ArticleFrontiers in public health2025
Racial microaggressions as perceived chronic stressors: self-reported physiological symptoms, mental health outcomes, and occupational wellbeing in Malawian workplaces.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Racial microaggressions subtle, often unintentional acts of discrimination are linked to mental health challenges, yet their perceived physiological effects in African workplace contexts remain underexplored. Such chronic stressors may manifest as self-reported symptoms that are consistent with hypotheses about HPA axis strain. Methods: This cross-sectional mixed-methods study surveyed 384 Malawian employees (aged 18-60, ≥6 month's employment) in Asian-owned workplaces using a culturally adapted microaggressions scale and validated measures for anxiety (GAD-7), depression (PHQ-8), and distress (K-10). Linear regression and Pearson's correlations examined predictive relationships, while thematic analysis of semi-structured interviews ( Results: High microaggression frequency (≥3/week, 45% prevalence) was significantly associated with elevated anxiety ( Conclusion: Racial microaggressions are associated with biopsychosocial stress processes in Malawian workplaces. Although no biomarkers were collected, this study extends microaggression theory into an African workplace setting and proposes the BGM axis as a hypothetical, testable pathway that may help explain the reported somatic and psychological symptoms. Findings advocate for anti-discrimination policies to foster equity in diverse settings.
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