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J Health Psychol. 2016 Oct;21(10):2218-28. doi: 10.1177/1359105315572456. Epub 2015 Mar 2.

Everyday discrimination and physical health: Exploring mental health processes.

Author information

1
Yale School of Public Health, USA Harvard Medical School, USA Boston Children's Hospital, USA valerie.earnshaw@childrens.harvard.edu.
2
Yale School of Public Health, USA Pace University, USA.
3
Yale School of Public Health, USA Drexel School of Public Health, USA.
4
Yale School of Public Health, USA.

Abstract

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.

KEYWORDS:

depressive symptoms; everyday discrimination; health; stress; structural discrimination

PMID:
25736390
PMCID:
PMC4826316
[Available on 2017-10-01]
DOI:
10.1177/1359105315572456

Conflict of interest statement

Declaration of conflicting interests The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.

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