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Stigma, discrimination, or symptomatology differences in self-reported mental health between US-born and Somalia-born Black Americans

Author

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  • Henning-Smith, C.
  • Shippee, T.P.
  • McAlpine, D.
  • Hardeman, R.
  • Farah, F.

Abstract

Objectives: We examined differences in self-reported mental health (SRMH) between US-born and Somalia-born Black Americans compared with White Americans.Wetestedhow SRMH was affectedbystigmatoward seeingamental health provider, discrimination in the health care setting, or symptoms of depression. Methods: Data were from a 2008 survey of adults in Minnesota and were limited to US-born and Somalia-born Black and White Americans (n = 938). Results: Somalia-born adults were more likely to report better SRMH than either US-born Black or White Americans. They also reported lower levels of discrimination (18.6%) than US-born Black Americans (33.4%), higher levels of stigma (23.6% vs 4.7%), and lower levels of depressive symptoms (9.1% vs 31.6%). Controlling for stigma, discrimination, and symptomatology, Somaliaborn Black Americans reported better SRMH than White and Black Americans (odds ratio = 4.76). Conclusions: Mental health programming and health care providers who focus on Black Americans' mental health might be missing important sources of heterogeneity. It is essential to consider the role of race and ethnicity, but also of nativity, in mental health policy and programming.

Suggested Citation

  • Henning-Smith, C. & Shippee, T.P. & McAlpine, D. & Hardeman, R. & Farah, F., 2013. "Stigma, discrimination, or symptomatology differences in self-reported mental health between US-born and Somalia-born Black Americans," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 861-867.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301184_6
    DOI: 10.2105/AJPH.2012.301184
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    Cited by:

    1. Mosi Adesina Ifatunji & Yanica Faustin & Wendy Lee & Deshira Wallace, 2022. "Black Nativity and Health Disparities: A Research Paradigm for Understanding the Social Determinants of Health," IJERPH, MDPI, vol. 19(15), pages 1-40, July.
    2. O. O. Akinyemi & E. T. Owoaje & E. O. Cadmus, 2016. "In Their Own Words: Mental Health and Quality of Life of West African Refugees in Nigeria," Journal of International Migration and Integration, Springer, vol. 17(1), pages 273-287, February.
    3. Monica Zolezzi & Maha Alamri & Shahd Shaar & Daniel Rainkie, 2018. "Stigma associated with mental illness and its treatment in the Arab culture: A systematic review," International Journal of Social Psychiatry, , vol. 64(6), pages 597-609, September.

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