128 531 THS lllllllllllllllllllllllllllmllllllllllllllllllllllllll 11-08818 3 1293 01399 4474 LIBRARY Michigan State University This is to certify that the thesis entitled "Racial and Gender Differences in the Impact of Parenting on Health and Well-being" presented by Melissa L. Riba has been accepted towards fulfillment of the requirements for Master of Arts _ Sociology degree in ; j Major professor Datefl'm 11 2}]?75/ 0-7639 MS U is an Affirmative Action/Equal Opportunity Institution PLACED! RETURN BOXtomnavomt-Mouthommncord. mum. TO AVOID FINES Mum on or DATE D UE DATE DUE DATE DUE RACIAL AND GENDER DIFFERENCES IN THE MACT OF PARENTING ON HEALTH AND WELL-BEING by Melissa L. Riba A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF ARTS Department of Sociology 1995 ABSTRACT RACIAL AND GENDER DIFFERENCES IN THE IMPACT OF PARENTING ON HEALTH AND WELL-BEING by Melissa L. Riba In this work, it is argued that the conditions which characterize unequal race and gender relations in our society create fundamentally differing experiences of family, thus impacting differently the health and well-being of men, women, blacks, and whites. A series of regression equations were performed to test this assertion using various measures designed to tap respondents perceptions of the quality of their parenting and childcare experiences, both for themselves, as well as for others, and assess how well these predict health and well-being. This was done both for the aggregate group and for the following four sub-groups: black women, white women, black men, and white men. Findings reveal that there are differences in the health and well-being by race-gender groups as mediated by experiences of parenting and childcare. These findings have important implications for future research because of past inattention to the differential impact of parenting by women and men, as well as blacks and whites. ACKNOWLEDGEMENTS In creating any work, in addition to the author, there are a number of people who contribute to the finished product. This work is no exception. First, I must thank my advisor, Dr. Cliff Broman, without whose support and guidance this work would have quickly become an impossibility. I would also like to thank all the members of my committee, Dr. Maxine Baca Zinn, Dr. Janet Bokemeier, and Dr. Rita Gallin, who helped immeasurably as well. Thanks to all of you for helping me to believe in my self and my scholarship. Next, I must acknowledge the immense contributions from all of my colleagues/friends, in particular JL, HW,TK, BH, CW, and IU, for all of their intellectual and emotional suppbrt. Thanks to BPK for all his love and support. Finally, and most importantly, this work acknowledges and is dedicated to all the women in my family tree, who have made me who I am. Through their examples, I have learned how to strive, survive and succeed in a world that is not always accommodating to our dreams. It is to all these women, past and present, that this work is lovingly dedicated. TABLE OF CONTENTS List of Tables Introduction Previous Research Gender and health and well-being Race, health and well-being Parenthood and psychological well-being Parenthood and physical health Race, parenthood and health and well-being Intergenerational emotional support Methods Data Variables Analysis Findings Discussion Conclusion References iv Page HHOQMUJUJ H0 14 15 18 18 3O 34 36 LIST OF TABLES Table 1: "Regression of self-rated health and psychological well-being on soda-demographics " Table 2: ”Regression of self-rated health and psychological well-being on all predictors" Table 3: "Regression of self-rated health on predictors and controls" Table 4: "Regression of psychological well-being on predictors and controls" Table 5a: "Regression of self—rated health on predictors by race-sex groups " Table 5b: "Regression of self-rated health on predictors by race-sex group" Table 6a: "Regression of psychological well-being on predictors by race-sex group" Table 6b: "Regression of Psychological well-being on predictors by race-sex group" Page 19 21 23 24 26 27 28 29 INTRODUCTION Asking the question "Why are we different?" elicits many responses depending uponwhomyouaslc Forthesociclogist, ananswercanbeformdinjustonephrase— smmnedhtequafity.sunplypm,mismemsfltatwememmgedh1ahiaardfial manna along lines of difference—generally delineated by race, class and gender- which translates into material rewards or deprivation. Diversity results as different groupsadapttodreirsocial loeationandtheallocationofsocietalresomce accordingly. Recently, scholars (Andersen & Collins 1992) have stressed the importance of examining the multiple realities of class, race, and gender. Race, class, andgenderexerttremendouspressm'esonthesocial landscape, dovetailinginvarious settings. Like geological plates coming together, fault lines erupt and the workings of these pressures become visible. We are able to glimpse the otherwise imperceptible workings of race, class, and gender constructions, thus gaining more complete and accurate understandings of our society. Oneofthesemanyfaultlinescanemptwidtindtecontextoffamilies. Itisin diefmnilywhaefltenexusofsmictmalphenomenaconva'geandhrmacton individual members’ life chances. This interfacing of family and society produces nnnyommmfltenanneofwhichofiendepmdsuponwhaeflieindividmlsfltat comprise a given family are placed in our social hierarchy. Families mediate the impactofthesmtcturalonthepersonal, bmdosodifleremlyacrossracial ethnic, and class goups and even within families by gender. Thisemphasisondifl’erenceisakeycomponentofthepresentstudy. Ithas 2 been well-documented that racial and gender oppressions have real consequences for the oppressed in health and well-being The impact of family life on the health and well-being of individuals is equally well researched, yet while much research has doanmnedgafladiflemcesmmismmehnpaaofmcehasbemlm'gely neglected. Infllispaper,larnarguingthatconditimsthatdimactaizemequalrace andgenderrelations inthis societycreateftmdamentally different experiences of family, thus, having a difl‘erent impact on health and well-being for difl‘amt groups. For example, black women's experiences of family are different from white women's because of the "double bind" of race and gender stratifieation that black women experience. Thisthen—so farasthefamilyisamediator—eaneiqalainsomeofthe differences in health and well-being between black and white women In this paper, I focus on one aspect of family life—child care and parent/child relationships-as it impacts health and well-being. Parent/child relationships are especially relevant becatneoffliemfiquedemmdsfliatpareningplacesuponmthasmdfathas. Children require tremmdous amounts of economic, physieal, and emotioml support Whensuchcapacitiesarealreadystrainedtomaximmn—as couldoccurwhenmofl'lers and fathers deal with oppressive forces such as racism and sexism—the impact of family life produces different consequences for different groups. In order to gain a fill] grasp of this, I will begin by reviewing the literature on gender and race differences in health and well-being, and then move on to the impact of parenthood and parent/child relationship quality before proceeding with my analysis. PREVIOUS RESEARCH Gender 01d Hedth 0161 W ell-being Sex differentials in health and well-being are well-documented (Kessler & McRae 1981; Bird & Fremont 1989; Gove 1984; Verbrugge 1985,1989; Verbrugge & Madans 1985; Waldron 1976). Biologieal or constitutional arguments attribute these sexdifl‘a'anialmcetainbiologicalfactmsswhaschmmosomalmldhmnnial differences, and woman's reproductive physiology (Verbrugge 1985, 1989; Waldron 1976). For example, woman have two large X chromosomes, while men have only one Xand one smallechhromosome. It is believedthatthe larger Xchromosomes containmoregenetic information, arldthatthis isresponsible forthehighersurvival ratesoffemaleinfants. Fmthermore,hormonaldifl‘erencesinmenandwomenare also attributed to women's lower rates ofprernenopausal coronary heart disease (Nathanson 1989). Another argument posits that sex differentials in health and well—being are attributable to differential socialization and role occupation For example, men's higher levels of mortality are generally attributable to the socially ordained patterns of riskier male behavior, like cigarette smoking and alcohol consumption (Waldron 1988). Waldron (1976) estimates that male mortality exceeds fenmle by roughly 100%, but that one-third of this difference is attributable to men's higher levels of smoking, and one-shah is explained by a greater prevalence of aggressive, competitive, risky behavior. Despite this, the seven year advantage in mortality favoring women is diminished due to women's greater levels of illness. Women experience more chronic 4 conditions and adopt the sick role more frequently than men (Verbrugge 1985). For acute conditions, a 20-30% difference between men and women has been documented Even when reproductive related morbidity is controlled, a sizable sex difl‘erence remains (Verbrugge 1985; Verbrugge & ngard 1987). The sex disadvantage is well-dowmented for psychological well-being as well (Gove 1984, 1972; Gove & Tudor 1973). Explanations for these differences usually focus upon the nature of submdinationforwomenandfltemuquemlesthatnmmdwonmocwpymour society. Women have traditionally been eiqaected to take the nmturant, affective roles, while men have been ascribed to instrumental, rational onw. While women's and men's roles are transmuting, substantial pressure is still exerted on men to be "men" and women to be "women". It is hypothesized by various researchers (Gove & Tudor 1973; Gove & Hughes 1979; Verbrugge 1989, Bird & Fremont 1989) that these roles differentially expose the genders to risks associated with differing levels of health and well-being. The notion of acquired risks and social exposure has been shown to be powerful predictors of women's poorer health and well-being Verbrugge's (1989) suggestive findings unveiled a male health disadvantage when social factors like lesser levels of employment, stress and unhappiness levels, were controlled. Bird & Fremont (1989) uncovered similar results when gender specific time constraints, like housework, childcare, paid employment, leisure, and sleep, were controlled. Rare, Hedth aid Well—being The best knowledge of racial differences in health comes from the Secretary's Task Force on Black and lVfinority Health conducted by the United States Department of Health and Human Services. Released in 1985, the Task Force's report found that Blacks s'ufl‘er 59,000 excess deaths annually. The term "excess deaths" is used to refer m"d1edifl’mbetwemflienmnbaofdeaflisexpaimcedbynfinofitygrotmsmd thenumberofdeathsthatwouldhaveoccmredinthatgroupifitexperiencedthe samedeathratesforeachageandsexasthewhitepopulation(Secretary'sTaskFcrce 1985). Estimates for 1988 put the total number of excess deaths for blacks at as- many as 80,000 annually (Hale 1992). Specific causes for this mortality include cancer, cardiovascular disease and stroke, chemical dependency, diabetes, homicide and accident deaths, and infant mortality (Secretary's Task Force 1985). Afiican-American death rates from diabetes, cirrhosis, infant mortality, homicides, and acquired immune deficiency syndrome (AIDS) were found to be two or more times greater than that for whites (Hale 1992). Black males have the greatest chance for age-adjusted mortality- 1.6 times greater than white male, and 1.8 times greater than black females. Afiiean- American females have a 1.5 timm greater age-adjusted mortality risk than white females. The disadvantage experienced by blacks in physical health is also mirrored in mental health. Although only 12.3 percent of the total population, African- Americans comprised almost 20 percent of all hospital admissions in 1980, which included state and county mental hospitals, private psychiatric hospitals (Mandelscheid & Barrett 1987). Furthermore, non-whites are consistently diagnosed with more 6 serious mental illnesses than whites (Bell et al 1983), tend to have higher rates of phobic disorders (Brown et a1 1990), and are over-represented in the homeless and drug addicted populations, which have clear links to mental illness (Taylor 1992). Many of the explanations for these disparities focus upon the structural disadvantages face by blacks in our racially stratified society. Poussaint (1983:234) contendsthat"thereappeartobenosafety-netsthatprotectthehealthorthepsycheof the Afio—Ameriean fiom institutional racism, poverty, high unemployment, and a stagnant economy". Afiican—Americans are over-represented in groups of the homeless, and the chemically dependent. They are younger, poorer, and less likely to be fillly employed than their white counterparts (Hale 1992). Such factors contribute to the African-American health and well-being disadvantage. Pa'enthood and Psychological W ell-being Parenthood today is marked by a conflict of ideals and reality. Many hold the beliefthat parenthood is an avenue to fulfillment. To be a parent is to be imbued-at least ideally—with a particular status not accorded to the childless. In general, becoming a parent delivers almost instant perceptions of stability, trustworthiness, and normalcy. Despite such clearly pronatalistic ideals, much social science research suggests that parenthood negatively impacts a parent's health and well-being (see McLanahan & Adams 1987, Ross, Mirowsky & Goldstein 1990 for reviews). When one considers the ambivalent nature of parenthood—it is fitlfilling and at the same time detrimental-questions arise as to the nature of the relationship between parents and children How can something that most believe to be important and enriching 7 . simultaneously detract fiom our health and well-being? Umberson & Gove (1989) examined this question in light of the costs and benefits associated with parenting. Hypothesizing that the obligations of parenting negatively impact parents' well-being while the value placed upon children by parents provided meaningfillness and positive impact, they found modest relationships between parenthood and psychological well-being. Nhrried respondents with adult children living away from home were found to have the most positive states of affect and satisfaction. Their finding lend support to the conclusions ofRoss, et. al. (1990), and Reskin & Coverman (1985) that children in the home decrease psychologieal well- being and that positive effects of children do not appear tmtil the children leave home. This indicates that the obligations of child-rearing-the financial, physical and emotional costs— mediate the positive regard that parents have for children overall. Umberson (1989) formd that quality of the parent-child relationships, as well as parent's characteristics such as age, marital status, employment status and gender had a significant effect on psychological well-being btlt that living arrangements, along with number and ages of children had only minimal effects. Gender difi‘erences in well-being are especially relevant considering that the bulk of child-care responsibilities today still falls to the mother. Most of the literature that examines gender differences looks at the impact of parental status as it is mediated by other factors—parental satisfaction, or other measures of relationship quality, and the interplay of work-family roles. Results in the area of relationship quality have been mixed. Veroff et al (1981) 8 found that mother's were less positive in their appraisals of their children and reported more parental problems than fathers, yet Hoffman & Manis (1978) found that mother’s reported more parental satisfaction. Campbell et a1 (1976) found no gender difi‘erences inparartalsatisfaction Mothersandfathersdonotdifl‘erinperceptionsofthequality of the parerlt-child relationship, yet mother's report that they feel their children place too many demands on them (Umberson 1989). Given the diversification of women's roles in society, interest in the impact that these multiple roles have on both health and well-being has produced a bulk of researchmostofwhichhas'focusedontheinteractionofworkerandmotherroles.. Concern over the interaction of these roles arises as women enter the paid labor market in greater and greater numbers, while still retaining the bulk of childrearing responsibilities which leads to issues of role strain and role conflict. Role strain arises as the resources (financial, physical, emotional, temporal) required of parents become stretched to their limits or are nonexistent. Role conflict arises as the occupation of two or more roles place conflicting demands upon the occupant. For working mothers, there are two competing hypotheses in regards to the nature of well-being and health: (1) multiple roles contribute to greater health and well-being as the occupation of these roles enhances self-perceptions, self-esteem, and personal efficacy; (2) multiple roles increase the demands placed upon the occupant and lead to role strain and conflict which detracts from well-being and health. Support has been found for both hypotheses. Working mothers were found to have higher levels of psychological well-being if their husbands shared Childcare responsibilities (Kessler & 9 McRae 1982, Ross et a1 1983). Furthermore, Ross et al (1983) found that the benefits of working for mothers was negated if there was a conflict between role ideals and role occupation. For example, in couples who believed in "traditional" work-family roles, there wm no positive effect on well-being for working mothers. Barnett & Marshall (1992) found that quality of relationships between working mothers and their children was the best predictor of psychological distress, but that employed mothers were at no greater risk of distress than non-employed mothers. Paenthood md Hysicd Health In general, the literature dealing with physieal health and parenthood habitually weave gender into their analysis. This probably stems from the fact that women are, more often than not, the physical caretakers of children, and therefore are more vulnerable to the effects of children on health It is women who—despite growing numbers of full-time and career oriented participation in the labor market—labor an extra month per year doing "the second shift" (see Hochschild 1990). It is women who tend to the snifiles and sneezes of childhood, and do much of the physically intensive childcare labor. Such is the physieal reality of caretaking in contemporary families. 1 Overall, the effects of parenthood on physical health reveal finding similar to those which studied psychological well-being. Children have been found to have mixed results on the physical health of their parents, but one thing is clear in the literanne, physieal health is not improved by the presence of children in the home (for a review see, Ross et al 1990), but tendencies toward health damaging behaviors are 10 ~ reduced by the presence of children in the home (Umberson 1987). Gove (1984) and Arber (1991) found that the presence of and number of children were associated with worse health for women, while Bird and Fremont (1989) found that time spent in child-eare had an insignificant impact on self-reported health Although, childcare was fomdtobeinsignifieantintheBird&Fremontstudy,theirstudydoesprovidesome evidence that when time spent in gender-specific social roles, i.e. child-rearing and housework—is controlled, the gender differences in morbidity are reversed This supports the non-significant finding of Verbrugge (1989). Rare, Parenthood and Health aid W ell-being Although parenthood and its' connections to health and well-being is a well- researched subject among whites, relatively few studies have specifieally dealt with the experiences of black parents, or compared blacks and whites. Overall, the research that has been done reveals different patterns than those found in the white population. Broman (1988) found that parenthood was unrelated to satisfaction with life or family. Coleman et al (1987) found similar finding in a sample of middle-aged and older black women—parental status was unrelated to self-esteem, self-efficacy, and physical health Reskin & Coverman (1985) found that the presence of any children in the home was a significant predictor of psycho-physical distress for white, but not black women. While Reskin & Coverman found the interaction between being black and having children in the home to be significantly related to levels of distress, Waldron and Jacobs (1989) found having children in the home beneficial to the health of employed black, but not employed white women. In fact, Waldron & Jacobs' findings 11 indicate that for white. but not black women, many of the social roles which produce benefits to health and well-being may be interchangeable. This lends support to Coleman et al's (1987) assertion that the interconnectedness of the social roles of . spouse, mother, and worke in the black community may account for the lack ofefl‘ect found in research when the roles are studied individually. Intergeneraiond Emotional Support Anodramrpmtantcomponmtofresemchonparmthoodexmninesmeimpact that intergenerational support has upon the health and well-being of family members, particularly aging parents. Within this area there are two major substantive issues: (1) the relationships between the aging parents and their adult children, and (2) the kinds of support, instrumental and affective, that is exchanged between family members. The present study examines parent's perceptions of the emotional support received from their children aged 16 and over. Such support is not bound by age or financial resources. Feeling loved and cared for is essential regardless of stage in the life course. This can be especially true for parents, who may invest a lot in the parental role, and who may judge their successes or failures by their perceptions of the emotional support received fiom their children. Emotional support is recognized as an important measure ofthe quality of parent-child relationships, and is equally important to the health and well-being of parents (Mancini & Blieszner 1989). For example, Houser & Berkman (1984) found only a minimal association between income and filial relationships, suggesting that the financial aspects of parent-child relationships are secondary to the emotional ones. 12 Evidence exists that close parent-child relations can intervene in aging parents mortality rates and buffer older parents from many of the difficulties associated with aging like declining health and social losses (Silverstein & Bengton 1991). Furthermore, parental self-esteem is increased if they perceive close relationships, by way of communication and support, with their children (Demo et al 1987). The use of theadultchildasaconfidant by theparent increasesthe likelihoodofbothgivingand receiving aid which then impacts the well-being of the parents (Mutran & Reitzes 1984). Intergenerational relations are of particular interest within black families due to the well-documented nature of the extended kin system (for a review see Taylor et al 1990). Because blacks are more likely to reside in extended family households (Angel & Tienda 1982), there are ideally more opportunities for support of all kinds to be exchanged between parents and children. Emotional support is of special interest in black family research As Silverstein & Bengton's (1991) research demonstrate, affectionate relationships can intervene in declining health and mortality. The question which then arises is whether or not affectionate parent-child relationships can alleviate at least some of the impact that racial oppression has on health and well-being of black parents. There are few studies which examine this topic. One study examines the impact that family ties have upon the well-being of blacks (Ellison 1990), but it does not separate out the effects of children from other family members. Overall, the study revealed a strong linkbetween close family relations and personal happiness that was consistent across all age groups. For older 13 blacks, close family relations were related to life satisfaction Insmntheprecedingdiscussionlmsproducedseveral generalimtionswith regard to the health and well-being of difierent groups in our society. Women experience poorer health, yet live longer than men. Blacks, as compared to whites, sufl‘erfiompoorerhealth, andhave 1.5 ormoretimes greaterage-adjustedmortality rate than whites (Hale 1992). Parents experience a variety of difl‘erences in health and well-being, indicating that parenthood has mixed effects upon a person's health. Overall, however, the presence of children in the home does not effect health positively (see McLanahan & Adana 1987, and Ross, et a1, 1990 for reviews) but,,as parents and children age, relationships can have a positive impact for the well-being and health of parents, especially for those who perceive a close and loving relationship with their children. Racial differences in the impact that parenthood has upon health and well-being has also documented mixed results which sometimes contradict those finding for the white population Yet, as Taylor, et al (1990) points out, there is a dearth of research addressing issues such as this, and as such. many empirical investigations leave us with distorted and unclear images of black family life in general, and of the impact of parenthood on black health and well-being in particular. All of these substantive issues fuel the present study. However, it is fundamentally different fiom previous research in two ways. First, I examine not only women health as it is impacted by experiences of childcare and parenting, but men's as well. This is importantbeeauseinanerawhengendaroles mustbecomemorefluidtoadaptto changing societal forces, and men take more active roles in their families, researchers l l I I \ must address these changes in their work as well. Second, I compare black and white parents' experiences of childcare and parenting as it impacts health which is important because as noted above, there is a dearth of literature concerned with black and white comparisons. Again this is a major omission if the goal of social research is to create complete, and accurate understanding of the society in which we live. MEIHODS The present study is designed to test the following hypotheses: (1) The level of parent-child relationship quality and experiences of childcare will affect subjective health and well-being positively—higher quality relationships will improve subjective health and well-being; '(2) Measures of parent-child relationship quality and childcare will help us to interpret the impact of race and gender on the subjective health measures; (3) These measures of childcare and parent-child relationship quality will help us to interpret subjective health and well-being differently for different race- gender groups: white women, white men, black women, and black men. (DEW A ~ANT/The data for this study was taken fiem the American's Changing Lives (ACL) collected by the Survey Research Center at the University of Michigan The ACL is a multistage, stratified area probability sample of noninstitutionalized adults 25 and over. The overall response rate was 76%. Blacks and those over 60 years of age were oversampled The oversampling ofblacks makes the ACL appropriate to examine w racial differences, however because of the relatively small sample of other minority 14 15 groups (N=120, 3.3% of the sample), only black-white differences will be examined Please see House, 1986 for more details. Variables Independent variables for this analysis include race and gender, which were dichotomized so that 1=black and l=fema1e. Blacks comprised 32.5% of the sample, while women comprised 62.5%. Forty-two percent of the sample were parents, with thesamepercentagereportingtheirchildren livingwiththem. Measures of the quality of parenting and childeare experiences include three measures of subjective perceptions of childcare, a measure of parental satisfaction, and ‘ a measure ofolder child emotional support. As suggested by House, et al (1988), frequency of contact or other more quantitative measures of parent-child relationships may not necessarily tap relationship quality issues. For instance, contacts may be initiated by both parents and children because of an underlying sense of obligation or societal expectations toward the parent or child However, as common same tells us, spendingtimewith someonebeeausewehayetoandspendingtimewith someone because we want to are distinct motivations for pursuing a relationship. The impact that the relationship has on the people involved, therefore, would also be qualitatively discrete, with different consequences for perceived health and well-being It is for this reason that subjective qualitative measures of the parent-child relationship were chosen The measures of childcare experiences are designed to tap whetherthe respondent feelsdlatflreyarepersonallybenerofl'becateeofdlechildcarefltatthey l6 perform ("self is better"), whether or not they believe that others are better off because of the childcare that they perform ("others are better"), and to what extent the respondent enjoys performing childcare. Parental satisfaction is measured by a three item scale comprised of two positive measures ("At this point in your life, how satisfied are you with being a parent?" and "How happy are you with the way your child has turned out?") and one negative measure ("How often do you feel bothered or upsaasaparent?"). Responsesweresummed, andavelagedsothathigheraverage scores represent higher levels of parental satisfaction This seale is highly reliable with an alpha reliability coefficient of .942. Perceived older child emotional support is similarly measured by a four item scale with two positive measures ("How much does your son/daughter/children make you feel loved and cared f ." and "How much is he/she willing to listen when you need to talk about your worries and problems?") and two negative measures ("How much is he/she critical of you?" and "How much do you feel he/she makes too many demands on you?"). Alpha reliability for older child emotional support is .972. .L. Age, income, education, employment status, marital status, and number of {' children are controlled for ill all equations. On average, the sample was older (due to i over sampling of older adults)-mean age was 53. Most respondents led at least a 12th grade education. Mean income was between $15,000-W Twenty-one \‘fl‘fl’flfl #W___#// percent of respondents children were under 18>me at least one child ’/ living at home. The categories of marital status is dummy coded with "never nulrried" as the excluded category. Fifty-four percent of respondents were married, 11.3% were 17 divorced, 4.8% were separated, and 18.1% were widowed Slightly over 50% of the sample was employed Employment status was dichotomized where l=employment. The dependent measures are self-rated, or subjective health and CESD-ll mean score, a measure of self-rated psychologieal well-being Subjective health is measured by a single item which asks the respondent "How would you rate your health at the present time, would you say it is excellent, very good, good, fair or poo." Responses were coded so that better health corresponds with high scores. Self-rated psychologieal well-being is constructed from 11 items which asks the respondent about various symptoms of depression, happiness, and the ability to which the respondent felt understood, and liked by others. Responses for the 11 items were summed and averaged A high score indicates a high level of depressive symptoms. This scale is very reliable with an alpha level of .83 (Umberson et a1 1992). Because of the nature of the questions posed here, subjective measures of health and well-being were chosen. Subjective or self-rated measures have the berefit of avoiding the gender and racial bias that can occur in more objective measures, such as physician diagnosis (Ross & Bird 1994; Taylor 1992). Given the argument of this paper that racial and gender oppression prevail and differentially impact experiences of family and consequently, health and well-being, measures that can avoid such biases are extremely preferable. Furthermore, self-rated health has been found to be a very powerful predictor of mortality-better even than physician-based diagnosis (Mossey & Shapiro 1982;. Maddox & Douglas 1973). Analysis A series ofordinary least squares regressions were performed to test the hypotheses. Stage one regressed the two health measures on the control variables. Stage two regressed the health measures on the predictors of parent-child relationship quality. This stage of analysis tests hypotheses one and two. Stage three repeated stage two for each of the four race-gender groups, black women, white women, black menandwhitemen Stagethreewasdesignedtotesthypothesisthree—thatthe impact of the parent-child relationship on health and well-being would differ according tothedifferentsocial locationsaccordedtoeachofthese groups. FINDING Preliminary analysis (not shown) revealed that none of the variables were highly inter-correlated Where higher correlations did occur, it was an expected relationship. For example, many of the independent variables were moderately correlated, the highest score being between parental satisfaction and older child emotional support (r=.606, p<.01). As noted above, this is an expected relationship Wubjecfive measures that tap similar experience. If a person believes that he or she is loved and cared for by their children, it makes sense to assume that they would be more likely to be satisfied with being a parent. Similarly moderate inter-correlations were found for some of the socio-demographics which again is expected. The highest correlation was found between income and w education (r=.527, p < .01). All coefficients reported below are misgndardized with \ #___.. A ‘ Ash”, -_—‘(f I ""-—-.-..___.~ 18 19 the standard errors reported in parentheses next to the coefficients. By regressing self-rated health and psychological well-being on the socio- demographic variables, we find most of the expected relationships. As Table 1 TABIE 1: WWWRATH) HEALTHAND PSYGIILXHCAL WHLBHNG (N SwO-DENIXIRAPHKB Self-rated Psychological Health Well-being race -.103*(.041) .112"(.041) sex .007(.039) .123“(.038) number of children -.005(.019) .014(.018) age -.009"""(.002) -.01 1"(.006) income .065**(.010) -.045"""(.009) education . .044"(.007) -.043"(.006) employment status .413”(.046) -.202"(.045) married -.026(.067) -.386”(.065) divorced -.066(.077) -.079(.075) separated -.008(.099) .077(.096) widowed .105(.080) -.204”(.078) constant 3.026" 1.605” R-squarcd .182“ .127" N 3175 3175 Note: **=p<.01 *=p<.05 Standarderrorsareinparenthesesnexttothecoefiicients. illustrates, the socio-demographic variables explain a moderate to good amount of the MF—c—fip—rh_ WW psychological well-being Blacks reported poorer self-rated health and more depressive symptom than whites. While women also reported more depressive symptom than did men, gender was not found to be a statistically significant predictor of self-rated health. This finding is perplexing given the strength of the evidence that demonstrates that gender is asuong predictor of health measures. For both health measures, employment status, income, 20 and edueation had positive impact. Younger respondents reported better health than did older ones, but this was reversed on psychological well-being—older respondents averaged fewer depressive symptoms. Married and widowed respondents reported fewer depressive symptom than their never married counterparts. Stage two of the analysis delves deeper by adding the measures of childcare and parent-child relationship quality into the equations (see Table 2). Both models are inrpreved by the addition of the independent variables. The explained variance increases slightly for self-rated health, but is notably irnpreved for psychologieal well- being The predictor, "self is better", significantly affects both of the dependent , measures. Table2alsorevealsflratflrerelationslfipbetwearmceandboflrdependem measures is explained away. This is an inmfigsfipflpssivggfgwdlmwd relationship between race and health measures. It seems that by holding the level at which the respondents believe either thermelves or others to be better ofi‘ by the childcare they provide, we see that the expected differences between black and white health cease to be signifieantly different. The relatiomhip of sex remains the same as in stage one of the analysis: women report more depressive symptom than men, while sex was not found significant for self rated health. Older child emotional support had a negative impact on self-rated health, which runs counter to my expectations. Parental satisfaction was related to better self-rated health and fewer depressive symptom. Beeauseofthewayinwhichtheinstrumentwasconstructed, a subsmntialdecreasemdresmnplesizeoccmedaSOMyflrosewhomponedpang any childcare were included in some questions. Because of this sample attrition, I 21 TABIE 2: mm OF SELF RATED HEALTH AND PSYCIHMCAL WEIL-BEING m AIL PREDICITRS Self-rated Health Psychological Well-being race -.103(.o70) .069(.072) sex I .013(.072) .162‘(.074) number of children .008( .029) .035(.030) age -.007(.004) -.011"(.oo4) income .072**(.017) -.os7"(.017) education .019(.013) -.033"(.013) employment status .324**(.080) I -.062(.082) married -.059(.136) -.358**(.138) divorced . -.106(.141) -.165(.144) separated .082(.155) .046(.158) widowed -.209(.186) .009(.189) older child support -.054*(.022) .012(.022) parental satisfaction .l4l*“'(.042) -.323"(.042) enjoyment of childcare .037(.054) 1 .013(.055) self is better .124**(.047) -.099*(.048) others are better .008(.031) —.059(.032) constant 1 2.175" 2.755" R square .201" .204” N 1062 10oz Note: ”=p<.01 *=p<.05 Standard errors are in parentheses next to the coefficient. 22 next entered each of the predictors singly, removing "enjoyment of childrcare" from the analysis beeause it failed to produce any effects in premlinary analysis (see Tables 3 and4). All fourmodels mTableBermlainagodamomtofthevarianceinself- rated health As Table 4 indieates, the four models predicting psychologieal well- being explain slightly less variance than those for self-rated health, but they still ermlainagoodamountofit. Acrossbothneasmes,racepredictsbettcrhealthand well-being for only parental satisfaction and older child emotional support. The impact of race on health and well-being is explained away for both "self is better" and "othersarebetter". ThisrepeatsthepattemnotedinTableZabove. Sexisa signifieant predictor of psychological well-being only. For psychological well-being, all of the independent/ variables wee febmdto be significant and predicted fewer ___.a._z H depressive”— symptom: Better self-ratedhealth was predicted by "self ls better" and paren satisfaction i / Thesefindrngprovrdesupportformyfirstandsecondhypodleses,mflrone \wmfif exception: the negative impact that older child emotional support was found to have “'1’ ’ on both health measures in Table 2. Overall, however, higher quality relationship with children do seem to produce better experiences of health and well-being In the ease of the independent variables, "self is bater" and "others are better", it seems that they have a powerfirl impact upon the dependent variables for blacks. These measures of childcare experiences explained away statistically signifieant health differences between blacks and whites. The third anal si my third hypothesis that these effects would differ by the four race-sex groups in this study: black women, TABIE 3: REGRESIG‘I (F SHE-RATED HEALTH 23 ON PRDICIORS AND CONTROLS 1 2 3 4 race -.112 (.069) -.123 (.070) -.019"(.041) -.099* (.042) sex -.023 (.071) -.004 (.071) -.014 (.039) .007 (.039) numberof -002 (.029) -.012 (.029) -029 (.019) -.007 (.019) children age -.015**(.003) -.016“*(.003) -.010**(.002) -.009**(.002) income .072**(.017) .068"(.017) .066"(.010) .067"(.009) education .023 (.013) .023 (.012) .045"(.045) .043**(.007) employed .291**(.079) .298**(.080) .407"(.046) 4177*(047) married .009 (.134) .030 (.134) -.165“(.073) -012 (.069) divorced -.069 (.140) -.063 (.141) -.181" (.081) -.063 (.079) separated -.109 (.154) .007 (.155) -.089 (.101) .114 (.100) widowed -.l36 (.185) -.121 (.186) -007 (.083) .102 (.081) 1. self isbetter .173**(.043) ——. .— .— 2. others are better --- .029 (.030) — ~- 3. parental satisfaction .— --—- .067"(.Ol3) --- 4. older child support _ —..- .— -.002 (.011) constant 2294" 3.479" 3.010" 3.028" R-squate .177" .165" .206" .201" N 1079 1079 3176 3146 Note: **=p<.01 I"=p<.05 "---" indicates that predictor was not entered for that model. StandarderrorsarenotedinparentMsesnexttocoefiicients. 24 TABIE 4: mm (F PSYQDHIHCAL WEIL-BHNG ON PREDICIIRS AND W 1 2 3 4 race .083(.072) .098(.072) .116"(.040) .1 15“(.041) sex .086*(.074) .174*(.074) .14-4"(.034) .139“(.038) nrn'nber of .026(.029) .037(.029) .049*(.018) .023(.018) children age -.010"(.003) -.009*(.003) -.009"*(.001) -.007"(.002) income -.059"*(.017) -.055"”"(.017) -.045"(.009) -.042**(.009) education -.031*(.013) -.O32*(.013) -.045"(.006) -.044**(.006) employed -.030(.082) -.032(.082) -.201"(.045) -.193"(.045) married -.500**(.138) -.516"(.139) -.196“(.040) -.342"‘"'(.067) divorced -.24l(.145) -.247(.146) .O79(.079) -.303(.077) separated -.023(. 160) -.029(.160) .216*(.099) .1 18(.O98) widowed -.103(.191) -. 1 14.192) -.050**(.081) -.177(.079) 1. self is better -.173**(.044) --- -—- ~— 2. others are «~— better -.O71*(.031) --- --- 3. parental satisfaction --- --- -.086**(.012) ~— 4. older child . support ..... —... . -—- -.040"(.011) constant 2.066" 1.612" 1.636 1.475" R-square .159" .151" .138""'I .129” N 1079 1079 3176 3149 Note: **=p<.01 ‘=p<.05 ' "-4—" indieates tint predictor was not entered into the model. Standard errors are indicated in parentheses next to the coefficient. ' 25 white women, black men and white men R-squared statistics indicate that all of the mbgrummcdelseiqalainamodaatemgoodmmmuofflievanancemfliedepmdmt health measures (see Tables Sa-6b). For self-rated health (see Table 5a and 5b), "self isbetter" andparuital satisfactionremainsignifieant forvvhites only. Thisis hnpmtmnmhgluofdiefindingsfliatbomwaesigrfificmuwhmdremfimsmnple wasanalyzedtogether. Anodrerimportarrtraceandsexdiflerenceappearswhenwe look at psychologieal well-being (Table 6a and 6b). "Others are better" significantly predicts fewer depressive symptoms for black women only, while "self is better" remains statistically significant predictor for whites. For black women and whites, the ' panansreflectedbyfliesefindingsmemhrorhnagesofonemoflra'momfingto important differences between blacks and whites. Consistent with my previous analyses, parental satisfaction improves respondents psychological well-being, but older child emotional support was found to improve well-being signifieantly for all groups but white men. Itrsunponanttobneflynotethemrpactofsomeofdiemdependentvanables \ ontl'rerelationshiptothehealthmeasmes. Whenwelookatthemaritaleategories, we find that being mried remains a significant predictor of psychological well-being for black women only. For black men, marriage improves psychological well-being only when older child emotional support was held constant. This finding was not found in the white subgroups. 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The addition of another parent to the household may alleviate many of the drains on health and well-being that can occur for single parents. For black women, this may be dually beneficial alleviating some (but certainly not all) of the strains not only of single parenting, but single pmenting as a black woman in a sexist and racist society. The findings revealed here support my third hypothesis—that blacks' and whites' experiences of childeare and parenting do seem to impact health and well-being differently for the different groups. These differences which have been rmoovered may be a reflection of fundamental race and gender differences in childcare experiences, a topic which I will discuss in the next section. DISCUSSION The major findings ofthis study reveal that there are indeed difi‘erencesfl 1n /,...____ health and well-being by race- -gender group as it is mediated by the aspects of “...... parenthood measured here. The major findings are: (1) The respondent believing that he/she is better off because of the childcare that they perform predicts better health and well-being for whites only, and believing that others are better off because of the childcare that he/she perform predicts better psychological well-being only for black women. (2) Parental satisfaction was found to predict better self-rated health for whites, but not blacks. (3) Older child emotional support predicts less depressive symptoms for all groups except white men. (4) Being rnan'ied significantly predicts 3O 31 better psychological well-being for blacks, but not whites. This is especially true for black women for whom being married predicted better well-being across all measures of parenting and childcare experiences. (5) The two variables "self is better" and "others are better" explain away some of the relationships of the socio-demographics and self-rated health and psychological well-being, and more importantly they explain away the effect of race on health and well-being. The two findings that "self is better" predicts better health and well-being for whites, and that "others are better" predicts better psychological well-being for black women may indicate different perspectives of childcare within white and black communities. For example, Collins (1990) discusses the importance of "other mothering" in the black community, and community oriented child-rearing. Similarly, Stack (1974) reports similar findings in The Flats, the black community which she studied "Child-keeping" was a familiar strategy for childcare where various kin would care for a woman's child for periods of time. This strategy grew out of the economic deprivation experienced within the community which required such pooling of resom'ces for survival's sake. It was also community recognition of the problems faced by very young women with children—"child keeping" allowed other kin to care for a child when there were doubts about the emotional ability of the mother to care for the child herself. These kin networks that both Stack and Collins describe are controlled and maintained by black female kin. Black women may be more affected by caring for children, and having such care being connected to the community, may produce a more external focus for the work that they do. Thus, the impact of 32 believing that others are better off because of the childcare performed may be a significant predictor of health for black women This is also consistent with the findings that, for whites, believing that they are personally better off because of the childcare that they perform signifieantly impacts better health and well-being. As Collins (1990) discusses, Euro-centric, as compared to Afro-centric child rearing, focuses more upon the individual relationship between parent and child For whites, the child becomes the private responsibility of the parents, whereas within black communities, as in Stack's (1974) study, children are seen as responsibilities of the cormnunity delineated by the child's kin network. In white communities, individual responsibility for childcare is highly valued Therefore, believing that they are personally better ofic because of the childcare performed may be significant predictors of health for whites beeause of the more individual, and private context within which childeare occurs. These conclusions must be approached with some caution. In Stack's study, the conjn‘numtyris a poor, urban community of blacks, and—“adaptations, like "child keeping" are adaptations to the specific circumstances of poverty. Likewise, Collins' analysis does not distinguish class differences in this commrmal orientation. Because of this, generalizations must be approached withthggg‘operfihfl eaution. It may be the differences that are attributed to race, may primarily stem from -\._. economic disparities and the disproportionate representation of blacks in the under classes. The next major finding was that parental satisfaction was found to predict a .—-..——_._..,__,__-.—- better self-rated health for white, but not for black respondents. This may be further 33 evidence for the structural constraints placed upon family life and health by racial oppression. Given that blacks disproportionately make up the poorer segments of our society, and given that whites, and white women in particular, are more likely to have a partner in the household than their black counterparts, it could be that parental satisfaction may be a function of these demographic patterns. When a family is poor, little comfort and satisfaction may be found in the parent-child relationship when a child reprments potential drain on already scarce resources. For whites, the simple presence of another person, and the resom'ces that they bring to the relationship may enable whites to enjoy the parental relationship more, thereby affecting their health positively. This finding points to potential race and sex differences in parenting experiences as well. For all groups, except white men, older child emotional support predicts better well-being. That white men are not affected by older child emotional support may point to the privileged social location that they generally occupy. It may be that for white and black women, and black men, older child emotional support alleviates some of the negative effect on well-being that subordinate positions create. Finally, for blacks, in general, and black women, in particular, being married predicts better health. Again this points to a major racial difference in the present study for the reasons noted above. What all of these finding point to, is that for individuals in diflerent race- gender groups, experiences of family life are indeed shaped by structural constraints, producing differences which then impact health and well-being differently. One final note on my findings is necessary. The explanatory power of the \f— .‘____‘________..-' a- variables "self is better" and "others are better" seems an important finding, especially where race is concerned. When I held "self is better" and "others are better" constant, the significant racial differences in health and well-being disappeared This is highly suggestive, but must be interpreted somewhat cautiously because of the sample attrition which occurred on these two measures (although the standard errors do not indicate extreme sampling variability). It would be ideal to replicate this analysis with a larger sample within subgroups. It must also be noted that because the data used here is cross-sectional, causal relations between the variables are questionable. The analysis here assumes eausal links between the variables, when it could be the case that social selection is occurring where only the healthier segments of the population are becoming parents which could then bias the findings. Future research must deal with these issues by utilizing longitudinal designs to test for selection. (DNCHJSION Now that all of the numbers have been "crtmched", we are left to discern what this research means—coefficients and explained variances tell us only so much of the story. I believe that the most important thing that this research leaves usflwith is the impression that childcare and parenting as: it affects health and well-being are richly complex aspects of our social lives. They are shaped by the intersections of race and gender, producing different outcomes for different groups. This research gives us insight into theunder-studied experiences of men—in general, we see by this research that they are affected by childcare and parenting. This general observation is important in itself, because of the dearth of research on men's experiences in this arena 34 35 of family life. Furthermore, for black men, it creates a more accurate portrait of their social lives. Black men are the least understood and most rmder-studied of these groups. When black men are included in social analyses, too often they are seen only as a collective for social problems. This has led to a distorted image of black men's lives. By placing black men in an analysis as parents, a valued social role, I hope that a small, but important, piece has been added to the extremely limited understandings that social science has of this group of individuals. March also indicates that racial differences are extremely prevalent in .- ~-m—u—..-.w, .‘._ the realm of parenting as it impact health and well-being. This research lends support to the assertions of other scholars conceming different perspectives on childcare in white and black communities, and suggests that these perspectives have important impact on health and well-being. This has important implications for firrther research because of past inattention to these differences in this field of scholarship. Overall, this research points to the necessity of examining race and gender as __—_———_-‘-~-_—— _ ,_ .____ .—-- " _ —- _..._..- W fundamental to the experiences of family life and its' subsequent impact on health and well-being. Important differences exist which were only illuminated by sub- group analysis. These differences must be accounted for if social science is to create an accurate and complete portrait of the lives of those individuals who comprise our society. HSTOFREFERENCI'E Andersen, Margaret and Patricia Hill Collins. 1992. Race, Class ard Gender? An A nthology. Belmont, CA' Wadsworth Angel, Ronald and Marta Tienda. 1982. " Determinants of Extended Household Structure: Cultural Pattern or Economic Model?" Americar Jownal of Sociology 87:1360-1383. Arber, Sara. 1991. "Class, Paid Employment, and Family Roles: Making Sense of Structmal Disadvantage, Gender, and Health Status." Social Science md Medicine 32(4):425-36. Baca Zinn, Maxine. 1994. "Feminist Rethinking fiom Racial-Ethnic Families." pp. 303-14 in Women of Color in US. Society. Maxine Baca Zinn and Bonnie Thornton Dill, eds.. Philadelphia: Temple University Press. Barnett, Rosalind and Nancy Marshall. 1992. "Worker and Mother Roles, Spillover Effects and Psychological Distress." Women ard Health 18(2):9-40. Bell, C., I. Bland, E. Houston, and B. Jones. 1983. "Enhancement of Knowledge and Skills for Psychiatric Treatment of Black Populations." pp. 205-38 in J. Chunn, P. Dunston, and F. Ross-Sheriff (eds), Mental Health and People of Color. Washington,D.C.: Howard University Press. Bird, Chloe, and Allen Fremont 1989. "Gender, Time Use, and Health." Joumal of Hedth md Socid Behavior 32(June):1 19-29. Broman, Clifford 1988. "Satisfaction Among Blacks: The Significance of Marriage and Parenthood" Joumd of Maricge cud the Fanily 50:45-51. Brown, D., W. Eaton, and L. Sussman. 1990. "Racial Differences in Prevalence of Phobic Disorders." 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