More Just for Me than Which Others? Personal Justice Ascendancy, Perceived Discrimination in Healthcare, and Personal Well-Being in African Americans

Believing the world is more just for oneself than for others—referred to as personal justice ascendancy—can protect and enhance well-being. For African Americans, personal justice ascendancy may be multifaceted, encompassing comparisons not only to other African Americans but also to White Americans. The present research examined relationships between these two specific personal justice ascendancies and psychological well-being among African Americans. African American adults (N = 274) reported their beliefs about justice for self, for other African Americans, and for White Americans. We measured life satisfaction, perceived stress, and perceptions of healthcare systems as outcomes. Overall, participants believed the world to be more just for White Americans, but less just for other African Americans, than the self. Personal justice ascendancy over African Americans and White Americans both predicted greater life satisfaction and lower perceived stress. Personal justice ascendancy over African Americans predicted more negative perceptions of healthcare, whereas personal justice ascendancy over White Americans predicted more positive healthcare perceptions. Findings suggest effects of personal justice ascendancy on well-being and health-related attitudes are governed by multiple social comparisons for African Americans. Attending to and understanding nuances in these comparisons could further inform efforts to understand and address racial health disparities.

Duke Scholars

Author Isaac Marcelo Lipkus School of Nursing