Racial/Ethnic Contrasts in the Relationships between Physical Disability, Perceived Discrimination, and Depressive Symptoms
The systematic deprivation of equal access to valued opportunities has greatly harmed the disadvantaged. Discrimination, whether it is based on gender, race, sexual orientation, or physical health exacts a high toll. This is especially true with respect to the role of race and equality in the USA today. This paper attempts to evaluate the significance of perceived discrimination among a multiethnic sample of physically disabled and non-disabled study participants.
We employ survey data from a community-based multiethnic sample of study participants to assess whether physical disability increases perceptions of discrimination across racial/ethnic groups. Additionally, we assess whether physical disability impacts the relationship between discrimination and depressive symptoms and whether this relationship is consistent across race/ethnicity.
Descriptive and multivariate analyses indicate that disabled whites and Hispanics report higher levels of discrimination than their non-disabled counterparts. However, this pattern was not observed among black respondents who report high levels of discrimination regardless of their disability status. OLS models indicate that among Hispanics, physical disability moderates the relationship between discrimination and depressive symptoms. Among black and white study participants, physical disability does not moderate this relationship.
Taken together, the results demonstrate the continuing significance of race as a source of discrimination and a health risk.
KeywordsRace/ethnicity Physical disability Discrimination Depressive symptoms Stress
- 1.Krieger N. Discrimination and health. In: Berkman LF, Kawach I, editors. Social Epidemiology. New York: Oxford University Press; 2002. p. 36–75.Google Scholar
- 33.Singh GK, Lin SC. Marked ethnic, nativity, and socioeconomic disparities in disability and health care insurance among US children and adults: the 2008-2010 American community survey. Biomed Res Int. 2013;2013:1–17.Google Scholar
- 37.Brondolo E, Monge A, Agosta J, Tobin JN, Cassells A, Stanton C, et al. Perceived ethnic discrimination and smoking: examining the moderating effects of race/ethnicity and gender in a sample of black and Latino urban adults. J Behav Med. 38Google Scholar
- 40.Assari S, Moazen-Zadeh E, Howard Caldwell C, Zimmerman MA. Racial discrimination during adolescence predicts mental health deterioration in adulthood: gender differences among blacks. Front Public Health. 2017;5:1–10.Google Scholar
- 41.Assari S, Lee DB, Nicklett EJ, Moghani Lanarani M, Piette JD, Aikens JE. Racial discrimination in health care is associated with worse glycemic control among black men but not black women with type 2 diabetes. Front Public Health. 2017;5:1–9.Google Scholar
- 43.Assari S, Smith JR, Howard Caldwell CH, Zimmerman MA. Gender differences in longitudinal links between neighborhood fear, parental support, and depression among African American emerging adults. For Soc. 2015;5:151–70.Google Scholar
- 45.Van Vugt M, De Cremer D, Janssen DP. Gender differences in cooperation and competition: the male-warrior hypothesis. Psychol Sci. 18:19–23.Google Scholar
- 46.Wilson WJ. The Declining Significance of Race: blacks and changing American institutions. Chicago: University of Chicago Press; 1978.Google Scholar
- 47.Stepick A, Grenier G, Castro M, Dunn M. This land is our land: immigrants and power in Miami. Berkeley: University of California Press; 2003.Google Scholar
- 48.Portes A, Stepick A. 1993. City on the Edge: The Transformation of Miami. Berkeley: University of California Press; 2003.Google Scholar