in diagnostic decisions of mood vs. schizophrenia disorders among psychiatric inpatients from a low-income, African American community. Clinicians completed questionnaires describing their diagnostic decisions. Responses reflecting the usage of situational information were investigated. African American clinicians used situational information more than non-African American cl…
Interactive Effect of Immigration-Related Factors with Legal and Discrimination Acculturative Stress in Predicting Depression Among Asian American Immigrants
Prevalence of Substance Use Disorders Among African Americans and Caribbean Blacks in the National Survey of American Life
Objectives. We sought to estimate the prevalence of substance disorders for African Americans and Caribbean Blacks in the United States using data from the National Survey of American Life. Methods. A national household probability sample of noninstitutionalized African Americans (n=3570) and Caribbean Blacks (n=1621) was obtained between February 2001 and June 2003 using a slightly modified version of the Composite International Diagnostic Inter…
The Mental Health Status of Older Black Americans: A National Study
The present study examined mental health status in a large national sample of the black elderly. Previous studies of mental health and illness in this population have been either geographically limited or based upon small national samples that have not permitted reasonable investigation of important demographic differences. In addition to using traditional measures of self-reported mental health functioning, the present study also included measur…
Stress, Coping, and Black Mental Health: Preliminary Findings from a National Study
Despite the fact that blacks are disproportionately exposed to social conditions considered to be antecedents of psychiatric disorder, epidemiologic studies have not conclusively demonstrated that blacks exhibit higher rates of mental illness than whites. The present paper employed a research approach which considered not only rates of psychological distress, but also the stressors that blacks face and the various coping strategies used to adapt …
The distribution of psychiatric morbidity in black Americans: A review and suggestions for research
Professional help use among Black Americans: Implications for unmet need
Previous findings on black utilization have been largely obtained from racial comparison studies. Little attention has been paid to sociodemographic differences or the social psychological processes that affect help-seeking behavior within the black group. The present study analyzed data obtained from a national probability sample of the black population. A multidimensional contingency table analysis revealed that problems experienced by the lowe…
The use of informal and formal help: Four patterns of illness behavior in the black community
Most studies of professional help use among black Americans fail to describe this group's relationship to blacks experiencing distress but not requesting professional help, and generally ignore the salience of informal social support processes. A more comprehensive understanding of black help-seeking behavior would come from an approach which describes both the users and nonusers of formal helping services, and examines the benefits derived from …
The Use of Social Service Agencies by Black Americans
This paper explores demographic variations in the use of social service agencies by adult black Americans. Only 14 percent of the respondents who sought professional help contacted a social service agency. Bivariate results indicate that low-income, low-educated, and older respondents are more likely to use social services. Persons with economic problems are also more prone to use social services. Multivariate analyses revealed that low-income re…
Seeking professional help for personal problems: Black American's use of health and mental health services
A New Perspective on the Relationships Among Race, Social Class, and Psychological Distress
Ronald C. Kessler, Harold W. Neighbors, A New Perspective on the Relationships Among Race, Social Class, and Psychological Distress, Journal of Health and Social Behavior, Vol. 27, No. 2 (Jun., 1986), pp. 107-115
Sex differences in professional help seeking among adult black Americans
This paper provides baseline data on sex differences in the use of professional help for serious personal problems in a nationally representative sample of adult black Americans. Bivariate analyses revealed that women had higher levels of psychological distress and were significantly more likely to seek professional help than were men. They were also more likely to utilize physicians and social service agencies. The relationship of gender to thes…
Racial Group Identification among Black Adults
The influence of racial factors on psychiatric diagnosis: A review and suggestions for research
Socioeconomic status and psychological distress: The impact of financial aid on economic problem severity
Race Differences in Seeking Help from Social Workers
This paper examines race differences in the use of social workers. A major finding is that blacks are more likely to consult social workers than are whites. Socio-demographic variables did not affect this pattern, nor did the type of problem. Implications for the training of social workers are discussed
Evaluation by Black Americans of the Social Service Encounter during a Serious Personal Problem
Personal evaluations of the encounter with social service agencies were investigated using the National Survey of Black Americans. More than 2,100 completed interviews were collected in 1979 and 1980. Overall, respondents indicated that social services were good sources of assistance in helping them cope with a stressful episode. Friends and relatives were found to be important sources of referral. Additionally, analysis of preferences of the rac…
Size of Informal Helper Network Mobilized during a Serious Personal Problem among Black Americans
Linda M. Chatters, Robert Joseph Taylor, Harold W. Neighbors, Size of Informal Helper Network Mobilized during a Serious Personal Problem among Black Americans, Journal of Marriage and Family, Vol. 51, No. 3 (Aug., 1989), pp. 667-676
The prevention of psychopathology in African Americans: An epidemiologic perspective
Racial/Ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976-89
BACKGROUND. This paper reports racial/ethnic differences in the use of licit and illicit drugs by high school seniors in the United States. METHODS. The study uses questionnaire data from annual, nationally representative surveys of seniors from 1976 through 1989. Combined sample sizes were 57,620 for 1976-79; 75,772 for 1980-84; and 73,527 for 1985-89. RESULTS. Native American had the highest prevalence rates for cigarettes, alcohol, and most il…
The African American Minister as a Source of Help for Serious Personal Crises: Bridge or Barrier to Mental Health Care?
Using data from the National Survey of Black Americans, this article explores the role of African American ministers in the help seeking of African Americans for serious emotional problems. The authors explore which demographic characteristics and psychosocial factors are related to contacting Black clergy for help, whether certain types of personal problems increase the likelihood of clergy contact, and whether those who go to ministers are also…
Being black and feeling blue: The Mental Health Consequences of Racial Discrimination
Periodontitis in the United States: Beyond Black and White
Disparities in periodontitis between African Americans and whites are pervasive and have increased over time. This increase appears to be driven by social, cultural, and behavioral factors
Racial/Ethnic Discrimination and Health: Findings From Community Studies
The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the extant research does not adequately address whether and how exposure to discrimination leads to increased risk of disease. Gaps in …
Racial Differences in DSM Diagnosis Using a Semi-Structured Instrument: The Importance of Clinical Judgment in the Diagnosis of African Americans
Schizophrenia is diagnosed more frequently among African Americans while mood disorders are identified more often among whites. Such findings have raised serious questions about the accuracy of clinical judgment. This article analyzes data on 665 African American and white psychiatric inpatients using a semi-structured diagnostic instrument. The paper explores the relationship of patient race to schizophrenia, schizoaffective disorder, major depr…
Methodological innovations in the National Survey of American Life
This paper provides an overview of the conceptualization and methods used in the National Survey of American Life (NSAL). The objectives of the NSAL are to investigate the nature, severity, and impairment of mental disorders among national samples of the black and non‐Hispanic white (n = 1,006) populations in the US, including African American (N = 3,570), and Afro‐Caribbean (N = 1,623) immigrant and second and older generation, populations. Nati…
Social Factors and Periodontitis in an Older Population
Objectives. We assessed the prevalences of periodontitis by education and income levels among US adults with data from the third National Health and Nutrition Examination Survey. Methods. The study was limited to non-Hispanic Blacks, Mexican Americans, and non-Hispanic Whites 50 years of age or older with a complete periodontal assessment during the dental examination. Results. Blacks with higher education and income levels had a significantly hi…
John Henryism and Self-Reported Physical Health Among High–Socioeconomic Status African American Men
We performed a cross-sectional survey of high–socioeconomic status (SES) African American men and their health to examine the relationship between John Henryism (the strong behavioral predisposition to directly confront barriers to upward social mobility) and selfreported physical health status. We found a positive association between John Henryism and better physical health among high-SES African American men. The study of social and behavioral …
Medicine (53 works) · Psychology (50 works) · Psychiatry (40 works) · Mental health (31 works) · Sociology (31 works) · Gerontology (30 works) · Racial and Ethnic Identity Research (28 works) · Clinical Psychology (27 works) · Ethnic group (27 works) · Demography (25 works)