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Racial discrimination, psychological distress, and self-rated health among US-born and foreign-born Black Americans.

File Language:
English


Details

  • Personal Author:
  • Description:
    Objectives. We investigated associations among racial discrimination, psychological distress, and self-rated health among US-born and immigrant Black Americans. Methods. We conducted a cross-sectional analysis of a cohort of employed working-class Black Americans (193 US-born, 275 foreign-born). Results. Both US-born and foreign-born Black participants had high levels of exposure to poverty (51% and 57%, respectively) and racial discrimination (76% and 60%) and reported high levels of severe psychological distress (14% and 16% had a Kessler 6 [K6] score of 13 or greater); 17% and 7% reported fair or poor health. After controlling for relevant covariates, their risk parameters for racial discrimination (high vs no exposure) were 4.0 (95% confidence interval [CI] = 2.3, 5.6) and 3.3 (95% CI = 2.1, 4.5), respectively, for continuous K6 score; corresponding odds ratios for severe psychological distress were 6.9 (95% CI = 1.4, 35.7) and 6.8 (95% CI = 2.5, 18.3). No associations existed between racial discrimination and self-reported health, suggesting that an underlying propensity to report adversity does not account for our psychological distress findings. Conclusions. Our results attest to the salience of racial discrimination, nativity, and socioeconomic position in understanding the experiences and psychological health of Black Americans. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    0090-0036
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Volume:
    101
  • Issue:
    9
  • NIOSHTIC Number:
    nn:20065330
  • Citation:
    Am J Public Health 2011 Sep; 101(9):1704-1713
  • Contact Point Address:
    Nancy Krieger, PhD, Department of Society, Human Development, and Health, Harvard School of Public Health, 677 Huntington Ave, Kresge 717, Boston, MA 02115
  • Email:
    nkrieger@hsph.harvard.edu
  • Federal Fiscal Year:
    2011
  • Performing Organization:
    Dana-Farber Cancer Institute
  • Peer Reviewed:
    True
  • Start Date:
    20010930
  • Source Full Name:
    American Journal of Public Health
  • End Date:
    20050929
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:4bef6dfea1c71c8aca002e8d926408e391afbd81f9e3ef4570bd88a2fdedf4a8e133b8ae7d0f6086e63bf12a80cc1f16e1f6544f950d89298cb02e8f0cf40d74
  • Download URL:
  • File Type:
    Filetype[PDF - 571.00 KB ]
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