American Journal of Public Health · 2003 · 795 citations · 60 references
Public HealthPopulation Health SciencesPsychologyDiscriminationPopulation HealthSocial Determinants Of HealthEthnic DiscriminationHealth DisparitiesMental HealthRace DiscriminationRacial DiscriminationRacismCoping With DiscriminationDiscrimination In Mental HealthDiscrimination MeasurementDiscrimination StressMental Health Status AssessmentMental Status ChangesRacial Health Inequities
Discrimination is linked to poorer physical and mental health, yet existing studies inadequately explain how it increases disease risk, with gaps in measurement, design, and life‑course analysis. The study seeks to direct future research on how discrimination alters health by testing underlying stress‑related mechanisms. The authors review population‑based studies linking perceived discrimination to health outcomes.
The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the extant research does not adequately address whether and how exposure to discrimination leads to increased risk of disease. Gaps in the literature include limitations linked to measurement of discrimination, research designs, and inattention to the way in which the association between discrimination and health unfolds over the life course. Research on stress points to important directions for the future assessment of discrimination and the testing of the underlying processes and mechanisms by which discrimination can lead to changes in health.
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