Everyday discrimination and physical health: Exploring mental health processes

被引:45
作者
Earnshaw, Valerie A. [1 ,2 ,3 ]
Rosenthal, Lisa [1 ,4 ]
Carroll-Scott, Amy [1 ,5 ]
Santilli, Alycia [1 ]
Gilstad-Hayden, Kathryn [1 ]
Ickovics, Jeannette R. [1 ]
机构
[1] Yale Sch Publ Hlth, New Haven, CT USA
[2] Harvard Med Sch, Boston, MA USA
[3] Boston Childrens Hosp, Boston, MA USA
[4] Pace Univ, New York, NY USA
[5] Drexel Sch Publ Hlth, Philadelphia, PA USA
关键词
depressive symptoms; everyday discrimination; health; stress; structural discrimination; SELF-RATED HEALTH; RESIDENTIAL SEGREGATION; RACIAL-DISCRIMINATION; RACIAL/ETHNIC DISCRIMINATION; PERCEIVED DISCRIMINATION; DEPRESSIVE SYMPTOMS; RISK; LIFE; BEHAVIORS; VALIDITY;
D O I
10.1177/1359105315572456
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Goals of this study were to examine the mental health processes whereby everyday discrimination is associated with physical health outcomes. Data are drawn from a community health survey conducted with 1299 US adults in a low-resource urban area. Frequency of everyday discrimination was associated with overall self-rated health, use of the emergency department, and one or more chronic diseases via stress and depressive symptoms operating in serial mediation. Associations were consistent across members of different racial/ethnic groups and were observed even after controlling for indicators of stressors associated with structural discrimination, including perceived neighborhood unsafety, food insecurity, and financial stress.
引用
收藏
页码:2218 / 2228
页数:11
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