Life Sustaining Well-Being Practices and Physiological Health Among Black Men

OBJECTIVE: To identify culturally grounded well-being practices among Black men in midlife and examine their associations with physiological health. METHODS: Analyzing data from the 2004-2005 Midlife in the United States (MIDUS) study, we examined, 116 open-ended responses to the question, "What do you do to make your life go well?" Network topic modeling identified six topics: (1) interpersonal kindness and positive mindset; (2) caring for children; (3) practicing spirituality and faith; (4) maintaining social connections and well-being; (5) avoiding stress; and (6) meaningful work and daily activities. Topic scores, reflecting participants' tendency to discuss these themes, predicted allostatic load and inflammation in structural equation models adjusting for body mass index, chronic conditions, psychological and subjective well-being, age, income, and education. RESULTS: Greater emphasis on meaningful work and daily activities predicted lower inflammation and allostatic load, independent of demographic and psychological covariates (p