Karen D Lincoln

Karen D Lincoln
University of Southern California | USC · School of Social Work

M.S.W, M.A., Ph.D.

About

69
Publications
14,427
Reads
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3,251
Citations
Citations since 2017
26 Research Items
1663 Citations
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Introduction
Skills and Expertise
Additional affiliations
August 2007 - present
University of Southern California
Position
  • Professor (Associate)

Publications

Publications (69)
Article
Objective The purpose of this study was to examine race, ethnicity, and age differences in the association between social relationships and body weight in a nationally representative sample of African American, Caribbean Black, and non-Hispanic White adults. Methods: Data were drawn from the 2001-2003 National Survey of American Life (N = 5684). Mu...
Article
Objective: This study sought to determine whether religious involvement is associated with sleep quality in a nationally representative sample of older African Americans. Methods: The analytic sample included African American respondents aged 55+ from the National Survey of American Life-Reinterview ( N = 459). Religious involvement variables inclu...
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Background and Objectives Studies generally show that negative social interactions are detrimental to mental health for older adults. Further, empirical evidence suggests that negative interactions may function differently in relation to mental health across racial/ethnic groups given their unique life circumstances and social conditions. This stud...
Article
Colorism has been propagated across the globe, and skin tone discrimination may partly explain social stratification and health disparities within the Black American population. Using data from a large probability sample of Black American adults (National Survey of American Life; 2001–2003), we examined the relations between perceived colorism and...
Article
Background: Research documents the adverse health effects of systemic inflammation. Overall, older Black Americans tend to have higher inflammation than older non-Hispanic white adults. Given that inflammation is related to a range of chronic health problems that disproportionately affect Blacks compared to whites, this racial disparity in inflamm...
Article
Background Compared to Whites, African Americans have elevated risk for earlier onset fatal and non-fatal chronic conditions and accelerated aging. Despite these persistent race disparities, the causes remain poorly understood. The purpose of this study was to define a biopsychosocial risk typology that might explain accelerated aging in African Am...
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The purpose of this study was to determine whether negative interactions with family and church members are associated with indicators of subjective well-being (SWB) in a nationally representative sample of older African American women. The analytic sample (N = 537) was drawn from the National Survey of American Life. Linear regressions were used t...
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Rising rates of obesity among older adults in the United States is a serious public health concern. While the physical health consequences of obesity are well-documented, the mental health consequences are less understood. This is especially the case among older adults in general, and among racial and ethnic minority older adults in particular. Ava...
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Advocates for African American Elders (AAAE) is an outreach and engagement program at the University of Southern California, Suzanne Dworak-Peck School of Social Work. Founded by Associate Professor Karen Lincoln, AAAE comprises community advocates and graduate students who have since 2012 provided culturally competent health education for older Af...
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Social determinants of health-income, education, social inequality, living conditions, food security, environmental factors, and health behaviors-account for 80 percent of modifiable variations in health outcomes. They are key to improving health outcomes and optimizing healthcare resources. Unmet social needs are not typically detected or addresse...
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The rapid increase of economic inequality in the past few decades is one of the most disturbing social and economic issues of our time. Economic opportunities are not randomly distributed, but determined by people’s positions within the social structure. Multiple social identities—race, class, gender, and sexual orientation—shape economic and socia...
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Objectives: An emerging body of literature shows that allergies and infections are associated with psychiatric disorders, though there is little research to confirm these associations among Black Americans in the United States. Design: We analyzed data from the National Survey of American Life, and used multivariable logistic regression models to e...
Article
Objectives: Sleep problems are associated with a host of psychiatric disorders and have been attributed to race disparities in health and wellness. Studies of sleep and mental health do not typically consider within-group differences among Blacks. Thus, our understanding of how the sleep–mental health relationship among Caribbean Blacks is limited....
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Religious attendance has generally been salutary for mental health, though recent evidence suggests that church attendance has no significant relation with psychotic experiences. This study will examine how various types of church-based social interactions might be related to psychotic experiences. We analysed data from the National Survey of Ameri...
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OBJECTIVES/SPECIFIC AIMS: This study aims to describe adaptability in methods used to apply community input to programming within the field of translational science. The outcomes of community informed programming include opportunities for innovative projects and approaches, and better responsiveness to community needs. It is anticipated that this w...
Article
Homelessness is a pernicious social problem affecting people of all ages. Older adults, the fastest growing segment of the homeless population, are particularly vulnerable to the harsh conditions of living on the streets. Using survey data on 4,802 individuals from the 2017 Los Angeles county homeless count, we estimate that adults over age 50 cons...
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Objectives: African Americans have a significantly higher risk than Whites for developing Alzheimer’s disease (AD), but show lower participation in AD clinical trials. Studies of African Americans’ involvement in clinical research have identified fear and mistrust of research as barriers to participation. Historical occurrences of unethical researc...
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Objectives: To test a culturally tailored intervention to improve Alzheimer's disease (AD) literacy among African Americans. Design: A 3-arm randomized comparative effectiveness trial. Setting: Community sites in Los Angeles, CA. Participants: 193 African American community-dwelling adults, ages 45 to 95 years old. Intervention: All groups...
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Objective: This study tested whether church-based social support buffers the negative effects of discrimination on serious psychological distress (SPD) among three age groups-early, middle, and late adulthood-of African American men. Methods: Negative binominal regression analyses for discrimination and SPD were performed using data from 1,271 A...
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Objective: This study examined the role of stress in the association among physical activity, obesity, and depression among women. The extent to which physical activity moderated these relationships was also examined. Design: Data from the National Survey of American Life (N = 3235) and multivariable regression analyses were used to examine the eff...
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Objectives: A common mechanism underlying premature morbidity may be accelerated biological aging as reflected by salivary telomere length (STL). This study examined the extent to which social relationships, both positive and negative, can be protective or confer risk relative to biological aging. Method: Data from the Health and Retirement Stud...
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The current study examined the prevalence of lifetime family violence among older women (N = 525) and the influence of family violence on depression using data from a national survey in South Korea. The major findings were that 49.3 % of respondents had been victimized from lifetime family violence, the prevalence of childhood maltreatment was 37.1...
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Purpose: This study examined the relationship between informal social support from extended family and friends and suicidality among African Americans. Methods: Logistic regression analysis was based on a nationally representative sample of African Americans from the National Survey of American Life (N = 3263). Subjective closeness and frequency...
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Although there is a large literature on the influence of social support on mental health there is limited research on social support and OCD. This is especially the case for African Americans and Black Caribbeans. This study examines the relationship between family and friendship networks and the prevalence of OCD. The analysis is based on the Nati...
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This study examines the correlates of the types of instrumental support exchanges that occur between church members among African Americans. Exchanges of four types of instrumental support are examined: transportation assistance, help with chores, financial assistance and help during illness. Data for this study are from the National Survey of Amer...
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African Americans with mental health problems consult a variety of sources for assistance. Most studies report a preference for informal sources rather than professional sources of help with mental health concerns. While it is clear that African Americans seek help from both informal and professional sources, less known is whether there are unique...
Chapter
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Changes in marriage rates and in the definition of marriage require a comprehensive and flexible conceptual framework that can accommodate these changes and also reveal new and useful knowledge about the health benefits of marriage across diverse populations. This chapter discusses trends in marriage over the last few decades, including increased r...
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Obesity and depression often co-occur; however, the association between these conditions is poorly understood, especially among racial/ethnic minority groups. Using multinomial logistic regression and data from the National Survey of American Life, the relationships between race, ethnicity, and sociodemographic factors to the joint classification o...
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This study explores the relationship of family and demographic factors to the frequency of receiving emotional support and the frequency of engaging in negative interactions with family members (i.e., criticism, burden, and being taken advantage of). The study uses the ambivalence framework and data from the National Survey of American Life, a nati...
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Data from the National Survey of American Life are used to investigate relationship satisfaction and their relation to extended family relations (i.e., emotional support and negative interaction) among nationally representative samples of African American and Black Caribbean adults. The study contributes to the literature by focusing on two groups...
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To examine the demographic correlates of lifetime and 12-month prevalence of major depressive disorder (MDD) among older African Americans, Black Caribbeans, and non-Hispanic Whites. Data are from adults aged 55 years and older (n = 1439) recruited to the National Survey of American Life (NSAL; 2001-2003). The Diagnostic and Statistical Manual Vers...
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The purpose of this study is to estimate lifetime prevalence of seven psychiatric affective disorders for older non-Hispanic White people, African Americans, Caribbean Black people, Latinos, and Asian Americans and examine demographic, socioeconomic, and immigration correlates of those disorders. Data are taken from the older sub-sample of the Coll...
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BACKGROUND: This brief report examines the association between marital and relationship status and 12-month and lifetime prevalence of major depressive disorder (MDD) among African Americans. Previous work has found that adults with major depressive disorder are less likely to be married or in a cohabiting relationship. This report extends previous...
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Objectives This study is the first to investigate the relationship between perceived emotional support and negative interaction with family members and suicide ideation and attempts among African American and Caribbean black adults. Method Cross-sectional epidemiologic data from the National Survey of American Life and multivariable logistic regres...
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This study examines the relationship between financial strain and depressive symptoms in later life, and potential psychosocial mediators of this relationship. Drawing on a sample of 214 low-income Latino older adults, we used structural equation modeling to test the direct effect of chronic financial strain on depressive symptomatology, and the in...
Article
To examine associations between racial discrimination, mood disorders, and cardiovascular disease (CVD) among Black Americans. Weighted logistic regression analyses were performed on a nationally representative sample of Black Americans (n = 5022) in the National Survey of American Life (NSAL; 2001-2003). Racial discrimination and CVD were assessed...
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Depression represents a growing concern among Asian Americans. This study examined whether discrimination and family dynamics are associated with depression in this population. Weighted logistic regressions using nationally representative data on Asian American adults (N = 2095) were used to examine associations between discrimination, negative int...
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There is increasing evidence that experiencing discrimination may contribute to poor mental health among Black Americans. However, few studies have distinguished between discrimination attributed to race versus other forms of discrimination or have compared differences in their psychological implications. Using nationally representative data on 5,1...
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This study explores the relationship between church-based informal social support and lifetime prevalence of suicide ideation and attempts within a representative national sample of African American and Black Caribbean adults. Characteristics of church-based social support networks, as well as emotional support and negative interaction with church...
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This study examines the demographic correlates of depressive symptoms, serious psychological distress (SPD), and major depressive disorder (MDD; 12-month and lifetime prevalence) among a national sample of African American men. Analysis of the National Survey of American Life (NSAL) data set provides first-time substantiation of important demograph...
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Although racial disparities in health have been documented both historically and in more contemporary contexts, the frameworks used to explain these patterns have varied, ranging from earlier theories regarding innate racial differences in biological vulnerability, to more recent theories focusing on the impact of social inequalities. However, desp...
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Few studies have examined the association between social support, negative interaction, and major depressive disorder among representative samples of racial and ethnic minority groups. This study investigates the relationship between emotional support and negative interaction with family members on lifetime major depressive disorder among African A...
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Studies examining associations between racial discrimination and cardiovascular health outcomes have been inconsistent, with some studies finding the highest risk of hypertension among African Americans who report no discrimination. A potential explanation of the latter is that hypertension and other cardiovascular problems are fostered by internal...
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This study examines relationships among financial strain, unfair treatment, and martial satisfaction among African Americans. Using data from the National Survey of American Life, findings indicated that social stressors that occur inside of the home (i.e., financial strain) as well as those experienced outside of the home (i.e., unfair treatment)...
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Both emotional support and negative interaction with family members have been linked to mental health. However, few studies have examined the associations between emotional support and negative interaction and psychiatric disorders in late life. This study investigated the relationship between emotional support and negative interaction on lifetime...
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This study examines the association between race and depressive symptoms over a 16-year study period. The analysis is based on the responses of 3485 African-American and White respondents from four waves of the Americans' Changing Lives Panel Study. Growth mixture modeling was used to identify latent trajectory classes based on the reported levels...
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We apply structural equation modeling techniques to data from the National Survey of American Life to investigate the relationship between perceived discrimination and depressive symptoms among African American women ages 18-98 years (N=2,299). In addition, we evaluate whether or not personal mastery accounts for the intensity of African American w...
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This study examines the demographic correlates of psychological distress and psychological well-being among older African American and black Caribbean adults. Analysis of the National Survey of American Life revealed that psychological well-being and psychological distress are distinct concepts. Findings also identify distinct correlates of psychol...
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Research suggests that an individual's personality traits may mediate the relationship between social support and mental health. This study uses two national data sets to test a conceptual model that integrates personality, social support, negative interactions, and psychological distress. Results suggest that, beyond the influence of personality,...
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This study examined demographic predictors of attitudes regarding religious coping (i.e., prayer during stressful times and look to God for support, strength and guidance) within a national sample of African American, Caribbean Blacks and non-Hispanic Whites (National Survey of American Life). The findings demonstrate significant Black-White differ...
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This study investigated the correlates of relationship satisfaction, marriage expectations, and relationship longevity among unmarried African American and Black Caribbean (Caribbean Black) adults who are in a romantic relationship. The study used data from the National Survey of American Life, a national representative sample of African Americans...
Article
This study examines the correlates of marital satisfaction using data from a national probability sample of African Americans (N = 962) and Black Caribbeans (N = 560). Findings reveal differences between African Americans and Black Caribbeans, and men and women within those groups, in the predictors of marital satisfaction. Black Caribbean women re...
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This study examines the impact of financial strain, social support, and negative interactions on depressive symptoms among African Americans and the role of mastery as a mediator in these relationships. Structural equation modeling and baseline data from the Americans' Changing Lives Study were used to test these relationships among a sample of Afr...
Article
Latent profile analysis was used to summarize profiles of depressive symptoms among a nationally representative sample of US-born and Caribbean-born Blacks. Analyses are based on the responses of 4915 African Americans and Caribbean Blacks from the National Survey of American Life. A high symptoms and a low symptoms class were identified. Age, gend...
Chapter
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169 Given its pervasiveness in American social life, race as a construct and topic has a long history of scholarship and debate in sociology and a corresponding research literature, albeit not as extensive, in the sociology of mental health. We argue that inquiries about race and its consequences tend to reflect existing attitudes during different...
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This study proposed and tested a model of informal church support networks among African Americans. Consistent with research in family relations, age and gender were significantly associated with the frequency of interaction with church members. In addition, the degree of subjective closeness and the frequency of interaction were both significantly...
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Structural equation modeling was used to examine the relationships among stress, social support, negative interaction, and mental health in a sample of African American men and women between ages 18 and 54 (N = 591) from the National Comorbidity Study. The study findings indicated that social support decreased the number of depressive symptoms, did...
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This study examines the relationships among social support, negative interaction, financial strain, traumatic events, personal control, personality, and psychological distress among African American and white adults. These analyses: (1) test the overall adequacy of various models (i.e., main, mediator, and artifactual effects) of these effects, (2)...
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The study investigates the social and demographic, personality and social contact correlates of emotional support and negative interaction among older Black Americans. The present analyses are based on the responses of 519 older African American respondents (55-96 years old) from the Americans' Changing Lives Survey. Structural equation modeling (e...
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This article investigates sociodemographic and family and church factors as correlates of support from family and church members among a representative sample of African Americans. Overall patterns of family and church support indicate that slightly more than half of respondents receive assistance from both family and church networks, one quarter r...
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An emerging body of research findings indicates that religion is positively associated with a variety of physical and mental health outcomes. The resurgence of interest in the systematic study of religion and health has given added impetus to examining important questions concerning various conceptual and methodological issues. Of particular concer...
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Research examining the relationship between social support and psychological well-being has largely ignored the negative side of social interactions. However, empirical evidence suggests that negative interactions can potentially be more harmful than social support is helpful. This article critically reviews the literature investigating the relatio...
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A small but growing literature recognizes the varied roles that clergy play in identifying and addressing mental health needs in their congregations. Although the role of the clergy in mental health services delivery has not been studied extensively, a few investigations have attempted a systematic examination of this area. This article examines th...
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Sociodemographic correlates of religious participation among African Americans are examined using data from seven national probability surveys. Dependent variables included indicators of organizational (i.e., religious service attendance), nonorganizational (e.g., frequency of prayer, frequency of reading religious materials, watching/listening to...

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