Abstract
Perceived racial discrimination (PRD) has been implicated in undermining the mental and physical health of racial/ethnic minorities (e.g., Williams et al. in Am J Public Health 93:200–208, 2003; Wong et al. in J Pers 71:1197–1232, 2003). Researchers have begun to explore the indirect role of health behaviors as one factor in helping to explain this relationship. The goal of the present study was to examine the relationship between PRD and a wide range of health behaviors using a prospective, longitudinal design and to explore the role of gender in moderating these relationships. Using data from the Maryland Adolescent Development in Context Study, we examined the relationship between adolescent PRD (accumulated across ages 14–21) and health behaviors (i.e., diet, substance use, exercise) at age 30 in a sample of middle-class black men and women. Using structural equation modeling, results revealed that more cumulative PRD during adolescence was associated with less healthy eating, more substance use (among men), and more exercise (among women) in young adulthood. Implications of these findings for understanding the role of health behaviors in explaining the link between PRD and health outcomes are considered.
Similar content being viewed by others
Notes
Results were identical when drinking, smoking, and marijuana use were considered as separate indicators. Thus, in the interest of space, we have combined these indicators into one global substance use latent variable.
References
Baltrous, P. T., Lynch, J. W., Everson-Rose, S., Raghunathan, T. E., & Kaplan, G. A. (2005). Race/ethnicity, life-course socioeconomic position, and body weight trajectories over 34 years: The Alameda County study. American Journal of Public Health, 95, 1595–1601.
Barnes, L. L., Mendes de Leon, C. F., Lewis, T. T., Bienias, J. L., Wilson, R. S., & Evans, D. A. (2008). Perceived discrimination and mortality in a population-based study of older adults. American Journal of Public Health, 98, 1241–1247.
Baumeister, R. F., & Vohs, K. D. (2004). Handbook of self-regulation: Research, theory, and applications. New York: Guilford.
Bennett, G. G., Wolin, K. Y., Robinson, E. L., Fowler, S., & Edwards, C. L. (2005). Perceived racial/ethnic harassment and tobacco use among African American young adults. American Journal of Public Health, 95, 238–240.
Borrell, L. S., et al. (2007). Self-reported racial discrimination and substance use in the coronary artery risk development in adults study. American Journal of Epidemiology, 166, 1068–1079.
Borrell, L. N., et al. (2010). Perceived racial/ethnic discrimination, smoking and alcohol consumption in the Multi-Ethnic Study of Atherosclerosis (MESA). Preventative Medicine, 51, 307–312.
Bowman, P. J., & Howard, C. (1985). Race-related socialization, motivation, and academic achievement: A study of black youths in three-generation families. Journal of the American Academy of Child Psychiatry, 24, 134–141.
Braveman, P., & Barclay, C. (2009). Health disparities beginning in childhood: A life course perspective. Pediatrics, 124, S163–S175.
Chavous, T. M., Rivas-Drake, D., Smalls, C., Griffin, T., & Cogburn, C. (2008). Gender matters, too: The influences of school racial discrimination and racial identity on academic engagement outcomes among African American adolescents. Developmental Psychology, 44, 367–654.
Cook, T. D., Habib, F., Phillips, M., Settersten, R. A., Shagle, S. C., & Degirmencioglu, S. M. (1999). Comer’s school development program: A theory-based evaluation. American Journal of Educational Research, 36, 543–597.
Copeland-Linder, N., Lambert, S. F., Chen, Y., & Ialongo, N. S. (2011). Contextual stress and health risk behaviors among African American adolescents. Journal of Youth and Adolescence, 40, 158–173.
Cunningham, M. (1999). African American adolescent males’ perceptions of their community resources and constraints: A longitudinal analyses. Journal of Community Psychology, 27, 569–589.
Eagly, A. H. (1987). Sex differences in social behavior: A social role interpretation. Hillsdale, NJ: Erlbaum.
Eccles, J. S. (1987). Gender roles and women’s achievement-related decisions. Psychology of Women Quarterly, 11, 135–172.
Elek, E., Miller-Day, M., & Hecht, M. L. (2006). Influences of personal, injunctive, and descriptive norms on early adolescent substance us. Journal of Drug Issues, 22, 147–172.
Frieze, I., Parsons, J. E., Johnson, P., Ruble, D. N., & Zellman, G. (1978). Women and sex roles: A social psychological perspective. New York: Norton.
Fuller-Rowell, T. E., Cogburn, C., Brodish, A.B., Peck, S., Malanchuk, O., & Eccles, J. S. Racial discrimination and substance use: Longitudinal associations and identity moderators. Manuscript in preparation.
Galambos, N. L. (2003). Gender and gender role development in adolescence. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (2nd ed., pp. 233–262). Hoboken, NJ: Wiley.
Geronimus, A. T., & Thompson, J. P. (2004). To denigrate, ignore, or disrupt: Racial inequality in health and the impact of a policy-induced breakdown of African American communities. Du Bois Review, 1, 247–279.
Gibbons, F. X., Etcheverry, P. E., Stock, M. L., Gerrad, M., Weng, C., Kiviniemi, M., et al. (2010). Exploring the link between racial discrimination and substance use: What mediates? What buffers? Journal of Personality and Social Psychology, 99, 785–801.
Gibbons, F. X., Gerrand, M., Cleveland, M. J., Wills, T. A., & Brody, G. (2004). Perceived discrimination and substance use in African American parents and their children: A panel study. Journal of Personality and Social Psychology, 86, 517–529.
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576.
Guthrie, B. J., Young, A. M., Williams, D. R., Boyd, C. J., & Kintner, E. K. (2002). African American girls’ smoking habits and day-to-day experiences with racial discrimination. Nursing Research, 51, 183–190.
Harrell, J. P., Hall, S., & Taliaferro, J. (2003). Physiological responses to racism and discrimination: An assessment of the evidence. American Journal of Public Health, 93, 243–248.
Hill, L. K., Kobayashi, I., & Hughes, J. W. (2007). Perceived racism and ambulatory blood pressure in African American college students. Journal of Black Psychology, 33, 404–421.
Hill, J. P., & Lynch, M. E. (1983). The intensification of gender-related role expectations during early adolescence. In J. Brooks-Gunn & A. Petersen (Eds.), Girls at puberty: Biological and psychosocial perspectives (pp. 201–228). New York: Plenum.
Howard, R. A., Freedman, D. M., Park, Y., Hollenbeck, A., Schatzkin, A., & Leitzmann, M. F. (2008). Physical activity, sedentary behavior, and the risk of colon and rectal cancer in the NIH-AARP Diet and Health Study. Cancer Causes and Control, 19, 939–953.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.
Jackson, J. S., Brown, T. N., Williams, D. R., Torres, M., Sellers, S. L., & Brown, K. (1996). Racism and the physical and mental health status of African Americans: A thirteen year national panel study. Ethnicity and Disease, 6, 132–147.
Jackson, J. S., Knight, K. M., & Rafferty, J. A. (2010). Race and unhealthy behaviors: Chronic stress, the HPA axis, and physical and mental health disparities over the life course. American Journal of Public Health, 100, 933–939.
Kuh, D., Ben-Shlomo, Y., Lynch, J., Hallqvist, J., & Power, C. (2003). Life course epidemiology. Journal of Epidemiology and Community Health, 57, 778–783.
Landrine, H., & Klonoff, E. A. (1996). The schedule of racist events: A measure of racial discrimination and a study of its negative physical and mental health consequences. Journal of Black Psychology, 22, 144–168.
Mann, R. E., Smart, R. G., & Govoni, R. (2003). The epidemiology of alcoholic liver disease. Alcohol Research & Health, 27, 209–219.
Martin, J. K., Tuch, S. A., & Roman, P. M. (2003). Problem drinking patterns among African Americans: The impacts of reports of discrimination, perceptions of prejudice, and “risky” coping strategies. Journal of Health and Social Behavior, 44, 408–425.
McDonald, R. P., & Ho, M. R. (2002). Principles and practices in reporting structural equation analyses. Psychological Methods, 7, 64–82.
Meece, J. L., Eccles-Parsons, J., Kaczala, C. M., Goff, S. E., & Futterman, R. (1982). Sex differences in math achievement: Toward a model of academic choice. Psychological Bulletin, 91, 324–348.
Mendes, W. B., Major, B., McCoy, S., & Blascovich, J. (2008). How attributional ambiguity shapes physiological and emotional responses to social rejection and acceptance. Journal of Personality and Social Psychology, 94, 278–291.
Mezuk, B., Rafferty, J. A., Kershaw, K. N., Hudson, D., Abdou, C. M., Lee, H., et al. (2010). Reconsidering the role of social disadvantage in physical and mental health: Stressful life events, health behaviors, race, and depression. American Journal of Epidemiology, 172, 1238–1249.
Muthén, L.K. & Muthén, B.O. (1998–2010). Mplus User’s Guide. 6th edn. Los Angeles, CA: Muthén & Muthén.
Nam, C. B., & Powers, M. G. (1983). The socioeconomic approach to status measurement: With a guide to occupational and socioeconomic status scores. Houston: Cap and Gown.
Pascoe, E. A., & Richman, L. S. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531–554.
Prentice, D. A., & Carranza, E. (2002). What women should be, shouldn’t be, are allowed to be, and don’t have to be: The contents of prescriptive gender stereotypes. Psychology of Women Quarterly, 26, 269–281.
Probst, J., Moore, C., Glover, S., & Samuels, M. (2004). Person and place: The compounding effects of race/ethnicity and rurality on health. American Journal of Public Health, 94, 1695–1703.
Rostad, F. G., & Long, B. C. (1996). Exercise as a coping strategy for stress. International Journal of Sport Psychology, 27, 197–222.
Sanchez-Vaznaugh, E. A., Kawachi, I., Subramanian, S. V., Sanchez, B. N., & Acevedo-Garcia, D. (2008). Differential effect of birthplace and length of residence on body mass index (BMI) by education, gender, and race/ethnicity. Social Science and Medicine, 67, 1300–1310.
Shelton, R. C., Puleo, E., Bennett, G. G., McNeill, L. H., Sorenson, G., & Emmons, K. M. (2009). The association between racial and gender discrimination and body mass index among residents living in lower-income housing. Ethnicity and Disease, 19, 251–257.
Thomas, A. J., & Speight, S. L. (1999). Racial identity and racial socialization attitudes of African American parents. Journal of Black Psychology, 25, 152–170.
Todorova, I. L. G., Falcon, L. M., Lincoln, A. K., & Price, L. L. (2010). Perceived discrimination, psychological distress and health. Sociology of Health & Illness, 32, 843–861.
Troxel, W. M., Matthews, K. A., Bromberger, J. T., & Sutton-Tyrrell, K. (2003). Chronic stress burden, discrimination, and subclinical carotid artery disease in African American and Caucasian women. Health Psychology, 22, 300–309.
Wang, Y., & Beydoun, M. A. (2007). The obesity epidemic in the United States—Gender, age, socioeconomic, racial/ethnic, and geographic characteristics: A systematic review and meta-regression analysis. Epidemiologic Reviews 1–23.
Wiehe, S. E., Aalsma, M. C., Liu, G. C., & Fortenberry, J. D. (2010). Gender differences in the association between perceived discrimination and adolescent smoking. American Journal of Public Health, 100, 510–516.
Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200–208.
Wong, C. A., Eccles, J. S., & Sameroff, A. (2003). The influence of ethnic discrimination and ethnic identification on African American adolescents’ school and socioemotional adjustment. Journal of Personality, 71, 1197–1232.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brodish, A.B., Cogburn, C.D., Fuller-Rowell, T.E. et al. Perceived Racial Discrimination as a Predictor of Health Behaviors: the Moderating Role of Gender. Race Soc Probl 3, 160–169 (2011). https://doi.org/10.1007/s12552-011-9050-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12552-011-9050-6