ArticleEthnicity & health2018
A multi-group path analysis of the relationship between perceived racial discrimination and self-rated stress: how does it vary across racial/ethnic groups?
Article in Ethnicity & health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of how social connectedness influences associations between racism and discrimination on health outcomes.Epidemiologic reviews · 2023Pooled it
- Racial Disparities in Breastfeeding Behaviors and the Role of Prenatal Care Timing.Journal of racial and ethnic health disparities · 2026Article
- A Critical Race Theory Analysis of Mental Health Disparities Research.Journal of racial and ethnic health disparities · 2024Review
- Personal- vs. Group-Level Discrimination and Physical and Mental Health Outcomes Among Black Adolescents.Journal of racial and ethnic health disparities · 2024Article
- Interplay of mental state, personality, and popularity among peers in shaping belongingness of first-year students: A cross-sectional study.PLOS mental health · 2024Article
- The role of social connectedness in buffering the effects of discrimination on post-trauma cognitions in forcibly displaced Muslims.Psychological trauma : theory, research, practice and policy · 2022Article
- Social Determinants of Health Improve Predictive Accuracy of Clinical Risk Models for Cardiovascular Hospitalization, Annual Cost, and Death.Circulation. Cardiovascular quality and outcomes · 2020Observational
- Linking perceived discrimination during adolescence to health during mid-adulthood: Self-esteem and risk-behavior mechanisms.Social science & medicine (1982) · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveThe objective of this study was to answer three questions: (1) Is perceived discrimination adversely related to self-rated stress via the social capital and health care system distrust pathways? (2) Does the relationship between perceived discrimination and self-rated stress vary across race/ethnicity groups? and (3) Do the two pathways differ by one's race/ethnicity background?
designUsing the Philadelphia Health Management Corporation's Southeastern Pennsylvania Household Survey, we classified 9831 respondents into 4 race/ethnicity groups: non-Hispanic White (n = 6621), non-Hispanic Black (n = 2359), Hispanic (n = 505), and non-Hispanic other races (n = 346). Structural equation modeling was employed to simultaneously estimate five sets of equations, including the confirmatory factor analysis for both social capital and health care distrust and both direct and indirect effects from perceived discrimination to self-rated stress.
resultsThe key findings drawn from the analysis include the following: (1) in general, people who experienced racial discrimination have higher distrust and weaker social capital than those without perceived discrimination and both distrust and social capital are ultimately related to self-rated stress. (2) The direct relationship between perceived discrimination and self-rated stress is found for all race/ethnicity groups (except non-Hispanic other races) and it does not vary across groups. (3) The two pathways can be applied to non-Hispanic White and Black, but for Hispanic and non-Hispanic other races, we found little evidence for the social capital pathway.
conclusionsFor non-Hispanic White, non-Hispanic Black, and Hispanic, perceived discrimination is negatively related to self-rated stress. This finding highlights the importance of reducing interpersonal discriminatory behavior even for non-Hispanic White. The health care system distrust pathway can be used to address the racial health disparity in stress as it holds true for all four race/ethnicity groups. On the other hand, the social capital pathway seems to better help non-Hispanic White and Black to mediate the adverse effect of perceived discrimination on stress.
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