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Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health

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  • Krieger, Nancy
  • Smith, Kevin
  • Naishadham, Deepa
  • Hartman, Cathy
  • Barbeau, Elizabeth M.

Abstract

Population health research on racial discrimination is hampered by a paucity of psychometrically validated instruments that can be feasibly used in large-scale studies. We therefore sought to investigate the validity and reliability of a short self-report instrument, the "Experiences of Discrimination" (EOD) measure, based on a prior instrument used in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Study participants were drawn from a cohort of working class adults, age 25-64, based in the Greater Boston area, Massachusetts (USA). The main study analytic sample included 159 black, 249 Latino, and 208 white participants; the validation study included 98 African American and 110 Latino participants who completed a re-test survey two to four weeks after the initial survey. The main and validation survey instruments included the EOD and several single-item discrimination questions; the validation survey also included the Williams Major and Everyday discrimination measures. Key findings indicated the EOD can be validly and reliably employed. Scale reliability was high, as demonstrated by confirmatory factor analysis, Cronbach's alpha (0.74 or greater), and test-re-test reliability coefficients (0.70). Structural equation modeling demonstrated the EOD had the highest correlation (r=0.79) with an underlying discrimination construct compared to other self-report discrimination measures employed. It was significantly associated with psychological distress and tended to be associated with cigarette smoking among blacks and Latinos, and it was not associated with social desirability in either group. By contrast, single-item measures were notably less reliable and had low correlations with the multi-item measures. These results underscore the need for using validated, multi-item measures of experiences of racial discrimination and suggest the EOD may be one such measure that can be validly employed with working class African Americans and Latino Americans.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:7:p:1576-1596
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    References listed on IDEAS

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    1. 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.
    2. Dole, N. & Savitz, D.A. & Siega-Riz, A.M. & Hertz-Picciotto, I. & McMahon, M.J. & Buekens, P., 2004. "Psychosocial factors and preterm birth among African American and white women in central North Carolina," American Journal of Public Health, American Public Health Association, vol. 94(8), pages 1358-1365.
    3. Krieger, N. & Sidney, S., 1996. "Racial discrimination and blood pressure: The CARDIA study of young black and white adults," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1370-1378.
    4. Krieger, Nancy, 1990. "Racial and gender discrimination: Risk factors for high blood pressure?," Social Science & Medicine, Elsevier, vol. 30(12), pages 1273-1281, January.
    5. Williams, D.R. & Jackson, J.S., 2000. "Race/ethnicity and the 2000 census: Recommendations for African American and other Black populations in the United States," American Journal of Public Health, American Public Health Association, vol. 90(11), pages 1728-1730.
    6. Krieger, N., 2003. "Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: An ecosocial perspective," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 194-199.
    7. Harrell, J.P. & Hall, S. & Taliaferro, J., 2003. "Physiological responses to racism and discrimination: An assessment of the evidence," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 243-248.
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