Discrimination, symptoms of depression, and self-rated health among African American women in Detroit: results from a longitudinal analysis.

OBJECTIVES: Our understanding of the relationships between perceived discrimination and health was limited by the cross-sectional design of most previous studies. We examined the longitudinal association of self-reported everyday discrimination with depressive symptoms and self-rated general health....

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Published in:American Journal of Public Health Vol. 96; no. 7; pp. 1265 - 1271
Main Authors: Schulz AJ, Gravlee CC, Williams DR, Israel BA, Mentz G, Rowe Z
Format: equations & formulas research tables/charts Journal Article
Published: American Public Health Association Jul2006
Online Access:View this record in EBSCOhost
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      dt: Jul2006
      vid: 96
      iid: 7
      pid: 44
      pub: American Public Health Association
      place: Washington, District of Columbia
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        106335030
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        2009228091
        10.2105/AJPH.2005.064543
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        atl: Discrimination, symptoms of depression, and self-rated health among African American women in Detroit: results from a longitudinal analysis.
      aug:
        au:
          Schulz AJ
          Gravlee CC
          Williams DR
          Israel BA
          Mentz G
          Rowe Z
        affil: 5134 SPH II, 1420 Washington Heights, University of Michigan, Ann Arbor, MI 48109-2029; ajschultz@umich.edu
      sug:
        subj:
          African Americans Psychosocial Factors
          Depression Symptoms
          Discrimination
          Health Status Psychosocial Factors
          Mental Health Psychosocial Factors
          Women Psychosocial Factors
          Women's Health
          Action Research
          Adult
          Causal Modeling
          Center for Epidemiological Studies Depression Scale
          Coefficient alpha
          Correlation Coefficient
          Descriptive Statistics
          Female
          Funding Source
          Health Status Indicators
          Interviews
          Michigan
          Middle Age
          Models, Statistical
          P-Value
          Panel Studies
          Psychological Tests
          Racism
          Self Report
          Statistical Significance
          Surveys
          Time Factors
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: OBJECTIVES: Our understanding of the relationships between perceived discrimination and health was limited by the cross-sectional design of most previous studies. We examined the longitudinal association of self-reported everyday discrimination with depressive symptoms and self-rated general health. METHODS: Data came from 2 waves (1996 and 2001) of the Eastside Village Health Worker Partnership survey, a community-based participatory survey of African American women living on Detroit's east side (n=343). We use longitudinal models to test the hypothesis that a change in everyday discrimination over time is associated with a change in self-reported symptoms of depression (positive) and on self-reported general health status (negative). RESULTS: We found that a change over time in discrimination was significantly associated with a change over time in depressive symptoms (positive) (b=0.125; P<.001) and self-rated general health (negative) (b=-0.163; P<.05) independent of age, education, or income. CONCLUSIONS: The results reported here are consistent with the hypothesis that everyday encounters with discrimination are causally associated with poor mental and physical health outcomes. In this sample of African American women, this association holds above and beyond the effects of income and education.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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