scholarly journals Perceived Racial Discrimination and Mental Health in Diverse Groups of Asian Americans: The Differing Impacts by Age, Education, and Ethnicity

Author(s):  
Yong Ju Cho ◽  
Woo Jung Lee ◽  
Hans Oh ◽  
Jungeun Olivia Lee ◽  
Bo-Kyung Elizabeth Kim ◽  
...  
2022 ◽  
pp. 136346152110381
Author(s):  
Michael J. Zvolensky ◽  
Andrew H. Rogers ◽  
Nubia A. Mayorga ◽  
Justin M. Shepherd ◽  
Jafar Bakhshaie ◽  
...  

The Hispanic population is the largest minority group in the United States and frequently experiences racial discrimination and mental health difficulties. Prior work suggests that perceived racial discrimination is a significant risk factor for poorer mental health among Hispanic in the United States. However, little work has investigated how perceived racial discrimination relates to anxiety and depression among Hispanic adults. Thus, the current study evaluated the explanatory role of experiential avoidance in the relation between perceived racial discrimination and anxiety/depressive symptoms and disorders among Hispanic adults in primary care. Participants included 202 Spanish-speaking adults ( Mage = 38.99, SD = 12.43, 86.1% female) attending a community-based Federally Qualified Health Center. Results were consistent with the hypothesis that perceived racial discrimination had a significant indirect effect on depression, social anxiety, and anxious arousal symptoms as well as the number of mood and anxiety disorders through experiential avoidance. These findings suggest future work should continue to explore experiential avoidance in the association between perceived racial discrimination and other psychiatric and medical problems among the Hispanic population.


2019 ◽  
Vol 4 (4) ◽  
pp. 473-479 ◽  
Author(s):  
Michael J. Zvolensky ◽  
Andrew H. Rogers ◽  
Jafar Bakhshaie ◽  
Andres G. Viana ◽  
Rheeda Walker ◽  
...  

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Fernando Feijó ◽  
Caroline Feitosa ◽  
Leonardo Salvi ◽  
Aline Gusmão ◽  
Felipe Campos ◽  
...  

Abstract Background Racism is a major public health issue and may be associated with several mental health outcomes. However, more epidemiological analyses are necessary on the theme, particularly longitudinal studies. Therefore, we aimed to examine the association between perceived racial discrimination and anxiety symptoms during adolescence and young adulthood in a Brazilian metropolitan area. Methods A five-wave prospective longitudinal study started in 2000. Individuals were aged from 10 to 21 years at baseline, with clustered random sampling. Questions about the experience of racial discrimination were asked. PHQ-9 evaluated anxiety symptoms. Repeated measures analysis with GEE (Generalized Estimating Equations) estimated adjusted relative risks. Results There were 979 adolescents at baseline, with 19.9% (n = 195) reporting perceived racial discrimination and 26.5% (n = 259) with anxiety symptoms. A positive association was found between the perception of racism and anxiety symptoms, after adjustment for sex and age. When adding socioeconomic status, work and adverse environmental conditions, in the final adjusted model, the association was not substantially affected (RR = 1.52; 95% CI: 1.30-1.79). Conclusions The fight against racism and different types of discrimination and racial violence are urgent for public health. To assure high levels of ethical values and respect for fundamental human rights is still a challenge in the Brazilian society, still marked by the historical and shameful experience of slavery. Public policies, including health policies, in particular, must target the elimination racial discrimination as a central topic, reducing its consequences for mental health of black population. Key messages This study advances by adding a longitudinal analysis to a theme with a lack of epidemiological studies, especially longitudinal ones, contributing to the understanding of the association between racism in adolescence and mental health. The findings highlight the urgent need to fight racial discrimination as an ethical paradigm, reducing severe consequences of this type of violence on mental health.


2021 ◽  
Vol 19 (9) ◽  
pp. 121-131
Author(s):  
Angela Chia-Chen Chen, PhD, RN, PMHNP-BC ◽  
SeungYong Han, PhD ◽  
Wei Li, PhD ◽  
Karen J. Leong, PhD ◽  
Lihong Ou, MSN, RN

Introduction: Our research addressed double victimization among Asian Americans by COVID-19 and anti-Asian racial discrimination during the pandemic. Guided by the Vulnerable Populations framework that argues that health status reflects the dynamic interplay between resource availability and relative risk, we investigated time-sensitive questions that explored relative risk (perceived racial discrimination, fear of COVID-19), resources (COVID-19 prevention knowledge, resilience), and mental health status (post-traumatic stress disorder (PTSD), depression) in Asian American undergraduate and graduate students during the pandemic.Methods: A mixed-methods research was conducted to examine the relationships among the relative risk, resources, and mental health outcomes in this population. We adapted questions from valid and reliable measures to assess key variables. Descriptive and regression analyses along with content analysis were used to analyze the quantitative and qualitative data.Results: Our sample included 74 Asian American students (AA students) who participated in the online survey (53 complete cases were included in the statistical analysis) and an additional 10 AA students who were interviewed via Zoom. The results of hierarchical regression models confirmed a positive association between fear of COVID-19 and both mental health outcomes (PTSD and depression), and a negative association between COVID-19 prevention knowledge and mental health outcomes. Perceived racial discrimination was significantly and positively associated with PTSD and depression while controlling for sociodemographic variables. However, its association with outcomes diminished when fear of COVID-19 and COVID-19 prevention knowledge were added to the models. Our interview results supported the survey findings with more nuanced details not revealed in the survey.Conclusion: The findings of this research will help public health officials and universities identify practices useful for promoting culturally congruent safety and protection in response to pandemics and other health emergencies.


2020 ◽  
Vol 3 (3) ◽  
pp. 6-10
Author(s):  
Kenneth J. Steinman ◽  
Townsand Price-Spratlen ◽  
Christopher Browning

Background: Perceived racial discrimination (PRD) is known to harm youth, yet few studies use large, representative samples or study caregivers' perceptions of their children's experiences with unjust treatment. We examined how such a measure of PRD was associated with demographic characteristics as well as with physical and mental health outcomes for Black youth across Ohio.Methods: The 2019 Ohio Medicaid Assessment Survey was a complex telephone survey with a representative sample of 31 558 adults, 907 of whom completed a proxy interview for a youth in the household who was Black and age 6 to 18 years. One item from an Adverse Childhood Experiences (ACEs) scale assessed PRD: "To the best of your knowledge, has [name] ever experienced any of the following? Treated or judged unfairly because of [her/his] race or ethnic group."Results: Weighted analyses found that PRD was more common among Black youth who were older, from higher income families, and lived in rural counties. Perceived racial discrimination was also associated with frequent mental distress and with having an emotional or behavioral problem that needs treatment or counseling. It was not associated with any physical health outcomes measured.Conclusion: Our findings resemble those from other studies that use more extensive measures of PRD. While no substitute for extensive measures, the ACEs single-item measure may expand opportunities to study PRD in subgroup analyses of larger, representative samples. Yet our findings and those from other studies already provide considerable evidence that efforts to improve Black youth's mental health should consider their experience with PRD.


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