ArticleAJE advances : research in epidemiology2026
Psychological distress, racism, sexism, cissexism, heterosexism, ageism, and sizeism: analyzing patterns of association using explicit and implicit measures of discrimination.
Article in AJE advances : research in epidemiology, 2026. 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
Research on discrimination and health has predominantly relied on explicit self-report data for single types of discrimination; use of implicit measures is scant. Our exploratory cross-sectional study investigated associations between psychological distress (Kessler-6 [K6] score) and implicit and explicit measures for 6 types of discrimination: racism, sexism, heterosexism, cissexism, ageism, and sizeism. The 699 participants were recruited (May 28, 2020 to August 4, 2022) from rosters of 3 Boston, MA, community health centers. Covariate-adjusted linear regression models estimated associations between K6 scores and the discrimination measures. Participants' mean K6 score was 7.47 (SD = 5.15); 17.0% experienced "severe psychological distress" (K6 ≥ 13). Target vs dominant groups experienced higher discrimination for both the implicit and explicit measures (
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