Minority Health Archive

A systematic review of empirical research on self-reported racism and health

Paradies, Yin (2006) A systematic review of empirical research on self-reported racism and health. International Journal of Epidemiology, 35 (4). pp. 888-901.

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Abstract

This paper reviews 138 empirical quantitative population-based studies of self-reported racism and health. These studies show an association between self-reported racism and ill health for oppressed racial groups after adjustment for a range of confounders. The strongest and most consistent findings are for negative mental health outcomes and health-related behaviours, with weaker associations existing for positive mental health outcomes, self-assessed health status, and physical health outcomes. Most studies in this emerging field have been published in the past 5 years and have been limited by a dearth of cohort studies, a lack of psychometrically validated exposure instruments, poor conceptualization and definition of racism, conflation of racism with stress, and debate about the aetiologically relevant period for self-reported racism. Future research should examine the psychometric validity of racism instruments and include these instruments, along with objectively measured health outcomes, in existing large-scale survey vehicles as well as longitudinal studies and studies involving children. There is also a need to gain a better understanding of the perception, attribution, and reporting of racism, to investigate the pathways via which self-reported racism affects health, the interplay between mental and physical health outcomes, and exposure to intra-racial, internalized, and systemic racism. Ensuring the quality of studies in this field will allow future research to reveal the complex role that racism plays as a determinant of population health.


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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: Race; ethnic groups; racism; discrimination; stress; review
Subjects: Health > Health Equity
Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Mental Health
Health > Public Health > Health Risk Factors
Health > Public Health > Health Risk Factors > Stress
Research
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Depositing User: Users 141 not found.
Date Deposited: 03 Apr 2011
Last Modified: 01 Jun 2011 10:03
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/786

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