Multiple Perceived Reasons for Major Discrimination and Depression
Abstract
Although perceived discrimination is linked to poor mental health, little is known about the mental health significance of the number of perceived reasons for discrimination. Using survey data from a community-based sample of adults living in Miami, Florida (n = 1,944), this study tests whether those reporting multiple perceived reasons for major discriminating events are at increased risk for depression. Cross-sectional and longitudinal analyses reveal those reporting multiple reasons for major discrimination are at increased risk for lifetime major depression and subsequent depressive symptoms. While social support and mastery partially mediated the link between multiple perceived reasons for discrimination and subsequent depressive symptoms, this psychological risk was not fully explained by these coping resources. Together the findings underscore the psychological toxicity of perceived discrimination and the importance of considering multiple perceived reasons for discrimination as a risk factor for poor mental health.
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References
Ajrouch Kristine J., Reisine Susan, Lim Sungwoo, Sohn Woosung, Ismail Amid. 2010. “Perceived Everyday Discrimination and Psychological Distress: Does Social Support Matter?” Ethnicity & Health & Health 15(4):417-34.
American Psychiatric Association. 1994. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association.
Aneshensel Carol S., Frerichs Ralph R. 1982. “Stress, Support, and Depression: A Longitudinal Causal Model.” Journal of Community Psychology 10:363-76.
Barrera Manuel Jr. 1988. “Models of Social Support and Life Stress: Beyond the Buffering Hypothesis.” Pp. 211-36 in Life Events and Psychological Functioning: Theoretical and Methodological Issues, edited by Cohen L. H. Newbury Park, CA: Sage.
Bastos João Luiz, Faerstein Eduardo. 2012. “Conceptual and Methodological Aspects of Relations between Discrimination and Health in Epidemiological Studies.” Forum 28(1):177-83.
Berdahl Jennifer L., Moore Celia. 2006. “Workplace Harassment: Double Jeopardy for Minority Women.” Journal of Applied Psychology 91(2):426-36.
Bhui Kamaldeep, Stansfeld Stephen, McKenzie Kwame, Karlsen Saffron, Nazroo James, Weich Scott. 2005. “Racial/ethnic Discrimination and Common Mental Disorders among Workers: Findings from the EMPIRIC Study of Ethnic Minority Groups in the United Kingdom.” American Journal of Public Health 95(3):496-501.
Blazer Dan G., Kessler Ronald C., McGonagle Katherine A., Swartz Marvin S. 1994. “The Prevalence and Distribution of Major Depression in a National Community Sample: The National Comorbidity Survey.” American Journal of Psychology 151(7):979-86.
Borrell Carme, Artazcoz Lucia, Gil-González Diana, Pérez Glòria, Rohlfs Izabella, Pérez Katherine. 2010. “Perceived Sexism as a Health Determinant in Spain.” Journal of Women’s Health 19:741-50.
Borrell Luisa N., Jacobs, Jr. David R., Williams David R., Pletcher Mark J., Houston Thomas K., Kiefe Catarina I. 2007. “Self-reported Racial Discrimination and Substance Use in the Coronary Artery Risk Development in Adults Study.” American Journal of Epidemiology 166(9):1068-79.
Bradford Judith, Ryan Caitlin, Rothblum Esther D. 1994. “National Lesbian Health Care Survey: Implications for Mental Health Care.” Journal of Consulting and Clinical Psychology 62(2):228-42.
Brown Tony N., Williams David R., Jackson James S., Neighbors Harold W., Torres Myriam, Sellers Sherrill L., Brown Kendrick T. 2000. “Being Black and Feeling Blue: The Mental Health Consequences of Racial Discrimination.” Race and Society 2(2):117-31.
Browne Irene, Misra Joya. 2003. “The Intersection of Gender and Race in the Labor Market.” Annual Review of Sociology 29:487-513.
Buchanan NiCole T., Fitzgerald Louise F. 2008. “Effects of Racial and Sexual Harassment on Work and the Psychological Well-being of African American Women.” Journal of Occupational Health Psychology 13(2):137-51.
Carreon Daisy, Noymer Avndrew. 2011. “Health-related Quality of Life in Older Adults: Testing the Double Jeopardy Hypothesis.” Journal of Aging Studies 25(4):371-79.
Clark Rodney, Anderson Norman B., Clark Vernessa R., Williams David R. 2013. “Racism as a Stressor for African Americans.” Pp. 79-103 in Race, Ethnicity, and Health, edited by LaVeist T. A., Isaac L. A. San Francisco, CA: Jossey-Bass.
Cobb S. 1976. “Social Support as a Moderator of Life Stress. Psychosomatic Medicine 38:300-14.
Cohen Sheldon, Kaplan George A., Salonen Jukka T. 1999. “The Role of Psychological Characteristics in the Relation between Socioeconomic Status and Perceived Health.” Journal of Applied Social Psychology 29(3):445-68.
Cohen Sheldon, Kessler Ronald C., Gordon Lynn U. 1997. “Strategies for Measuring Stress in Studies of Psychiatric and Physical Disorders.” Pp. 3-26 in Measuring Stress: A Guide for Health and Social Scientists, edited by Cohen S., Kessler R. C., Gordon L. U. New York: Oxford University Press.
Collins Patricia Hill. 2000. Black Feminist Thought. New York: Routledge.
Dowd James J., Bengston Vern L. 1978. “Aging in Minority Populations: An Examination of the Double Jeopardy Hypothesis.” Journal of Gerontology 33(3):427-36.
Feagin Joe R. 1991. “The Continuing Significance of Race: Antiblack Discrimination in Public Places.” American Sociological Review 56(1):101-16.
Ferraro Kenneth F., Farmer Melissa M. 1996. “Double Jeopardy to Health Hypothesis for African Americans: Analysis and Critique.” Journal of Health and Social Behavior 37(1):27-43.
Forsyth Jessica, Carter Robert T. 2012. “The Relationship between Racial Identity Status Attitudes, Racism-related Coping, and Mental Health among Black Americans.” Cultural Diversity and Ethnic Minority Psychology 18(2):128-40.
Gayman Mathew D., Turner R. Jay, Cui Ming. 2008. “Physical Limitations and Depressive Symptoms: Exploring the Nature of the Association.” Journal of Gerontology: Social Sciences 63(4): S219-28.
Gee Gilbert C. 2002. “A Multilevel Analysis of the Relationship between Institutional and Individual Racial Discrimination and Health Status.” American Journal of Public Health 92(4):615-23.
Gee Gilbert, Walsemann Katrina. 2009. “Does Health Predict the Reporting of Racial Discrimination or Do Reports of Discrimination Predict Health? Findings from the National Longitudinal Study of Youth.” Social Science and Medicine 68(9):1676-84.
Gibbons Frederick X., O’Hara Ross E., Stock Michelle L., Gerrard Meg, Weng Chih-Yuan, Wills Thomas A. 2012. “The Erosive Effects of Racism: Reduced Self-control Mediates the Relation between Perceived Racial Discrimination and Substance Use in African American Adolescents.” Journal of Personality and Social Psychology 102(5):1089-104.
Greenman Emily. 2008. “Double Jeopardy? The Interaction of Gender and Race on Earnings in the United States.” Social Forces 86(3):1217-44.
Grollman Eric Anthony. 2012. “Multiple Forms of Perceived Discrimination and Health among Adolescents and Young Adults.” Journal of Health and Social Behavior 53(2):199-214.
Herek Gregory M., Gillis J. Roy, Cogan Jeanine C. 1999. “Psychological Sequelae of Hate Crime Victimization among Lesbian, Gay, and Bisexual Adults.” Journal of Consulting and Clinical Psychology 67:945-51.
Hollingshead A. B. 1957. Two Factor Index of Social Position. New Haven, CT: A. B. Hollingshead.
Howarter Alisha D., Bennett Kymberley K. 2013. “Perceived Discrimination and Health-related Quality of Life: Testing the Reserve Capacity Model in Hispanic American.” The Journal of Social Psychology 153(1):62-79.
Jang Yuri, Chiriboga David A., Small Brent J. 2008. “Perceived Discrimination and Psychological Well-being: The Mediating and Moderating Role of Sense of Control.” International Journal of Aging and Human Development 66(3):213-27.
Johnston David W., Lordan Grace. 2012. “Discrimination Makes Me Sick! An Examination of the Discrimination-health Relationship.” Journal of Health Economics 31(1):99-111.
Keith Verna M., Lincoln Karen D., Taylor Robert Joseph, Jackson James S. 2010. “Discriminatory Experiences and Depressive Symptoms among African American Women: Do Skin Tone and Mastery Matter?” Sex Roles 62(1-2):48-59.
Kessler Ronald C. 2002. “The Categorical versus Dimensional Assessment Controversy in the Sociology of Mental Illness.” Journal of Health and Social Behavior 43:171-88.
Kessler Ronald C., Mickelson Kristin D., Williams David R. 1999. “The Prevalence, Distribution, and Mental Health Correlates of Perceived Discrimination in the United States.” Journal of Health and Social Behavior 40(3):208-30.
Krieger Nancy, Kosheleva Anna, Waterman Pamela D., Chen Jarvis T., Koenen Karestan. 2011. “Racial Discrimination, Psychological Distress, and Self-rated Health among US-born and Foreign-born Black Americans.” American Journal of Public Health 101(9):1704-13.
Landry Laura J., Mercurio Andrea E. 2009. “Discrimination and Women’s Mental Health: The Mediating Role of Control.” Sex Roles 61(3-4):192-203.
Lee Debbiesie L., Ahn Soyeon. 2011. “Racial Discrimination and Asian Mental Health: A Meta-analysis.” The Counseling Psychologist 39(3):463-89.
Lee Debbiesiu L., Ahn Soyeon. 2012. “Discrimination against Latina/os: A Meta-analysis of Individual-level Resources and Outcomes.” The Counseling Psychologist 401(1):28-65.
Lee Hedwig, Turney Kristin. 2012. “Investigating the Relationship between Perceived Discrimination, Social Status, and Mental Health.” Society and Mental Health 2(1):1-20.
Lo Celia C., Cheng Tyrone C. 2012. “Discrimination’s Role in Minority Groups’ Rates of Substance-use Disorder.” The American Journal on Addictions 21(2):150-56.
Logie Carmen, James Lana, Tharao Wangari, Loutfy Mona. 2013. “Associations between HIV-related Stigma, Racial Discrimination, Gender Discrimination, and Depression among HIV-positive African, Caribbean, and Black Women in Ontario, Canada.” AIDS Patient Care and STDs 27(2):114-22.
Lorant Vincent, Van Oyen Herman, Thomas Isabelle. 2008. “Contextual Factors and Immigrants’ Health Status: Double Jeopardy.” Health and Place 14(4):678-92.
Luo Ye, Xu Jun, Granberg Ellen, Wentworth William M. 2012. “A Longitudinal Study of Social Status, Perceived Discrimination, and Physical and Emotional Health among Older Adults.” Research on Aging 34(3):275-301.
Markides Kyriakos S. 1983. “Ethnicity, Aging and Society: Theoretical Lessons from the United States Experience.” Archives of Gerontology and Geriatrics 2(3):221-28.
Mays Vickie M., Cochran Susan D. 2001. “Mental Health Correlates of Perceived Discrimination among Lesbian, Gay, and Bisexual Adults in the United States.” American Journal of Public Health 91:1869-76.
Mendelson Tamar, Kubzansky Laura D., Datta Geetanjali D., Buka Stephan L. 2008. “Relation of Female Gender and Low Socioeconomic Status to Internalizing Symptoms among Adolescents: A Case of Double Jeopardy?” Social Science & Medicine 66(6):1284-96.
Meyer Ilan H. 1995. “Minority Stress and Mental Health in Gay Men.” Journal of Health Social Behavior 36(1):38-56.
Meyer Ilan H. 2003. “Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations: Conceptual Issues and Research Evidence.” Psychological Bulletin 129(5):674-97.
Meyer Ilan H., Schwartz Sharon, Frost David M. 2008. “Social Patterning of Stress and Coping: Does Disadvantaged Social Status Confer More Stress and Fewer Coping Resources?” Social Science and Medicine 67(3):368-79.
Moradi Bonnie, Hasan Nadia Talal. 2004. “Arab American Persons’ Reported Experiences of Discrimination Mental Health: The Mediating Role of Personal Control.” Journal of Counseling Psychology 51(4):418-28.
National Urban League. 1964. Double Jeopardy: The Older Negro in America Today. New York: Author.
Paradies Yin. 2006. “A Systematic Review of Empirical Research on Self-reported Racism and Health.” International Journal of Epidemiology 35(4):888-901.
Paradies Yin. 2013. “A Systematic Review of Empirical Research on Self-reported Racism and Health.” Pp. 105-38 in Race, Ethnicity, and Health, edited by LaVeist T. A., Isaac L. A. San Francisco, CA: Jossey-Bass.
Pascoe E. A., Smart-Richman L. 2009. “Perceived Discrimination and Health: A Meta-analytic Review.” Psychological Bulletin 135(4):531-54.
Pavalko Eliza, Mossakowski Krysia N., Hamilton Vanessa J. 2003. “Does Perceived Discrimination Affect Health? Longitudinal Relationships between Work Discrimination and Women’s Physical and Emotional Health.” Journal of Health and Social Behavior 44(1):18-34.
Pearlin Leonard I. 1999. “The Stress Process Revisited: Reflections on Concepts and Their Relationships.” Pp. 395-415 in Handbook of the Sociology of Mental Health, edited by Aneshensel C. S., Phelan J. C. New York: Plenum Publishers.
Pearlin Leonard I., Menaghan Elizabeth G., Lieberman Morton A., Mullan Joseph T. 1981. “The Stress Process.” Journal of Health and Social Behavior 22(4):337-56.
Pearlin Leonard I., Schooler Carmi 1978. “The Structure of Coping.” Journal of Health and Social Behavior 19(1):2-21.
Prelow Hazel M., Mosher Catherine E., Bowman Marvella A. 2006. “Perceived Racial Discrimination, Social Support, and Psychological Adjustment among African American College Students.” Journal of Black Psychology 32(4):442-54.
Radloff Lenore S. 1977. “The CES-D Scale: A Self-report Depression Scale for Research in the General Population.” Applied Psychosocial Measurement 1(3):385-401.
Rodin Judith. 1986. “Aging and Health: Effects of the Sense of Control.” Science 233(4770):1271-76.
Seng Julia S., Lopez William D., Sperlich Mickey, Hamam Lydia, Reed Meldrum Caroline D. 2012. “Marginalized Identities, Discrimination Burden, and Mental Health: Empirical Exploration of an Interpersonal-level Approach to Modeling Intersectionality.” Social Science & Medicine 75(12):2437-45.
Shorter-Gooden Kumea. 2004. “Multiple Resistance Strategies: How African American Women Cope with Racism and Sexism.” Journal of Black Psychology 30:406-25.
Spencer Melinda S., Patrick Julie Hicks. 2009. “Social Support and Personal Mastery as Protective Resources during Emerging Adulthood.” Journal of Adult Development 16(4):191-98.
Stuber Jennifer, Galea Sandro, Ahern Jennifer, Blaney Shannon, Fuller Crystal. 2003. “The Association between Multiple Domains of Discrimination and Self-assessed Health: A Multilevel Analysis of Latinos and Blacks in Four Low-income New York City Neighborhoods.” Health Services Research 38(6):1735-59.
Szymanski Dawn, Stewart Destin. 2010. “Racism and Sexism as Correlates of African American Women’s Psychological Distress.” Sex Roles 63:226-38.
Taylor John, Turner R. Jay. 2002. “Perceived Discrimination, Social Stress, and Depression in the Transition to Adulthood: Racial Contrasts.” Social Psychology Quarterly 65(3):213-25.
Thoits Peggy A. 2010. “Stress and Health: Major Findings and Policy Implications.” Journal of Health and Social Behavior 51(1):S41-53.
Thomas William I., Thomas Dorothy Swaine. 1928. The Child in America: Behavior Problems and Programs. New York: Knopf.
Turner R. Jay. 1983. “Direct, Indirect and Moderating Effects of Social Support upon Psychological Distress and Associated Conditions.” Pp. 105-55 in Psychological Stress: Trends in Theory and Research, edited by Kaplan H. B. New York: Academic Press.
Turner R. Jay. 2003. “The Pursuit of Socially Modifiable Contingencies in Mental Health.” Journal of Health and Social Behavior 44(1):1-17.
Turner R. Jay. 2010. “Understanding Health Disparities: The Promise of the Stress Process Model.” Pp. 3-21 in Advances in the Conceptualization of the Stress Process, edited by Avison W. R., Aneshensel C. S., Schieman S., Wheaton B. New York: Springer.
Turner R. Jay, Avison William R. 2003. “Status Variations in Stress Exposure among Young Adults: Implications for the Interpretation of Prior Research.” Journal of Health and Social Behavior 44(4):488-505.
Turner R. Jay, Frankel B. Gail, Levin Deborah M. 1983. “Social Support: Conceptualization, Measurement and Implications for Mental Health.” Pp. 67-112 in Research in Community and Mental Health, edited by Greeley J. R. Greenwich, CT: JAI Press.
Turner R. Jay, Lloyd Donald A. 1999. “The Stress Process and the Social Distribution of Depression.” Journal of Health and Social Behavior 40(4):374-404.
Turner R. Jay, Lloyd Donald A., Taylor John. 2006. “Physical Disability and Mental Health: An Epidemiology of Psychiatric and Substance Use Disorders.” Rehabilitation Psychology 51(3):214-23.
Turner R. Jay, Marino Franco. 1994. “Social Support and Social Structure: A Descriptive Epidemiology.” Journal of Health and Social Behavior 35(3):193-212.
Turner R. Jay, Wheaton Blair, Lloyd Donald A. 1995. “The Epidemiology of Social Stress.” American Sociological Review 60(1):104-25.
Umberson Debra, Montez Jennifer Karas. 2010. “Social Relationships and Health: A Flashpoint for Health Policy.” Journal of Health and Social Behavior 51(Extra Issue):S54-66.
Veenstra Gerry. 2011. “Race, Gender, Class, and Sexual Orientation: Intersecting Axes of Inequality and Self-rated Health in Canada.” International Journal for Equity in Health 10(3):1-11.
Warner David F., Brown Tyson H. 2011. “Understanding How Race/ethnicity and Gender Define Age-trajectories of Disability: An Intersectionality Approach.” Social Science & Medicine 72(8):1236-48.
Watkins Daphne C., Hudson Darell L., Caldwell Cleopatra Howard, Siefert Kristine, Jackson James S. 2011. “Discrimination, Mastery, and Depressive Symptoms among African American Men.” Research on Social Work Practice 21(3):269-77.
Wei Meifen, Wang Kenneth T., Heppner Paul, Du Yi. 2012. “Ethnic and Mainstream Social Connectedness, Perceived Racial Discrimination, and Posttraumatic Stress Symptoms.” Journal of Counseling Psychology 59(3):486-93.
Wheaton Blair. 1991. “The Specification of Chronic Stress: Models and Measurement.” Paper presented at an annual meeting of the Society for the Study of Social Problems, August, Cincinnati, OH.
Wheaton Blair. 1994. “Sampling the Stress Universe.” Pp. 77-114 in Stress and Mental Health: Contemporary Issues and Prospects for the Future, edited by Avison W., Gotlib I. New York: Plenum.
Wheaton Blair. 1999. “The Nature of Stressors.” Pp. 176-97 in A Handbook for the Study of Mental Health, edited by Horwitz A. V., Scheid T. L. Cambridge, UK: Cambridge University Press.
Williams David R., Mohammed Selina A. 2009. “Discrimination and Racial Disparities in Health: Evidence and Needed Research.” Journal of Behavioral Medicine 32(1):20-47.
Williams David R., Sternthal Michelle. 2010. “Understanding Racial-ethnic Disparities in Health: Sociological Contributions.” Journal of Health and Social Behavior 51(S):S15-27.
Williams David R., Yu Yan, Jackson James S., Anderson Norman B. 1997. “Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination.” Journal of Health Psychology 2(3):335-51.
Wittchen H.-U., Robins L. N., Cottler L. B., Sartorius N., Burke J. D., Regier D. 1991. “Cross-cultural Feasibility, Reliability and Sources of Variance in the Composite International Diagnostic Review (CIDI).” British Journal of Psychiatry 159(5):645-53.
Yuan Anastasia, Vogt S. 2007. “Perceived Age Discrimination and Mental Health.” Social Forces 86(1):291-311.
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