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Associations between race, discrimination and risk for chronic disease in a population-based sample from Canada

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  • Siddiqi, Arjumand
  • Shahidi, Faraz Vahid
  • Ramraj, Chantel
  • Williams, David R.

Abstract

A major epidemiological finding emerging from studies using U.S. samples is that racial differences in experiences of discrimination are associated with racial differences in health. A newer area of research is exploring the population-level dynamics between race, discrimination, and health status in various societies. The objective of this study is to assess for the first time in a national sample from Canada: (a) racial differences in experiences of discrimination and, (b) the association between discrimination and chronic conditions and their major risk factors. Data were obtained from the 2013 Canadian Community Health Survey (n = 16,836). Race was categorized as Aboriginal, Asian, Black, or White. Discrimination was measured using the Williams Everyday Discrimination Scale. Outcomes included having any chronic condition or major risk factors (obesity, hypertension, smoking, binge drinking, infrequent physical activity, and poor self-rated health). Crude and adjusted (for age, sex, immigrant status, socioeconomics) logistic regressions modeled the association between (a) race and discrimination and, (b) discrimination and each outcome. Results indicated that Blacks were most likely to experience discrimination, followed by Aboriginals. For example, Blacks were almost twice as likely (OR: 1.92, 95% CI: 1.19–3.11), and Aboriginals 75 percent more likely (OR: 1.75, 95% CI: 1.37–2.22) to report being treated with less courtesy or respect than others. Blacks were more than four times as likely (OR: 4.27, 95% CI: 2.23–8.19), and Aboriginals more than twice as likely (OR: 2.26, 95% CI: 1.66–3.08) to report being feared by others. Asians were not statistically different from Whites. With two exceptions (binge drinking and physical activity), discrimination was associated with chronic conditions and their risk factors (OR for any chronic condition: 1.78, 95% CI: 1.52–2.08). Initial results suggest that in Canada, experience of discrimination is a determinant of chronic disease and chronic disease risk factors, and Blacks and Aboriginals are far more exposed to experiences of discrimination.

Suggested Citation

  • Siddiqi, Arjumand & Shahidi, Faraz Vahid & Ramraj, Chantel & Williams, David R., 2017. "Associations between race, discrimination and risk for chronic disease in a population-based sample from Canada," Social Science & Medicine, Elsevier, vol. 194(C), pages 135-141.
    • Handle: RePEc:eee:socmed:v:194:y:2017:i:c:p:135-141
    DOI: 10.1016/j.socscimed.2017.10.009
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    1. Geronimus, A.T. & Hicken, M. & Keene, D. & Bound, J., 2006. ""Weathering" and age patterns of allostatic load scores among blacks and whites in the United States," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 826-833.
    2. Acevedo-Garcia, Dolores & Sanchez-Vaznaugh, Emma V. & Viruell-Fuentes, Edna A. & Almeida, Joanna, 2012. "Integrating social epidemiology into immigrant health research: A cross-national framework," Social Science & Medicine, Elsevier, vol. 75(12), pages 2060-2068.
    3. Will Kymlicka & Keith Banting, 2003. "Do Multiculturalism Policies Erode the Welfare State?," LIS Working papers 366, LIS Cross-National Data Center in Luxembourg.
    4. Wallace, S. & Nazroo, J. & Bécares, L., 2016. "Cumulative effect of racial discrimination on the mental health of ethnic minorities in the United Kingdom," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1294-1300.
    5. Philip Oreopoulos, 2009. "Why Do Skilled Immigrants Struggle in the Labor Market? A Field Experiment with Six Thousand Resumes," NBER Working Papers 15036, National Bureau of Economic Research, Inc.
    6. 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.
    7. Siddiqi, Arjumand & Hertzman, Clyde, 2007. "Towards an epidemiological understanding of the effects of long-term institutional changes on population health: A case study of Canada versus the USA," Social Science & Medicine, Elsevier, vol. 64(3), pages 589-603, February.
    8. 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.
    9. Veenstra, Gerry, 2009. "Racialized identity and health in Canada: Results from a nationally representative survey," Social Science & Medicine, Elsevier, vol. 69(4), pages 538-542, August.
    10. Ramraj, Chantel & Shahidi, Faraz Vahid & Darity, William & Kawachi, Ichiro & Zuberi, Daniyal & Siddiqi, Arjumand, 2016. "Equally inequitable? A cross-national comparative study of racial health inequalities in the United States and Canada," Social Science & Medicine, Elsevier, vol. 161(C), pages 19-26.
    11. Gilbert, Paul A. & Zemore, Sarah E., 2016. "Discrimination and drinking: A systematic review of the evidence," Social Science & Medicine, Elsevier, vol. 161(C), pages 178-194.
    12. Harris, Ricci & Tobias, Martin & Jeffreys, Mona & Waldegrave, Kiri & Karlsen, Saffron & Nazroo, James, 2006. "Racism and health: The relationship between experience of racial discrimination and health in New Zealand," Social Science & Medicine, Elsevier, vol. 63(6), pages 1428-1441, September.
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    2. Andrea Rishworth & Tiffany Cao & Ashika Niraula & Kathi Wilson, 2022. "Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada," IJERPH, MDPI, vol. 19(21), pages 1-19, November.

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