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01-02-2006 | Original Article

Conceptualizing and Measuring Ethnic Discrimination in Health Research

Auteurs: Hope Landrine, Elizabeth A. Klonoff, Irma Corral, Senaida Fernandez, Scott Roesch

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2006

Abstract

This paper presents the General Ethnic Discrimination Scale, an 18-item measure of perceived ethnic discrimination that can be used in health research with any ethnic group. The 1569 participants (half college students, half community adults) completed the General Ethnic Discrimination scale and measures of cigarette smoking and of psychiatric symptoms. Results revealed that the General Ethnic Discrimination subscales model the latent construct of perceived ethnic discrimination equally well for Blacks, Latinos, Asians, and Whites. Discrimination was strongly related to psychiatric symptoms and to current cigarette smoking for ethnic minorities and Whites alike, but such relationships were stronger for ethnic minorities. Minorities who experienced frequent discrimination were 2.3 times more likely than their low-discrimination counterparts to be smokers. This 5th grade reading-level scale takes 10 min to complete and has sufficient, initial psychometric integrity for use in clinical and community health studies.

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Andersen, B. L., Kiecolt-Glaser, J. K., and Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. Am. Psychol. 49: 389–404.CrossRefPubMed

Barret, L. F., and Swim, J. K. (1998). Appraisals of prejudice and discrimination. In Swim, J. K., and Stangor, C. (Eds.), Prejudice, Academic Press, San Diego, CA, pp. 11–35.

Barry, D. T., and Grilo, C. M. (2003). Cultural, self-esteem, and demographic correlates of perception of personal and group discrimination among East Asian immigrants. Am. J. Orthopsychiatry 73: 223–229.CrossRefPubMed

Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychol. Bull. 107: 238–246.CrossRefPubMed

Bird, S. T., and Bogart, L. M. (2001). Perceived race-based and socioeconomic status-based discrimination in interactions with health care providers. Ethn. Dis. 11: 554–563.PubMed

Branscombe, N. R., Schmitt, M. T., and Harvey, R. D. (1999). Perceiving pervasive discrimination among African-Americans. J. Pers. Soc. Psychol. 77: 135–149.CrossRef

Broman, C. L., Mavaddat, R., and Hsu, S. (2000). The experience and consequences of perceived racial discrimination. J. Black Psychol. 26: 165–180.CrossRef

Brondolo, E., Kelly, K. P., Coakley, V., Gordon, T., Thompson, S., Levy, E., et al. (2005). The perceived ethnic discrimination questionnaire. J. Appl. Soc. Psychol. 35(2): 335–365.CrossRef

Brondolo, E., Rieppi, R., Kelly, K. P., and Gerin, W. (2003). Perceived racism and blood pressure. Ann. Behav. Med. 25: 55–65.CrossRefPubMed

Cacioppo, J. (1994). Social neuroscience: Autonomic, neuroendocrine, and immune responses to stress. Psychophysiology 31: 113–128.PubMedCrossRef

Choi, I., Nisbett, R. E., and Norenzayan, A. (1999). Causal attribution across cultures. Psychol. Bull. 125: 47–63.CrossRef

Clark, R., Anderson, N. B., Clark, C. R., and Williams, D. R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. Am. Psychol. 54: 805–816.CrossRefPubMed

Cohen, S. (1986). Contrasting the Hassles scale and the Perceived Stress Scale. Am. Psychol. 41: 716–718.CrossRef

Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. J. Health Soc. Behav. 24: 385–396.PubMedCrossRef

Collins, J. W., David, R. J., Symons, R., Handler, A., Wall, S. N., and Dwyer, L. (2000). Low-income African-American mothers’ perception of exposure to racial discrimination and infant birth weight. Epidemiology 11: 337–339.CrossRefPubMed

Contrada, R. J., Ashmore, R. D., Gary, M. L., Coups, E., Egeth, J. D., Sewell, A., et al. (2001). Measures of ethnicity-related stress. J. Appl. Soc. Psychol. 31: 1775–1820.CrossRef

Crocker, J., Major, B., and Steele, C. (1998). Social stigma. In Gilbert, D., Fiske, S. T., and Lindzey, G. (Eds.), Handbook of Social Psychology, McGraw-Hill, Boston, pp. 504–553.

Crocker, J., and Quinn, D. (1998). Racism and self-esteem. In Eberhardt, J. L., and Fiske, S. T. (Eds.), Confronting Racism: The Problem and the Response, Sage, Thousand Oaks, CA, pp. 169–187.

Darity, W. A. (2003). Employment discrimination, segregation, and health. Am. J. Public Health 93: 226–231.PubMed

Derogatis, L. R., Lipman, R. S., Covi, L., and Rickels, K. (1971). Neurotic symptom dimensions. Arch. Gen. Psychiatry 24: 454–464.PubMed

Derogatis, L. R., Lipman, R. S., Rickles, K., Ulenhuth, E., and Covi, L. (1994). The Hopkins Symptom Checklist: A self-report symptom inventory. Behav. Sci. 19: 1–15.CrossRef

Dion, K. L. (2002). The social psychology of perceived prejudice and discrimination. Can. Psychol. 43: 1–10.

Dion, K. L., Dion, K. K., and Pappas, G. (1992). Personality based hardiness as a buffer for discrimination-related stress in members of Toronto's Chinese community. Can. J. Behav. Sci. 24: 517–536.CrossRef

Dohrenwend, B. P. (1998). Adversity, Stress, and Psychopathology, Oxford University Press, NY.

Dohrenwend, B. S., and Dohrenwend, B. P. (1974). Stressful Life Events, Wiley, New York.

Dohrenwend, B. S., and Dohrenwend, B. P. (1981). Life Stress and Illness. Prodist, New York.

Dohrenwend, B. S., Krasnoff, L., Askenasy, A., and Dohrenwend, B. P. (1978). Exemplification of a method for scaling life events. J. Health Soc. Behav. 19: 205–229.PubMedCrossRef

Essed, P. (1991). Everyday Racism, Hunter House, Claremont, CA.

Finch, B. K., Kolody, B., and Vega, W. A. (2000). Perceived discrimination and depression among Mexican origin adults in California. J. Health Soc. Behav. 41: 295–313.PubMedCrossRef

Flesch, R. (1948). A new readability yardstick. J. Appl. Psychol. 32: 221–233.CrossRefPubMed

Flesch, R. (1974). The Art of Readable Writing, Harper and Row, New York.

Gallo, L. C., and Matthews, K. A. (2003). Understanding the association between socioeconomic status and physical health: Do negative emotions play a role? Psychol. Bull. 129: 10–51.CrossRefPubMed

Garfinkel, L. (1997). Trends in cigarette smoking in the United States. Prev. Med. 26: 447–450.CrossRefPubMed

Gee, G. C. (2002). A multilevel analysis of the relationship between institutional and individual racial discrimination and health status. Am. J. Public Health 92: 615–623.PubMed

Harrell, J. P., Hall, S., and Taliaferro, J. (2003). Physiological responses to racism and discrimination. Am. J. Public Health 93: 243–248.PubMed

Herbert, T. B., and Cohen, S. (1993). Stress and immunity in humans: A meta-analytic review. Psychosom. Med. 55: 364–379.PubMed

Hoyle, R. H. (2000). Confirmatory factor analysis. In Tinsley, H. E. A., and Brown, S. D. (Eds.), Handbook of Applied Multivariate Statistics and Mathematical Modeling, Academic Press, San Diego, CA, pp. 465–497.

Hu, L. T., and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct. Equat. Model. 6: 1–55.CrossRef

Jackson, J. S., Brown, T. N., Williams, D. R., Torres, M., Sellers, S. L., and Brown, K. (1996). Racism and the physical and mental health status of African Americans. Ethn. Dis. 6: 32–47.

Kanner, A. D., Coyne, J. C., Schaeffer, C., and Lazarus, R. S. (1981). Comparison of two modes of stress measurement. J. Behav. Med. 4: 1–39.CrossRefPubMed

Karlsen, S., and Nazroo, J. Y. (2002). Relation between racial discrimination, social class, and health among ethnic minority groups. Am. J. Public Health 92: 624–631.PubMed

Kiecolt-Glaser, J. K., and Glaser, R. (1995). Psychoneuroimmunology and health consequences: Data and shared mechanisms. Psychosom. Med. 57: 269–274.PubMed

Klonoff, E. A., and Landrine, H. (1996). Acculturation and cigarette smoking among African-American adults. J. Behav. Med. 19(5): 501–514.CrossRefPubMed

Klonoff, E. A., and Landrine, H. (1999a). Cross-validation of the schedule of racist events. J. Black Psychol. 25: 231–254.CrossRef

Klonoff, E. A., and Landrine, H. (1999b). Acculturation and cigarette smoking among African Americans: Replication and implications for prevention and cessation programs. J. Behav. Med. 22(2): 195–204.CrossRefPubMed

Klonoff, E. A., and Landrine, H. (2000). Is skin color is a marker for racial discrimination? Explaining the skin color-hypertension relationship. J. Behav. Med. 23: 329–338.CrossRefPubMed

Klonoff, E. A., and Landrine, H. (2001). Depressive symptoms and smoking among Black adults: Absence of a relationship? J. Health Psychol. 6(6): 645–649.

Klonoff, E. A., Landrine, H., and Campbell, R. R. (2000). Sexist discrimination may account for wellknown gender differences in psychiatric symptoms. Psychol. Women Q. 24(1): 92–98.CrossRef

Klonoff, E. A., Landrine, H., and Ullman, J. B. (1999). Racial discrimination and psychiatric symptoms among Blacks. Cult. Divers. Ethn. Minor. Psychol. 5: 329–339.CrossRef

Krieger, N. (1990). Racial and gender discrimination: Risk factors for high blood pressure? Soc. Sci. Med. 30: 1273–1281.CrossRefPubMed

Krieger, N., and Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA study. Am. J. Public Health 86: 1370–1378.PubMed

Krieger, N., Sidney, S., and Coakley, E. (1998). Racial discrimination and skin color in the CARDIA study. Am. J. Public Health 88: 1308–1313.PubMedCrossRef

Landrine, H., and Klonoff, E. A. (1996a). The schedule of racist events. J. Black Psychol. 22: 144–168.CrossRef

Landrine, H., and Klonoff, E. A. (1996b). African-American Acculturation: Deconstructing “Race” and Reviving Culture, Sage, Thousand Oaks, CA.

Landrine, H., and Klonoff, E. A. (1997). Discrimination Against Women: Prevalence, Consequences, Remedies, Sage, Thousand Oaks, CA.

Landrine, H., and Klonoff, E. A. (2000). Racial discrimination and smoking among Blacks: Findings from two studies. Ethn. Dis. 10: 195–202.PubMed

LaVeist, T. A., and Wallace, J. M. (2000). Health risk and inequitable distribution of liquor stores in African American neighborhoods. Soc. Sci. Med. 51: 613–617.CrossRefPubMed

Lazarus, R. S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer, New York.

LeClere, F. B., Rogers, R. G., and Peters, K. D. (1997). Ethnicity and mortality in the United States: Individual and community correlates. Soc. Forces 76: 169–198.CrossRef

Lee, R. E., and Cubbin, C. (2002). Neighborhood context and youth cardiovascular health behaviors. Am. J. Public Health 92: 428–436.PubMedCrossRef

Lee, R. M. (2003). Do ethnic identity and other-group orientation protect against discrimination for Asian Americans? J. Couns. Psychol. 50: 133–141.CrossRef

Lepore, S. J. (1995). Measurement of chronic stressors. In Cohen, S. C., Kessler, R. C., and Gordon, L. U. (Eds.), Measuring Stress, Oxford University Press, New York, pp. 102–120.

Loo, C. M., Fairbank, J. A., Scurfield, R. M., Ruch, L. O., King, D. W., Adams, L. J., and Chemtob, C. M. (2001). Measuring exposure to racism: Development and validation of a Race-Related Stressor Scale for Asian American Vietnam veterans. Psychol. Assess. 13: 503–520.CrossRefPubMed

Major, B., Gramzow, R. H., McCoy, S. K., Levin, S., Schmader, T., and Sidanius, J. (2002). Perceiving personal discrimination. J. Pers. Soc. Psychol. 82: 269–282.CrossRefPubMed

Mattsson, N. B., Williams, H. V., Rickles, K., Lipman, R. S., and Uhlenhuth, E. H. (1969). Dimensions of symptom distress in anxious neurotic outpatients. Psychopharmacol. Bull. 5: 19–32.PubMed

McCoy, S. K., and Major, B. (2003). Group identification moderates emotional responses to perceived prejudice. Pers. Soc. Psychol. Bull. 29: 1005–1017.CrossRefPubMed

Morris, M. W., Nisbett, R. E., and Peng, K. (1995). Causal understanding across domains and cultures. In Sperber, D., Premack, D., and Premack, A. J. (Eds.), Causal Cognition, Oxford University Press, Oxford, pp. 577–612.

Myer, I. H. (2003). Prejudice as stress: Conceptual and measurement problems. Am. J. Public Health 93: 262–265.PubMed

Nazroo, J. Y. (2003). The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism. Am. J. Public Health 93: 277–284.PubMed

Noh, S., Beiser, M., Kaspar, V., Hou, F., and Rummens, J. (1999). Perceived racial discrimination, depression and coping: A study of Southeast Asian refugees in Canada. J. Health Soc. Behav. 40: 208–230.PubMedCrossRef

Noh, S., and Kaspar, V. (2003). Perceived discrimination and depression: Moderating effects of coping, acculturation, and ethnic support. Am. J. Public Health 93: 232–238.PubMed

Polednak, A. P. (1996). Segregation, discrimination and mortality in U.S. Blacks. Ethn. Dis. 6: 99–108.PubMed

Ruggiero, K. M., and Taylor, D. M. (1997). Why minority group members perceive or do not perceive the discrimination that confronts them: The role of self-esteem and perceived control. J. Pers. Soc. Psychol. 72: 373–389.CrossRefPubMed

Satorra, A., and Bentler, P. M. (1988). Scaling corrections for chi-square statistics in covariance structure analysis. Proc. Am. Stat. Assoc. 308–313.

Steiger, J. S. (1999). Structural model evaluation and modification: An interval estimation approach. Multivar. Behav. Res. 25: 173–180.CrossRef

Szalacha, L. A., Erkut, S., Coll, C. G., Alarcon, O., Fields, J. P., and Ceder, I. (2003). Discrimination and Puerto Rican children's and adolescents’ mental health. Cult. Divers. Ethn. Minor. Psychol. 9: 141–155.CrossRef

Tanaka, J. S. (1993). Multifaceted conceptions of fit in structural equation models. In Bollen, K. A., and Long, J. S. (Eds.), Testing Structural Equation Models, Sage Press, Newbury Park, CA, pp. 10–39.

Thompson, V. L. S. (1996). Perceived experiences of racism as stressful life events. Community Ment. Health J. 32: 223–233.CrossRefPubMed

Ullman, J. B. (2001). Structural equation modeling. In Tabachnick, B. G., and Fidell, L. S. (Eds.), Using Multivariate Statistics, Harper Collins, New York, pp. 709–811.

U.S. Dept. of Health and Human Services (1998). Tobacco Use Among U.S. Racial/ethnic Minority Groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A Report of the Surgeon General, DHHS, Centers for Disease Control & Prevention, Office on Smoking and Health.

Utsey, S. O. (1998). Assessing the stressful effects of racism: A review of instrumentation. J. Black Psychol. 24: 269–288.CrossRef

Utsey, S. O., and Ponterotto, J. G. (1996). Development and validation of the Index of Race-Related Stress. J. Couns. Psychol. 43: 490–501.CrossRef

Vines, A. I., McNeilly, M. D., Stevens, J., Hertz-Picciotto, I., Bohlig, M., and Baird, D. S. (2001). Development and reliability of a Telephone-Administered Perceived Racism Scale (TPRS). Ethn. Dis. 11: 251–262.PubMed

Williams, D. R., Neighbors, H. W., and Jackson, J. S. (2003). Racial/ethnic discrimination and health. Am. J. Public Health 93: 200–208.PubMed

Williams, D. R., Spencer, M. S., and Jackson, J. S. (1999). Race, stress, and physical health. In Contrada, R. J., and Ashmore, R. D. (Eds.), Self, Social Identity, and Physical Health: Interdisciplinary Explorations, Oxford University Press, New York, pp. 71–100.

Williams, D. R., Yu, Y., Jackson, J. S., and Anderson, N. B. (1997). Racial differences in physical and mental health. J. Health Psychol. 2: 335–351.CrossRef

Titel: Conceptualizing and Measuring Ethnic Discrimination in Health Research
Auteurs: Hope Landrine
Elizabeth A. Klonoff
Irma Corral
Senaida Fernandez
Scott Roesch
Publicatiedatum: 01-02-2006
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2006
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-005-9029-0

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