Other Titles

Belief and Success: Health Management Self-Efficacy Among a National Sample of Black Adults [Title Slide]

Abstract

Minority populations, such as Black adults of non-Latinx descent, are more likely to develop chronic diseases and complications related to disease severity when compared to non-Latinx Whites (NLW). Furthermore, Black adults of non-Latinx descent people are less likely to engage in and maintain health-promoting behaviors (HPB) to prevent disease development. HPB are effective in preventing or delaying chronic disease. This research explores the relative impact of aspects of health, built environment, and key demographic domains on the health management self-efficacy (HMSE) of a national sample of Black adults.

Methods: Hierarchical regression modeling was performed utilizing data from the 2018 National Survey of Health Attitudes to investigate the relative impact of aspects of health, built environment, and key demographic domains on HMSE of a national sample of Black adults. Moreover, to better understand the unique role of gender, analysis was performed initially for the entire sample and then separately for males and females.

Results: When controlling for all other variables, HMSE in all Black adults of non-Latinx descent was significantly correlated with various built environment- and key demographic-level variables. Significant gender differences were identified between men and women in all three domains.

Conclusions: This study reveals the variables that significantly impact the HMSE of Black adult men and women of non-Latinx descent. The findings of this study can help develop HMSE and the adoption of HPB and reduction of chronic illness in Black men of non-Latinx descent and Black of non-Latinx descent women.

Notes

Reference list included in attached slide deck.

Description

Using a paradigm that combines intersectionality, critical race theory (CRT), and the health promotion model (HPM), this study investigates how aspects of health, built environment, and key demographics affect Black Adults' health management self-efficacy (HMSE). These theories offer a multifaceted perspective on the variables and contribute a distinct viewpoint that enhances the study's examination of HMSE determinants.

Author Details

Stephanie Y. Store, PhD, FNP, CHC, CLC, ACUE; York College CUNY, Department of Nursing, Assistant Professor

Sigma Membership

Alpha Omega

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Health Equity or Social Determinants of Health, DEI or BIPOC, Public and Community Health, Promoting Clinical Outcomes, Black Adults Health Management, Health Management Self-Efficacy

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-12-08

Click on the above link to access the slide deck.

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Health Management Self-Efficacy

Indianapolis, Indiana, USA

Minority populations, such as Black adults of non-Latinx descent, are more likely to develop chronic diseases and complications related to disease severity when compared to non-Latinx Whites (NLW). Furthermore, Black adults of non-Latinx descent people are less likely to engage in and maintain health-promoting behaviors (HPB) to prevent disease development. HPB are effective in preventing or delaying chronic disease. This research explores the relative impact of aspects of health, built environment, and key demographic domains on the health management self-efficacy (HMSE) of a national sample of Black adults.

Methods: Hierarchical regression modeling was performed utilizing data from the 2018 National Survey of Health Attitudes to investigate the relative impact of aspects of health, built environment, and key demographic domains on HMSE of a national sample of Black adults. Moreover, to better understand the unique role of gender, analysis was performed initially for the entire sample and then separately for males and females.

Results: When controlling for all other variables, HMSE in all Black adults of non-Latinx descent was significantly correlated with various built environment- and key demographic-level variables. Significant gender differences were identified between men and women in all three domains.

Conclusions: This study reveals the variables that significantly impact the HMSE of Black adult men and women of non-Latinx descent. The findings of this study can help develop HMSE and the adoption of HPB and reduction of chronic illness in Black men of non-Latinx descent and Black of non-Latinx descent women.