Abstract
There is a paradox in research on African Americans and non-Hispanic whites in the utilization of clergy. Research finds that African Americans have higher levels of religious service attendance and higher levels of contact with clergy. Research also finds that despite this, African Americans are less likely than non-Hispanic whites to seek out assistance from clergy for psychiatric disorders including depression and anxiety. The goal of this paper was to investigate race differences in the use of clergy for counseling for serious personal problems. It uses the National Survey of American Life. We find that non-Hispanic whites were more likely than African Americans to use clergy for a serious personal problem. The significant difference between African Americans and non-Hispanic whites appeared to be mediated by the fact that African Americans were more likely to have seen clergy in a religious setting and non-Hispanic whites were more likely to have seen clergy in other settings including hospitals.
Similar content being viewed by others
References
Alvidrez, J. (1999). Ethnic variations in mental health attitudes and service use among low-income African American, Latina, and European American young women. Community Mental Health Journal, 35(6), 515–530.
Ayalon, L., & Young, M. (2005). Racial group differences in help-seeking behaviors. The Journal of Social Psychology, 145(4), 391–404. doi:10.3200/SOCP.145.4.391-404.
Barrio, C., Yamada, A. M., Hough, R. L., Hawthorne, W., Garcia, P., & Jeste, D. V. (2003). Ethnic disparities in use of public mental health case management services among patients with schizophrenia. Psychiatric Services, 54(9), 1264–1270. doi:10.1176/appi.ps.54.9.1264.
Blank, M. B., Mahmood, M., Fox, J. C., & Guterbock, T. (2002). Alternative mental health services: The role of the blacks church in the South. American Journal of Public Health, 92(10), 1668–1672. doi:10.2105/AJPH.92.10.1668.
Bohnert, A. S. B., Perron, B. E., Jarman, C. N., Vaughn, M. G., Chatters, L. M., & Taylor, R. J. (2010). Use of clergy services among individuals seeking treatment for alcohol use problems. The American Journal on Addictions, 19(4), 345–351. doi:10.1111/j.1521-0391.2010.00050.x.
Cai, A., & Robst, J. (2016). The relationship between race/ethnicity and the perceived experience of mental health care. American Journal of Orthopsychiatry, 86(5), 508–518. doi:10.1037/ort0000119.
Chatters, L. M., Mattis, J. S., Taylor, R. J., Woodward, A. T., Neighbors, H. W., & Grayman, N. (2011). Use of ministers for a serious personal problem among African Americans. American Journal of Orthopsychiatry, 81(1), 118–127.
Chatters, L. M., Taylor, R., Bullard, K. M., & Jackson, J. S. (2009). Race and ethnic differences in religious involvement: African Americans, Caribbean blacks and non-Hispanic whites. Ethnic and Racial Studies, 32, 1143–1163.
Ellison, C. G., Vaaler, M. L., Flannelly, K. J., & Weaver, A. J. (2006). The clergy as a source of mental health assistance: What Americans believe. Review of Religious Research, 48(2), 190–211.
Gilbert, K. R. (1992). Religion as a resource for bereaved parents. Journal of Religion and Health, 31(1), 19–30.
Hardy, K. (2014). Which way did they go? Uncovering the preferred source of help-seeking among African American Christians. Social Work and Christianity, 41, 3–15.
Heeringa, S. G., Wagner, J., Torres, M., Duan, N., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the collaborative psychiatric epidemiology studies (CPES). International Journal of Methods in Psychiatric Research, 13(4), 221–240.
Jackson, J. S., Neighbors, H. W., Torres, M., Martin, L. A., Williams, D. R., & Baser, R. (2007). Use of mental health services and subjective satisfaction with treatment among black Caribbean immigrants: results from the National Survey of American Life. American Journal of Public Health, 97, 60–67.
Jackson, J. S., Torres, M., Caldwell, C. H., Neighbors, H. W., Nesse, R. M., Taylor, R. J., et al. (2004). The national survey of American life: A study of racial, ethnic and cultural influences on mental disorders and mental health. International Journal of Methods in Psychiatric Research, 13(4), 196–207.
Krause, N. M. (2008). Aging in the church: How social relationships affect health. West Conshohocken, PA: Templeton Foundation Press.
Krause, N. M., & Bastida, E. (2011). Social relationships in the church during late life: Assessing differences between African Americans. Whites, and Mexican Americans, Review of Religious Research, 53, 41–63.
Krause, N., & Chatters, L. M. (2005). Exploring race differences in a multidimensional battery of prayer measures among older adults. Sociology of Religion, 66(1), 23–43.
Lincoln, K. D., Taylor, R. J., & Chatters, L. M. (2013). Correlates of emotional support and negative interaction among African Americans and black Caribbeans. Journal of Family Issues, 34, 1262–1290.
Mattis, J. S., Mitchell, N., Zapata, A., Grayman, N. A., Taylor, R. J., Chatters, L. M., et al. (2007). Uses of ministerial support by African Americans: A focus group study. American Journal of Orthopsychiatry, 77(2), 249–258. doi:10.1037/0002-9432.77.2.249.
Mollica, R., Streets, F., Boscarino, J., & Redlich, F. (1986). A community study of formal pastoral counseling activities of the clergy. American Journal of Psychiatry, 143(3), 323–328.
Murray-Swank, A., Goldberg, R., Dickerson, F., Medoff, D., Karen Wohlheiter, K., & Dixon, L. (2007). Correlates of religious service attendance and contact with religious leaders among persons with co-occurring serious mental illness and type 2 diabetes. The Journal of Nervous and Mental Disease, 195(5), 382–388.
Neighbors, H. W. (1985). Seeking professional help for personal problems: black American’s use of health and mental health services. Community Mental Health Journal, 21(3), 156–166. doi:10.1007/BF00754731.
Neighbors, H. W., Caldwell, C., Williams, D. R., Nesse, R., Taylor, R. J., Bullard, K. M., et al. (2007). Race, ethnicity, and the use of services for mental disorders: Results from the National Survey of American Life. Archives of General Psychiatry, 64(4), 485–494. doi:10.1001/archpsyc.64.4.485.
Neighbors, H. W., Jackson, J. S., Bowman, P. J., & Gurin, G. (1983). Stress, coping, and black mental health: Preliminary findings from a national study. Prevention in Human Services, 2(3), 5–29. doi:10.1300/J293v02n0302.
Neighbors, H. W., Musick, M. A., & Williams, D. R. (1998). The African American minister as a source of help for serious personal crises: Bridge or barrier to mental health care? Health Education and Behavior, 25(6), 759–777. doi:10.1177/109019819802500606.
Padgett, D. K., Patrick, C., Burns, B. J., & Schlesinger, H. J. (1994). Ethnicity and the use of outpatient mental health services in a national insured population. American Journal of Public Health, 84(2), 222–226. doi:10.2105/AJPH.84.2.222.
Payne, J. S. (2014). The influence of secular and theological education on pastors’ depression intervention decisions. Journal of Religion and Health, 53, 1398–1413.
Snowden, L. R. (1999). African American service use for mental health problems. Journal of Community Psychology, 27(3), 303–313. doi:10.1002/(SICI)1520-6629(199905)27:3<303:AID-JCOP5>3.0.CO;2-9.
Snowden, L. R. (2012). Health and mental health policies’ role in better understanding and closing African American-White American disparities in treatment access and quality of care. American Psychologist, 67, 524–531.
Stansbury, K., & Schumacher, M. (2008). An exploration of mental health literacy among African American clergy. Journal of Gerontological Social Work, 51(1/2), 126–142.
Taylor, R. J., Chatters, L. M., & Levin, J. S. (2004). Religion in the lives of African Americans: Social, psychological, and health perspectives. Thousands Oaks, CA: SAGE.
Taylor, R. J., Ellison, C. G., Chatters, L. M., Levin, J. S., & Lincoln, K. D. (2000). Mental health services in faith communities: The role of clergy in black churches. Social Work, 45, 73–87.
Taylor, R. J., Woodward, A. T., Chatters, L. M., Mattis, J. S., & Jackson, J. S. (2011). Seeking help from clergy among black Caribbeans in the United States. Race and Social Problems, 3, 244–251.
Veroff, J., Kulka, R. A., & Douvan, E. A. M. (1981). Mental health in America: Patterns of help-seeking from 1957 to 1976. New York: Basic Books.
Wang, P. S., Berglund, P. A., & Kessler, R. C. (2003). Patterns and correlates of contacting clergy for mental disorders in the United States. Health Services Research, 38(2), 647–673.
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640.
Woodward, A. T., Chatters, L. M., Taylor, R. J., Neighbors, H. W., & Jackson, J. S. (2010). Differences in professional and informal help seeking among older African Americans, Black Caribbeans and non-Hispanic Whites. Journal of the Society for Social Work and Research, 1(3), 124–139.
Woodward, A. T., Chatters, L. M., Taylor, H. O., & Taylor, R. J. (2015). Professional service use for a serious personal problem comparing older African Americans, Black Caribbeans, and non-Hispanic Whites using the National Survey of American Life. Journal of Aging and Health, 27, 755–774.
Woodward, A. T., Taylor, R. J., Bullard, K. M., Neighbors, H. W., Chatters, L. M., & Jackson, J. S. (2008). The use of professional services and informal support among African Americans and Caribbean Blacks with a mental disorder. Psychiatric Service, 59, 1292–1298.
Young, J. L., Griffith, E. E. H., & Williams, D. R. (2003). The integral role of pastoral counseling by African American clergy in community mental health. Psychiatric Services, 54(5), 688–692. doi:10.1176/appi.ps.54.5.688.
Acknowledgements
The preparation of this manuscript was supported by grants from the National Institute of General Medical Sciences to LMC (NIGMS R25GM058641) and from the National Institute on Aging to Dr. Taylor (P30AG01528). The data on which this study is based are supported by the National Institute of Mental Health (NIMH; U01-MH57716) with supplemental support from the Office of Behavioral and Social Science Research at the National Institutes of Health (NIH) and the University of Michigan.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chatters, L.M., Taylor, R.J., Woodward, A.T. et al. Differences Between African Americans and Non-Hispanic Whites Utilization of Clergy for Counseling with Serious Personal Problems. Race Soc Probl 9, 139–149 (2017). https://doi.org/10.1007/s12552-017-9207-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12552-017-9207-z