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Measuring the effect of ethnic and non-ethnic discrimination on Europeans’ self-rated health

  • Original Article
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International Journal of Public Health

Abstract

Objectives

The study of perceived discrimination based on race and ethnic traits belongs to a long-held tradition in this field, but recent studies have found that non-ethnic discrimination based on factors such as gender, disability or age is also a crucial predictor of health outcomes.

Methods

Using data from the European Social Survey (2010), and applying Boolean Factor Analysis and Ordered Logistic Regression models, this study is aimed to compare how ethnic and non-ethnic types of discrimination might affect self-rated health in the European context.

Results

We found that non-ethnic types of discrimination produce stronger differences on health outcomes. This result indicates that the probabilities of presenting a poor state of health are significantly higher when individuals feel they are being discriminated against for social or demographic conditions (gender, age, sexuality or disability) rather than for ethnic reasons (nationality, race, ethnicity, language or religiosity).

Conclusions

This study offers a clear comparison of health inequalities based on ethnic and non-ethnic types of discrimination in the European context, overcoming analytical based on binary indicators and simple measures of discrimination.

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References

  • Albert MA, Ravenell J, Glynn RJ et al (2008) Cardiovascular risk indicators and perceived race/ethnic discrimination in the Dallas Heart Study. Am Heart J 156:1103–1109

    Article  PubMed  Google Scholar 

  • Alvarez-Galvez J, Salvador-Carulla L (2013) Perceived discrimination and self-rated health in Europe: evidence from the european social survey (2010). PLoS One 8(9):e74252

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bhui K, Stansfeld S, McKenzie K et al (2005) Racial/ethnic discrimination and common mental disorders among workers: findings from the EMPIRIC Study of Ethnic Minority Groups in the United Kingdom. Am J Public Health 95:496–501

    Article  PubMed  PubMed Central  Google Scholar 

  • Borrell C, Muntaner C, Gil-Gonzalez D et al (2010) Perceived discrimination and health by gender, social class, and country of birth in a Southern European country. Prev Med 50:86–92

    Article  PubMed  Google Scholar 

  • Bradford J, Reisner SL, Honnold JA, Xavier J (2012) Experiences of transgender-related discrimination and implications for health: results from the virginia transgender health initiative study. Am J Public Health 103(10):1820–1829

    Article  PubMed  Google Scholar 

  • Brant R (1990) Assessing proportionality in the proportional odds model for ordinal logistic regression. Biometrics 46:1171–1178

    Article  CAS  PubMed  Google Scholar 

  • Brown TN, Sellers SL, Brown KT, Jackson JS (1999) Race, Ethnicity, and Culture in the Sociology of Mental Health. In: Aneshensel CS, Phelan JC (eds) Handbook of the sociology of mental health. Kluwer Academic/Plenum Publishers, New York. NY, pp 167–182

    Google Scholar 

  • Bytheway B, Ward R, Holland C, Peace S (2007) Too old: older people’s accounts of discrimination, exclusion and rejection: a report from the research on age discrimination project (RoAD) to help the aged. Help the Aged. London, UK, http://oro.open.ac.uk/7281/

  • de Castro AB, Gee GC, Takeuchi DT (2008) Workplace discrimination and health among Filipinos in the United States. Am J Public Health 98:520–526

    Article  PubMed  PubMed Central  Google Scholar 

  • European Social Survey (ESS) Round 5 Data (2010) Data file edition 3.0. Norwegian Social Science Data Services. Norway, Data Archive and distributor of ESS data

  • Ferrie JE, Head J, Shipley MJ et al (2006) Injustice at work and incidence of psychiatric morbidity: the Whitehall II study. Occup Environ Med 63:443–450

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gee GC, Ro A, Shariff-Marco S, Chae D (2009) Racial discrimination and health among Asian Americans: evidence, assessment, and directions for future research. Epidemiol 31:130–151

    Article  Google Scholar 

  • Gomez J, Miranda R, Polanco L (2011) Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. J Youth Adolesc 40(11):1465–1476

    Article  PubMed  Google Scholar 

  • Grollman EA (2014) Multiple Disadvantaged Statuses and Health: the Role of Multiple Forms of Discrimination. J Health Soc Behav 55(1):3–19

    Article  PubMed  Google Scholar 

  • Hainmueller J, Hiscox MJ (2010) Attitudes toward highly skilled and low-skilled immigration: evidence from a survey experiment. Amer Polit Sci Rev 104(1):61–84

    Article  Google Scholar 

  • Hunte HE, Williams DR (2009) The association between perceived discrimination and obesity in a population-based multiracial and multiethnic adult sample. Am J Public Health 99:1285–1292

    Article  PubMed  PubMed Central  Google Scholar 

  • Idler EL, Benyamini Y (1997) Self-rated health and mortality: a review of twenty-seven communities. J Health Soc Behav 38:21–37

    Article  CAS  PubMed  Google Scholar 

  • Kim S-S, Williams DR (2012) Perceived Discrimination and Self-Rated Health in South Korea: a Nationally Representative Survey. PLoS One 7(1):e30501

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Krieger M (2014) Discrimination and Health Inequities. Int J Health Serv 44(4):643–710

    Article  PubMed  Google Scholar 

  • Mackenbach JP, Stirbu I, Roskam A-JR et al (2008) Socioeconomic inequalities in health in 22 European countries. N Engl J Med 358(23):2468–2481

    Article  CAS  PubMed  Google Scholar 

  • McGee DL, Liao Y, Cao G et al (1999) Self-reported health status and mortality in a multiethnic US cohort. Am J Epidemiol. 149:41–46

    Article  CAS  PubMed  Google Scholar 

  • Mickey MR, Mundie P, Engelman L (1990) Boolean factor analysis. In: Dixon WJ (ed) BMDP statistical software manual, vol 2. University of California Press, Los Angeles, pp 849–860

    Google Scholar 

  • Miller D, Mazza J, Eckert T (2009) Suicide prevention programs in the schools: a review and public health perspective. Sch Psychol Rev 38(2):168–188

    Google Scholar 

  • Nazroo JY (2003) The structuring of ethnic inequalities in health: economic position, racial discrimination, and racism. Am J Public Health 93(2):277–284

    Article  PubMed  PubMed Central  Google Scholar 

  • Oli N, Onta SR (2012) Self-perception of stigma and discrimination among men having sex with men. J Nepal Health Res Counc 10(22):197–200

    CAS  PubMed  Google Scholar 

  • Paradies Y (2006) A systematic review of empirical research on self-reported racism and health. Int J Epidemiol 35(4):888–901

    Article  PubMed  Google Scholar 

  • Pascoe EA, Smart Richman L (2009) Perceived discrimination and health: a meta-analytic review. Psychol Bull 135:531–554

    Article  PubMed  PubMed Central  Google Scholar 

  • Riach PA, Rich J (2002) Field experiments of discrimination in the market place. Econ J 112(483):480–518

    Article  Google Scholar 

  • Sutin AR, Stephan Y, Carretta H, Terracciano A (2015) Perceived discrimination and physical, cognitive, and emotional health in older adulthood. Am J Geriatr Psychiatry 23(2):171–179

    Article  PubMed  PubMed Central  Google Scholar 

  • Todorova I, Falcón LM, Lincoln AK, Lyn PL (2010) Perceived discrimination, psychological distress and health. Sociol Health Illn 32(6):843–861

    Article  PubMed  PubMed Central  Google Scholar 

  • Veling W, Hoek HW, Mackenbach JP (2008) Perceived discrimination and the risk of schizophrenia in ethnic minorities: a case-control study. Soc Psychiatry Psychiatr Epidemiol 43:953–959

    Article  PubMed  Google Scholar 

  • Wilkinson RG, Marmot MG (2003) Social determinants of health: the solid facts. World Health Organization, Geneva

    Google Scholar 

  • Williams DR, Mohammed SA (2009) Discrimination and racial disparities in health: evidence and needed research. J Behav Med 32(1):20–47

    Article  PubMed  PubMed Central  Google Scholar 

  • Williams DR, Neighbors HW, Jackson JS (2008) Racial/ethnic discrimination and health: findings from community studies. Am J Public Health 98(9 Suppl):S29–S37

    Article  PubMed  PubMed Central  Google Scholar 

  • World Health Organization (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health (CSDH). Geneva. World Health Organization. WHO website. Available: http://www.who.int/social_determinants/thecommission/finalreport/en/index.html. Accessed 10 Nov 2013

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Acknowledgments

The working group of research on health and social policy at the University Loyola Andalusia, and the PSICOST scientific association.

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Correspondence to Javier Alvarez-Galvez.

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Alvarez-Galvez, J. Measuring the effect of ethnic and non-ethnic discrimination on Europeans’ self-rated health. Int J Public Health 61, 367–374 (2016). https://doi.org/10.1007/s00038-015-0728-1

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  • DOI: https://doi.org/10.1007/s00038-015-0728-1

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