ArticleJournal of racial and ethnic health disparities2025
Resilience, Social Support, and Coping Strategies in Mitigating Psychological Distress Among Rural African American Women in South Carolina During the COVID-19 Pandemic: A Mediation Moderation Analysis.
Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundMarginalization of intersecting racial, sex, and rural identities heightens the vulnerability of African American women in rural South Carolina (SC) during the COVID-19 pandemic, leading to psychological distress. Social support, positive coping, and resilience may serve as protective factors, enhancing individuals' ability to cope with stress.
methodsA cross-sectional online survey of 328 African American women (Mean age = 48.03 ± 16.75) in rural SC from January to February 2024 was conducted. Structural equation modeling was used to test direct, indirect, and total effects of social support on PTSD and hopelessness, mediated by resilience and coping. We also examined moderation by age and caretaker status.
resultsAll model fit indices were acceptable (CFI = 0.99, TLI = 0.98, RMSEA = 0.034, SRMR = 0.031, χ
conclusionsFindings highlight the need for strategies tackling structural barriers to mental health equity in rural African American communities while considering individual factors like age and caretaker status, ensuring social support interventions yield positive outcomes.
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