ArticleSocial science & medicine (1982)2021
Explaining the Black-white depression paradox: Interrogating the Environmental Affordances Model.
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Mental health across the lifecourse as predictors of epigenetic aging from a longitudinal birth cohort in the United States.Journal of affective disorders · 2026Article
- "To Be Twice as Good to Get Half": Minorities' Diminished Returns.Journal of biomedical and life sciences · 2025Article
- Race by Sex Intersectional Differences in the Association between Allostatic Load and Depression in US Adults: 2005-2018.Global journal of epidemiology and infectious disease · 2024Article
- Investigating a Paradox: Toward a Better Understanding of the Relationships Between Racial Group Membership, Stress, and Major Depressive Disorder.American journal of epidemiology · 2023Article
- New York City's Stop, Question, and Frisk Policy and Psychiatric Emergencies among Black Americans.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Number of Chronic Medical Conditions and Quality of Life of Ethnic Minority Older Adults.Geriatrics (Basel, Switzerland) · 2022Article
- Response to: "Theory and empiricism: A comment on 'Interrogating the environmental affordances model' by Pamplin and colleagues".Social science & medicine (1982) · 2021Article
- Theory and empiricism: A comment on "Interrogating the environmental affordances model" by Pamplin and colleagues.Social science & medicine (1982) · 2021Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
The Environmental Affordances (EA) model posits that Black Americans' engagement with unhealthy behaviors (i.e. smoking, alcohol use, eating calorie-dense foods) to cope with stressor exposure may simultaneously account for their observed greater risk of chronic physical illness, and their observed equal or lesser prevalence of depression, relative to white Americans - the so-called "Black-white depression paradox." However, the specific mechanisms through which such effects might arise have been theorized and analyzed inconsistently across studies, raising concerns regarding the appropriateness of existing empirical tests of the model as well as the validity of the conclusions. We specify the two mechanisms most consistent with the EA model - 'Mediation-only' and 'Mediation and Modification' - and derive a priori predictions based on each. We systematically test these pathways using a subset of 559 participants of the Child Health and Development Study who were included in an adult follow-up study between 2010 and 2012 and self-identified as Black or white. Results failed to support either of the two mechanisms derived from the EA model, challenging the validity and utility of the model for explaining racial differences in depression; efforts to develop alternative hypotheses to explain the paradox are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.