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Everyday discrimination and physical health: Exploring mental health processes
Valerie A Earnshaw1, Lisa Rosenthal2, Amy Carroll-Scott3
1Yale School of Public Health, USA Harvard Medical School, USA Boston Children's Hospital, USA valerie.earnshaw@childrens.harvard.edu.
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.
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