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The pathways from perceived discrimination to self-rated health: An investigation of the roles of distrust, social capital, and health behaviors

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  • Chen, Danhong
  • Yang, Tse-Chuan

Abstract

Although there has been extensive research on the adverse impacts of perceived discrimination on health, it remains unclear how perceived discrimination gets under the skin. This paper develops a comprehensive structural equation model (SEM) by incorporating both the direct effects of perceived discrimination on self-rated health (SRH), a powerful predictor for many health outcomes, and the indirect effects of perceived discrimination on SRH through health care system distrust, neighborhood social capital, and health behaviors and health conditions. Applying SEM to 9880 adults (aged between 18 and 100) in the 2008 Southeastern Pennsylvania Household Health Survey, we not only confirmed the positive and direct association between discrimination and poor or fair SRH, but also verified two underlying mechanisms: 1) perceived discrimination is associated with lower neighborhood social capital, which further contributes to poor or fair SRH; and 2) perceived discrimination is related to risky behaviors (e.g., reduced physical activity and sleep quality, and intensified smoking) that lead to worse health conditions, and then result in poor or fair SRH. Moreover, we found that perceived discrimination is negatively associated with health care system distrust, but did not find a significant relationship between distrust and poor or fair SRH.

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  • Chen, Danhong & Yang, Tse-Chuan, 2014. "The pathways from perceived discrimination to self-rated health: An investigation of the roles of distrust, social capital, and health behaviors," Social Science & Medicine, Elsevier, vol. 104(C), pages 64-73.
    • Handle: RePEc:eee:socmed:v:104:y:2014:i:c:p:64-73
    DOI: 10.1016/j.socscimed.2013.12.021
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    1. Manderbacka, Kristiina & Lundberg, Olle & Martikainen, Pekka, 1999. "Do risk factors and health behaviours contribute to self-ratings of health?," Social Science & Medicine, Elsevier, vol. 48(12), pages 1713-1720, June.
    2. Williams, D.R. & Neighbors, H.W. & Jackson, J.S., 2003. "Racial/ethnic discrimination and health: Findings from community studies," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 200-208.
    3. Tarja Nieminen & Tuija Martelin & Seppo Koskinen & Hillevi Aro & Erkki Alanen & Markku Hyyppä, 2010. "Social capital as a determinant of self-rated health and psychological well-being," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(6), pages 531-542, December.
    4. Schulz, A.J. & Gravlee, C.C. & Williams, D.R. & Israel, B.A. & Mentz, G. & Rowe, Z., 2006. "Discrimination, symptoms of depression, and self-rated health among African American women in Detroit: Results from a longitudinal analysis," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1265-1270.
    5. Acevedo-Garcia, D. & Rosenfeld, L.E. & Hardy, E. & McArdle, N. & Osypuk, T.L., 2013. "Future directions in research on institutional and interpersonal discrimination and children's health," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1754-1763.
    6. Chae, D.H. & Walters, K.L., 2009. "Racial discrimination and racial identity attitudes in relation to self-rated health and physical pain and impairment among two-spirit American Indians/Alaska Natives," American Journal of Public Health, American Public Health Association, vol. 99(S1), pages 144-151.
    7. Krieger, Nancy & Smith, Kevin & Naishadham, Deepa & Hartman, Cathy & Barbeau, Elizabeth M., 2005. "Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health," Social Science & Medicine, Elsevier, vol. 61(7), pages 1576-1596, October.
    8. S. Melinda Spencer & Richard Schulz & Ronica N. Rooks & Steven M. Albert & Roland J. Thorpe & Gretchen A. Brenes & Tamara B. Harris & Annemarie Koster & Suzanne Satterfield & Hilsa N. Ayonayon & Anne , 2009. "Racial Differences in Self-Rated Health at Similar Levels of Physical Functioning: An Examination of Health Pessimism in the Health, Aging, and Body Composition Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(1), pages 87-94.
    9. Gee, G.C., 2002. "A multilevel analysis of the relationship between institutional and individual racial discrimination and health status," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 615-623.
    10. Folland, Sherman, 2007. "Does "community social capital" contribute to population health?," Social Science & Medicine, Elsevier, vol. 64(11), pages 2342-2354, June.
    11. Musa, D. & Schulz, R. & Harris, R. & Silverman, M. & Thomas, S.B., 2009. "Trust in the health care system and the use of preventive health services by older black and white adults," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1293-1299.
    12. Marianne Bertrand & Sendhil Mullainathan, 2004. "Are Emily and Greg More Employable Than Lakisha and Jamal? A Field Experiment on Labor Market Discrimination," American Economic Review, American Economic Association, vol. 94(4), pages 991-1013, September.
    13. Jylhä, Marja, 2009. "What is self-rated health and why does it predict mortality? Towards a unified conceptual model," Social Science & Medicine, Elsevier, vol. 69(3), pages 307-316, August.
    14. Krieger, N. & Kosheleva, A. & Waterman, P.D. & Chen, J.T. & Koenen, K., 2011. "Racial discrimination, psychological distress, and self-rated health among US-born and foreign-born black Americans," American Journal of Public Health, American Public Health Association, vol. 101(9), pages 1704-1713.
    15. Mohseni, Mohabbat & Lindstrom, Martin, 2007. "Social capital, trust in the health-care system and self-rated health: The role of access to health care in a population-based study," Social Science & Medicine, Elsevier, vol. 64(7), pages 1373-1383, April.
    16. Borrell, Luisa N. & Kiefe, Catarina I. & Williams, David R. & Diez-Roux, Ana V. & Gordon-Larsen, Penny, 2006. "Self-reported health, perceived racial discrimination, and skin color in African Americans in the CARDIA study," Social Science & Medicine, Elsevier, vol. 63(6), pages 1415-1427, September.
    17. Boardman, Jason D., 2004. "Health pessimism among black and white adults: the role of interpersonal and institutional maltreatment," Social Science & Medicine, Elsevier, vol. 59(12), pages 2523-2533, December.
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    5. Joseph Gibbons, 2021. "Distancing the socially distanced: Racial/ethnic composition’s association with physical distancing in response to COVID-19 in the U.S," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-21, May.
    6. Kellogg, Alexander J. & Hancock, David W. & Cho, Grace Y. & Reid, Allecia E., 2023. "Reprint of: Community-level age bias and older adult mortality," Social Science & Medicine, Elsevier, vol. 320(C).
    7. Sabina Albrecht & David Smerdon, 2022. "The social capital effects of refugee resettlement on host communities," The Economic Record, The Economic Society of Australia, vol. 98(320), pages 80-112, March.
    8. Alexander, Adam C. & Nollen, Nicole L. & Ahluwalia, Jasjit S. & Hébert, Emily T. & Businelle, Michael S. & Kendzor, Darla E., 2019. "Darker skin color is associated with a lower likelihood of smoking cessation among males but not females," Social Science & Medicine, Elsevier, vol. 240(C).
    9. Xiangdan Piao & Xinxin Ma & Tetsuya Tsurumi & Shunsuke Managi, 2022. "Social Capital, Negative Event, Life Satisfaction and Sustainable Community: Evidence from 37 Countries," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(3), pages 1311-1330, June.
    10. Plascak, Jesse J. & Molina, Yamile & Wu-Georges, Samantha & Idris, Ayah & Thompson, Beti, 2016. "Latino residential segregation and self-rated health among Latinos: Washington State Behavioral Risk Factor Surveillance System, 2012–2014," Social Science & Medicine, Elsevier, vol. 159(C), pages 38-47.
    11. Hisler, Garrett C. & Brenner, Rachel E., 2019. "Does sleep partially mediate the effect of everyday discrimination on future mental and physical health?," Social Science & Medicine, Elsevier, vol. 221(C), pages 115-123.

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