ArticleSocial psychiatry and psychiatric epidemiology2015
Assessing mediators between discrimination, health behaviours and physical health outcomes: a representative cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- What is the felt experience of weight stigma in Latin America and the Caribbean? A systematic narrative review.Lancet regional health. Americas · 2026Review
- Impact of structural and interpersonal racism on oral health and dental services.Revista de saude publica · 2026Article
- The Relationship between Major and Everyday Discrimination and Suicide Thoughts and Behaviors among a Sample of Socially Anxious Job Seekers.Stigma and health · 2025Article
- Associations between psychological stress, discrimination, and oral health-related quality of life: the buffering effects of social support networks.Cadernos de saude publica · 2024Article
- Discrimination exposure impacts unhealthy processing of food cues: crosstalk between the brain and gut.Nature. Mental health · 2023Article
- Moderating Influence of Social Support on the Relations between Discrimination and Health via Depression in Latinx Immigrants.Journal of latinx psychology · 2022Article
- Stress response asymmetries in African American emerging adults exposed to chronic social adversity.Stress (Amsterdam, Netherlands) · 2021Article
- Association between Motivational Climate, Adherence to Mediterranean Diet, and Levels of Physical Activity in Physical Education Students.Behavioral sciences (Basel, Switzerland) · 2019Article
- It Weigh(t)s on You: Everyday Discrimination and Adiposity Among Latinos.Obesity (Silver Spring, Md.) · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDiscrimination is a social determinant of health; however, the pathways linking discrimination to ill-health are under-researched. This study investigated the mediators through which discrimination affects health behaviours and physical health outcomes, as well as assessed whether sex moderated these mechanisms.
methodsData from a representative survey (n = 1023) of undergraduate students enrolled in a Brazilian university in 2012 were used. Structural equation models were applied to assess the following mediation mechanisms--(1) discrimination influences self-rated health and body mass index via anxiety/depression; (2) discrimination affects behaviours (alcohol consumption, problem drinking, smoking, fruit/vegetable consumption, and physical activity) through discomfort associated with discriminatory experiences. The potential of sex to act as an effect-modifying variable was also explored in each of the postulated pathways.
resultsThe effect of discrimination on self-rated poor health was totally (100.0%) mediated by anxiety/depression, while body mass index was not correlated with discrimination. Self-reported discrimination was associated with some behaviours via discomfort. Particularly, discomfort partially mediated the positive association between discrimination, leisure time physical activity (43.3%), and fruit/vegetable consumption (52.2%). Sex modified the association between discrimination, discomfort and physical activity in that such mechanism (more discrimination → more discomfort → more physical activity) was statistically significant in the entire sample and among females, but not among males.
conclusionsThis is one of the first studies to demonstrate that discrimination is associated with physical health outcomes and behaviours via distinct pathways. Future investigations should further explicate the mediational pathways between discrimination and key health outcomes.
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