Personal-Level and Group-Level Discrimination and Mental Health: the Role of Skin Color
| Autor: | Gisel Lorena Fattore, Darci Neves dos Santos, Leila Denise Alves Ferreira Amorim, Letícia Marques dos Santos, Mauricio Lima Barreto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Health (social science) Sociology and Political Science media_common.quotation_subject Population Black People Skin Pigmentation Anxiety Racism White People 03 medical and health sciences symbols.namesake 0302 clinical medicine Epidemiology Adaptation Psychological medicine Humans 030212 general & internal medicine Poisson regression education Association (psychology) Somatoform Disorders media_common education.field_of_study 030505 public health Depression Health Policy Public health Social change Public Health Environmental and Occupational Health Mental health Psychophysiologic Disorders Anthropology symbols Female 0305 other medical science Psychology Brazil Clinical psychology |
| Zdroj: | Journal of racial and ethnic health disparities. 5(5) |
| ISSN: | 2196-8837 |
| Popis: | This study investigates the association between personal-level and group-level discrimination and common mental disorders (CMDs) among Afro-Brazilian women, aiming to explore the role of skin color on this association. This is a cross-sectional study involving 1130 women who were participating in the Social Change, Asthma and Allergy in Latin America (SCAALA) study, whose children were recruited from 24 geographical micro-regions representative of the population without sanitation. Measures of discrimination were defined by: experiences (personal-level) and concern about discrimination (group-level) using the Experiences of Discrimination Scale. Skin color was registered by self-declaration, being classified as white, brown, and black. The association between “self-reported” discrimination and CMDs was evaluated using Poisson regression analysis. Prevalence of CMDs was high (38.3%), especially in the group exposed to discriminatory experiences and black women. Experiences and concern about discrimination were positive and significantly associated with mental health, before and after adjustment for potential confounders. The effect of discrimination on CMDs was lower among black women, suggesting the development of other strategies to confront racism. This study emphasizes the use of both personal- and group-level discrimination measures, as well as skin color, for the evaluation of mental disorders in public health research. Further studies of health consequences of discrimination will require investigation of protective factors for mental disorders in the population suffering discrimination and racism. |
| Databáze: | OpenAIRE |
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