20
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Effects over time of self-reported direct and vicarious racial discrimination on depressive symptoms and loneliness among Australian school students

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Racism and racial discrimination are increasingly acknowledged as a critical determinant of health and health inequalities. However, patterns and impacts of racial discrimination among children and adolescents remain under-investigated, including how different experiences of racial discrimination co-occur and influence health and development over time. This study examines associations between self-reported direct and vicarious racial discrimination experiences and loneliness and depressive symptoms over time among Australian school students.

          Methods

          Across seven schools, 142 students (54.2% female), age at T1 from 8 to 15 years old (M = 11.14, SD = 2.2), and from diverse racial/ethnic and migration backgrounds (37.3% born in English-speaking countries as were one or both parents) self-reported racial discrimination experiences (direct and vicarious) and mental health (depressive symptoms and loneliness) at baseline and 9 months later at follow up. A full cross-lagged panel design was modelled using MPLUS v.7 with all variables included at both time points.

          Results

          A cross-lagged effect of perceived direct racial discrimination on later depressive symptoms and on later loneliness was found. As expected, the effect of direct discrimination on both health outcomes was unidirectional as mental health did not reciprocally influence reported racism. There was no evidence that vicarious racial discrimination influenced either depressive symptoms or loneliness beyond the effect of direct racial discrimination.

          Conclusions

          Findings suggest direct racial discrimination has a persistent effect on depressive symptoms and loneliness among school students over time. Future work to explore associations between direct and vicarious discrimination is required.

          Related collections

          Most cited references46

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Racism as a Determinant of Health: A Systematic Review and Meta-Analysis

          Despite a growing body of epidemiological evidence in recent years documenting the health impacts of racism, the cumulative evidence base has yet to be synthesized in a comprehensive meta-analysis focused specifically on racism as a determinant of health. This meta-analysis reviewed the literature focusing on the relationship between reported racism and mental and physical health outcomes. Data from 293 studies reported in 333 articles published between 1983 and 2013, and conducted predominately in the U.S., were analysed using random effects models and mean weighted effect sizes. Racism was associated with poorer mental health (negative mental health: r = -.23, 95% CI [-.24,-.21], k = 227; positive mental health: r = -.13, 95% CI [-.16,-.10], k = 113), including depression, anxiety, psychological stress and various other outcomes. Racism was also associated with poorer general health (r = -.13 (95% CI [-.18,-.09], k = 30), and poorer physical health (r = -.09, 95% CI [-.12,-.06], k = 50). Moderation effects were found for some outcomes with regard to study and exposure characteristics. Effect sizes of racism on mental health were stronger in cross-sectional compared with longitudinal data and in non-representative samples compared with representative samples. Age, sex, birthplace and education level did not moderate the effects of racism on health. Ethnicity significantly moderated the effect of racism on negative mental health and physical health: the association between racism and negative mental health was significantly stronger for Asian American and Latino(a) American participants compared with African American participants, and the association between racism and physical health was significantly stronger for Latino(a) American participants compared with African American participants. Protocol PROSPERO registration number: CRD42013005464.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Is Racism a Fundamental Cause of Inequalities in Health?

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Understanding associations among race, socioeconomic status, and health: Patterns and prospects.

              Race/ethnicity and socioeconomic status (SES) are social categories that capture differential exposure to conditions of life that have health consequences. Race/ethnicity and SES are linked to each other, but race matters for health even after SES is considered. This commentary considers the complex ways in which race combines with SES to affect health. There is a need for greater attention to understanding how risks and resources in the social environment are systematically patterned by race, ethnicity and SES, and how they combine to influence cardiovascular disease and other health outcomes. Future research needs to examine how the levels, timing and accumulation of institutional and interpersonal racism combine with other toxic exposures, over the life-course, to influence the onset and course of illness. There is also an urgent need for research that seeks to build the science base that will identify the multilevel interventions that are likely to enhance the health of all, even while they improve the health of disadvantaged groups more rapidly than the rest of the population so that inequities in health can be reduced and ultimately eliminated. We also need sustained research attention to identifying how to build the political support to reduce the large shortfalls in health. (PsycINFO Database Record
                Bookmark

                Author and article information

                Contributors
                +61 (0) 2 6125 4849 , naomi.priest@anu.edu.au
                ryan.perry@unimelb.edu.au
                afer@unimelb.edu.au
                mkelaher@unimelb.edu.au
                yin.paradies@deakin.edu.au
                Journal
                BMC Psychiatry
                BMC Psychiatry
                BMC Psychiatry
                BioMed Central (London )
                1471-244X
                3 February 2017
                3 February 2017
                2017
                : 17
                : 50
                Affiliations
                [1 ]ISNI 0000 0001 2180 7477, GRID grid.1001.0, ANU Centre for Social Research and Methods, , Australian National University, ; Beryl Rawson Building (Building 13) Rm 2.30, Acton, ACT 2610 Australia
                [2 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, Centre for Health Equity, Melbourne School of Population and Global Health, , University of Melbourne, ; Carlton, VIC 3010 Australia
                [3 ]ISNI 0000 0001 2179 088X, GRID grid.1008.9, Centre for Health Policy, Melbourne School of Population and Global Health, , University of Melbourne, ; Carlton, VIC 3010 Australia
                [4 ]ISNI 0000 0001 0526 7079, GRID grid.1021.2, Alfred Deakin Institute for Citizenship and Globalisation, , Deakin University, ; 221 Burwood Hwy, Burwood, VIC 3125 Australia
                Author information
                http://orcid.org/0000-0002-2246-0644
                Article
                1216
                10.1186/s12888-017-1216-3
                5291984
                28159001
                c355b4ed-6d7c-4415-b221-304fe0b01cd1
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 5 July 2016
                : 25 January 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100007220, VicHealth;
                Funded by: FundRef http://dx.doi.org/10.13039/501100000925, National Health and Medical Research Council;
                Award ID: 628897
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100007220, VicHealth;
                Funded by: FundRef http://dx.doi.org/10.13039/100007220, VicHealth;
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Clinical Psychology & Psychiatry
                racial discrimination,mental health,depression,loneliness,school
                Clinical Psychology & Psychiatry
                racial discrimination, mental health, depression, loneliness, school

                Comments

                Comment on this article