Evidence map›Paper›PMID 34454508›Full record

ArticleInternational journal for equity in health2021

The pathways from perceived discrimination to self-rated health among the Chinese diaspora during the COVID-19 pandemic: investigation of the roles of depression, anxiety, and social support.

Youli Chen, Zicong Wang, Weizhen Dong, Jia Huei Chen Xu, Sizhe Ji Wu, Xiangyang Zhang, Chun Chen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Youli ChenWuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Zicong WangWuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China.
Weizhen DongDepartment of Sociology and Legal Studies, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.
Jia Huei Chen XuSchool of International Studies, Wenzhou Medical University, Wenzhou, 325035, China.
Sizhe Ji WuInternational School of Capital Medical University, Capital Medical University, Beijing, 100069, China.
Xiangyang ZhangPurchasing Department, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. zxyanghero@126.com.
Chun ChenSchool of Public Health and Management, Wenzhou Medical University, Wenzhou Medical University Chashan Campus, Tongren Building 7B304, Wenzhou, 325035, China. chenchun408@126.com.ORCID 0000-0002-5149-988X
Wenzhou Medical University · CNWuhan Union Hospital · CNCapital Medical University · CNUniversity of Waterloo · CA

Funding

National Natural Science Foundation of China 71693187
6 · The paper itself

Abstract

backgroundResearch indicates the adverse impacts of perceived discrimination on health, and discrimination inflamed by the COVID-19 pandemic, a type of social exclusion, could affect the well-being of the Chinese diaspora. We analyzed the relationship and pathways of perceived discrimination's effect on health among the Chinese diaspora in the context of the pandemic to contribute to the literature on discrimination in this population under the global public health crisis.

methodsWe analyzed data from 705 individuals of Chinese descent residing in countries outside of China who participated in a cross-sectional online survey between April 22 and May 9, 2020. This study utilized a structural equation model (SEM) to evaluate both direct and indirect effects of perceived discrimination on self-rated health (SRH) and to assess the mediating roles of psychological distress (namely, anxiety and depression) and social support from family and friends.

resultsThis online sample comprised predominantly young adults and those of relatively high socioeconomic status. This study confirmed the total and direct effect of recently perceived discrimination on SRH and found the indirect effect was mainly mediated by depression. Mediating roles of anxiety and social support on the discrimination-health relationship were found insignificant in this SEM.

conclusionsOur findings suggest discrimination negatively affected the well-being of the Chinese diaspora, and depression acted as a major mediator between the discrimination-health relationship. Therefore, interventions for reducing discrimination to preserve the well-being of the Chinese diaspora are necessary. Prompt intervention to address depression may partially relieve the disease burden caused by the surge of discrimination.

Indexed as

COVID-19Diagnostic Self EvaluationEmigrants and ImmigrantsPandemicsRacismAdolescentAdultAnxietyChinaCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedSocial SupportChinese diasporaCOVID-19Cross-sectionalMental healthPerceived discriminationSelf-rated healthSocial supportStructural equation model

Identifiers

PMID34454508
PMCPMC8401352
OpenAlexW3158061896

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.