A growing body of literature demonstrates important negative health effects from racial microaggressions for racial/ethnic minorities. However, at present, the bulk of the literature is focused on the case of black Americans with relatively little attention as to how this may play out for other racial/ethnic groups. Here, we examine the association of health and racial microaggressions in the case of Latinos. Furthermore, we disaggregate Latinos by language preference in order to see how acculturation to the USA may moderate the effect of racial microaggressions on health outcomes for the group. In a statistical analysis of the 2004 Behavioral Risk Factor Surveillance System, we examine the association between stress from racial microaggressions and self-rated health for Latinos of different levels of linguistic acculturation. We find that more acculturated Latinos (measured in terms of language preference) are more likely to experience physical stress from perceived racial microaggressions after accounting for social and demographic factors. Further, this stress is linked to overall poorer self-rated health for the group. However, we find no such association for less acculturated, Spanish-preference Latinos.
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Aguirre-Molina, M., Molina, C. W., & Zambrana, R. (2001). Health issues in the Latino community. San Francisco, CA: Jossey-Bass.
Anderson, K. F. (2013). Diagnosing discrimination: Stress from perceived racism and the mental and physical health effects. Sociological Inquiry, 83(1), 55–81.
Anderson, K. F., & Finch, J. K. (2014). Racially charged legislation and Latino health disparities: The case of Arizona’s S.B. 1070. Sociological Spectrum, 34(6), 526–548.
Aneshensel, C. S. (1992). Social stress: Theory and research. Annual Review of Sociology, 18, 15–38.
Angel, J. L., Buckley, C. J., & Finch, B. K. (2001). Nativity and self-assessed health among pre-retirement age Hispanics and non-Hispanic whites. International Migration Review, 35(3), 784–803.
Berkel, C., Knight, G. P., Zeiders, K. H., Tein, J. Y., Roosa, M. W., Gonzales, N. A., et al. (2010). Discrimination and adjustment for Mexican American adolescents: A prospective examination of the benefits of culturally related values. Journal of Research on Adolescence, 20(4), 893–915.
Bonilla-Silva, E. (1997). Rethinking racism: Toward a structural interpretation. American Sociological Review, 62(3), 465–480.
Borrell, L. N., & Lancet, E. A. (2012). Race/ethnicity and all-cause mortality in US adults: Revisiting the Hispanic paradox. American Journal of Public Health, 102(5), 836–843.
Bratter, J. L., & Gorman, B. K. (2011). Is discrimination an equal opportunity risk? Racial experiences, socioeconomic status, and health status among black and white adults. Journal of Health and Social Behavior, 52(3), 365–382.
Brondolo, E., Gallo, L. C., & Myers, H. F. (2009a). Race, racism, and health: Disparities, mechanisms, and interventions. Journal of Behavioral Medicine, 32, 1–8.
Brondolo, E., Ver Halen, N. B., Pencille, M., Beatty, D., & Contrada, R. J. (2009b). Coping with racism: A selective review of the literature and a theoretical and methodological critique. Journal of Behavioral Medicine, 32, 64–88.
Cobas, J. A., Duany, J., & Feagin, J. R. (2009). How the United States racializes Latinos: White hegemony and its consequences. Boulder, CO: Paradigm Publishers.
Cozier, Y. C., Wise, L. C., Palmer, J. R., & Rosenberg, L. (2009). Perceived racism in relation to weight change in the black women’s health study. Annals of Epidemiology, 19(6), 379–387.
Davis, J. (2000). Social stress and mental health in the southern black belt. Sociological Spectrum, 20(4), 465–494.
Dressler, W., Oths, K. S., & Gravlee, C. C. (2005). Race and ethnicity in public health research: Models to explain health disparities. Annual Review of Anthropology, 34, 231–252.
Escobar, J. I., & Vega, W. A. (2000). Mental health and immigration’s AAAs: Where are we and where do we go from here? Journal of Nervous and Mental Disease, 188(11), 736–740.
Ferraro, K. F., & Yu, Y. (1995). Body weight and self-ratings of health. Journal of Health and Social Behavior, 36, 274–284.
Finch, B. K., Boardman, J. D., Kolody, B., & Vega, W. A. (2000a). Contextual effects of acculturation on perinatal substance exposure among immigrant and native-born Latinas. Social Science Quarterly, 81(1), 421–438.
Finch, B. K., Do, D. P., Frank, R., & Seeman, T. (2009). Could “acculturation” effects be explained by latent health disadvantages among Mexican immigrants? International Migration Review, 43(3), 471–495.
Finch, B. K., Frank, R., & Vega, W. A. (2004). Acculturation and acculturation stress: A social-epidemiological approach to Mexican migrant farmworkers’ health. International Migration Review, 38(1), 236–262.
Finch, B. K., Hummer, R. A., Kol, B., & Vega, W. A. (2001). The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hispanic Journal of Behavioral Sciences, 23(4), 399–429.
Finch, B. K., Kolody, B., & Vega, W. A. (2000b). Perceived discrimination and depression among Mexican-origin adults in California. Journal of Health and Social Behavior, 41(3), 295–313.
Finch, B. K., & Vega, W. A. (2003). Acculturation stress, social support, and self-rated health among Latinos in California. Journal of Immigrant Health, 5(3), 109.
Flores, E., Tschann, J. M., Dimas, J. M., Bachen, E. A., Pasch, L. A., & de Groat, C. L. (2008). Perceived discrimination, perceived stress, and mental and physical health among Mexican-origin adults. Hispanic Journal of Behavioral Sciences, 30(4), 401–424.
Frank, R., Akresh, I. R., & Lu, B. (2010). Latino immigrants and the US racial order: How and where do they fit in? American Sociological Review, 75(3), 378–401.
Fujishiro, K. (2009). Is perceived racial privilege associated with health? Findings from the behavioral risk factor surveillance system. Social Science and Medicine, 68, 840–844.
Gee, G., & Walsemann, K. (2009). Does health predict the reporting of racial discrimination or do reports of discrimination predict health? Findings from the national longitudinal study of youth. Social Science and Medicine, 68, 1676–1684.
Goldberg, P., Guéguen, A., Schmaus, A., Nakache, J. P., & Goldberg, M. (2001). Longitudinal study of associations between perceived health status and self-reported diseases in the French Gazel cohort. Journal of Epidemiology and Community Health, 55, 233–238.
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.
Idler, E. L., & Kasl, S. (1995). Self-ratings of health: Do they also predict change in functional ability? Journal of Gerontology, 50B, S344–S353.
Itzigsohn, J., & Dore-Cabral, C. (2000). Competing identities? Race, ethnicity and panethnicity among dominicans in the United States. Sociological Forum, 15(2), 225–247.
Jiménez, T. R. (2010). Replenished ethnicity: Mexican Americans, immigration, and identity. Berkeley, CA: University of California Press.
Kaestner, R., Pearson, J. A., Keene, D., & Geronimus, A. T. (2009). Stress, allostatic load, and health of Mexican immigrants. Social Science Quarterly, 90(5), 1089–1111.
Kam, J. A., Cleveland, M. J., & Hecht, M. L. (2010). Applying general strain theory to examine perceived discrimination’s indirect relation to Mexican-heritage youth’s alcohol, cigarette, and marijuana use. Prevention Science, 11(4), 397–410.
Kimbro, R. T., Gorman, B. K., & Schachter, A. (2012). Acculturation and self-rated health among Latino and Asian Immigrants to the United States. Social Problems, 59(3), 341–363.
Kulis, S., Marsiglia, F. F., & Nieri, T. (2009). Perceived ethnic discrimination versus acculturation stress: Influences on substance use among Latino youth in the southwest. Journal of Health and Social Behavior, 50(4), 443–459.
Kwate, N. O. A., Valdimarsdottir, H. B., Guevarra, J. S., & Bovbjerg, D. H. (2003). Experiences of racist events are associated with negative health consequences for African American women. Journal of the National Medical Association, 95(6), 450–460.
Layes, A., Asada, Y., & Kephart, G. (2012). Whiners and deniers: What does self-rated health measure? Social Science and Medicine, 75, 1–9.
Lee, J., & Bean, F. D. (2007). Reinventing the color line immigration and America’s new racial/ethnic divide. Social Forces, 86(2), 561–586.
Maddali, A. O. (2014). The immigrant “other”: Racialized identity and the devaluation of immigrant family relations. Indiana Law Journal, 89(2), 643–702.
McKanders, K. M. (2010). Sustaining tiered personhood: Jim Crow and anti-immigrant laws. Harvard Journal on Racial & Ethnic Justice, 26, 163–210.
Muñoz, D. G. (1986). Identifying areas of stress for Chicano undergraduates. In M. A. Olivas (Ed.), Latino college students (pp. 131–156). New York: Teachers College Press.
Nadal, K. L., Mazzula, S. L., Rivera, D. P., & Fujii-Doe, W. (2014). Microaggressions and Latina/o Americans: An analysis of nativity, gender, and ethnicity. Journal of Latina/o Psychology, 2(2), 67–78.
Noh, S., & Avison, W. R. (1996). Asian immigrants and the stress process: A study of Koreans in Canada. Journal of Health and Social Behavior, 37(2), 192–206.
Ochoa, G. L. (2004). Becoming neighbors in a Mexican American community: Power, conflict, and solidarity. Austin: University of Texas Press.
Okazaki, S. (2009). Impact of racism on ethnic minority mental health. Perspectives on Psychological Science, 4(1), 103–107.
Omi, M., & Winant, H. (1994). Racial formation in the United States: From the 1960s to the 1990s (2nd ed.). New York: Routledge & Kegan Paul.
Paradies, Y. (2006). A systematic review of empirical research on self-reported racism and health. International Journal of Epidemiology, 35, 888–901.
Pascoe, E. A., & Smart, R. L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531–554.
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337–356.
Peek, M. K., Cutchin, M. P., Salinas, J. J., Sheffield, K. M., Eschbach, K., Stowe, R. P., et al. (2010). Allostatic load among non-Hispanic Whites, non-Hispanic Blacks, and people of Mexican origin: Effects of ethnicity, nativity, and acculturation. American Journal of Public Health, 100(5), 940–946.
Pierce, C. (1970). Offensive mechanisms. In F. Barbour (Ed.), The black seventies (pp. 265–282). Boston: Porter Sargent.
Pierce, C. M. (1995). Stress analogs of racism and sexism: Terrorism, torture, and disaster. In C. V. Willie, P. P. Rieker, B. M. Kramer, & B. S. Brown (Eds.), Mental health, racism, and sexism (pp. 277–293). Pittsburgh: University of Pittsburgh Press.
Pieterse, A. L., & Carter, R. T. (2007). An examination of the relationship between general life stress, racism-related stress, and psychological health among black men. Journal of Counseling Psychology, 54, 101–109.
Rivera, D. P., Forquer, E. E., & Rangel, R. (2010). Microaggressions and the life experience of Latina/o Americans. In D. W. Sue (Ed.), Microaggressions and marginality: Manifestations, dynamics, and impact (pp. 59–84). New York: Wiley.
Roth, W. D. (2009). ‘Latino before the world’: The transnational extension of panethnicity. Ethnic and Racial Studies, 32(6), 927–947.
Roth, W. D. (2012). Race migrations: Latinos and the cultural transformation of race. Stanford, CA: Stanford University Press.
Sánchez, J. I., & Fernández, D. M. (1993). Acculturative stress among hispanics: A bidimensional model of ethnic identification. Journal of Applied Social Psychology, 23(8), 654–668.
Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken, NJ: Wiley.
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., et al. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271–286.
Taylor, J., & Turner, R. J. (2002). Perceived discrimination, social stress, and depression in the transition to adulthood: Racial contrasts. Social Psychology Quarterly, 65(3), 213–225.
Vazquez, Y. (2011). Perpetuating the marginalization of Latinos: A collateral consequence of the incorporation of immigration law into the criminal justice system. Howard Law Journal, 54(3), 639–674.
Vega, W. A., & Gil, A. G. (1998). Drug use and ethnicity in early adolescence. New York: Plenum Press.
Vines, A. I., Baird, D. D., Stevens, J., Hertz-Picciotto, I., Light, K. C., & McNeilly, M. (2007). Associations of abdominal fat with perceived racism and passive emotional responses to racism in African American women. American Journal of Public Health, 97(3), 526–530.
Viruell-Fuentes, E. A., Miranda, P. Y., & Abdulrahim, S. (2012). More than culture: Structural racism, intersectionality theory, and immigrant health. Social Science and Medicine, 75(12), 2099–2106.
Viruell-Fuentes, E. A., Morenoff, J. D., Williams, D. R., & House, J. S. (2011). Language of interview, self-rated health, and the other Latino health puzzle. American Journal of Public Health, 101(7), 1306–1313.
Williams, R. (2009). Using heterogeneous choice models to compare logit and probit coefficients across groups. Sociological Methods and Research, 37, 531–559.
Williams, R. (2010). Fitting heterogeneous choice models with OGLM. The Stata Journal, 10, 540–567.
Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32, 20–47.
Williams, D. R., Mohammed, S. A., Leavell, J., & Collins, C. (2010). Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities. Annals of the New York Academy of Sciences, 1186(1), 69–101.
Yosso, T. J., Smith, W. A., Ceja, M., & Solorzano, D. G. (2009). Critical race theory, racial microaggressions, and campus racial climate for Latina/o undergraduates. Harvard Educational Review, 79(4), 659.
Zsembik, B. A., & Fennell, D. (2005). Ethnic variation in health and the determinants of health among Latinos. Social Science and Medicine, 61(1), 53–63.
The authors would like to thank prior anonymous reviewers for their helpful comments on earlier drafts of this paper. The authors presented this paper at the annual meeting of the Pacific Sociological Association in 2014 in Portland, OR. This material is based upon work supported by the National Science Foundation Graduate Research Fellowship under Grant No. 2011100013.
Conflict of interest
The authors have no conflict of interest in the subject matter discussed in the paper.
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Anderson, K.F., Finch, J.K. The Role of Racial Microaggressions, Stress, and Acculturation in Understanding Latino Health Outcomes in the USA. Race Soc Probl 9, 218–233 (2017). https://doi.org/10.1007/s12552-017-9212-2
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