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Conceptualizing and Measuring Ethnic Discrimination in Health Research

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This paper presents the General Ethnic Discrimination Scale, an 18-item measure of perceived ethnic discrimination that can be used in health research with any ethnic group. The 1569 participants (half college students, half community adults) completed the General Ethnic Discrimination scale and measures of cigarette smoking and of psychiatric symptoms. Results revealed that the General Ethnic Discrimination subscales model the latent construct of perceived ethnic discrimination equally well for Blacks, Latinos, Asians, and Whites. Discrimination was strongly related to psychiatric symptoms and to current cigarette smoking for ethnic minorities and Whites alike, but such relationships were stronger for ethnic minorities. Minorities who experienced frequent discrimination were 2.3 times more likely than their low-discrimination counterparts to be smokers. This 5th grade reading-level scale takes 10 min to complete and has sufficient, initial psychometric integrity for use in clinical and community health studies.

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REFERENCES

  • Andersen, B. L., Kiecolt-Glaser, J. K., and Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. Am. Psychol. 49: 389–404.

    Article  PubMed  CAS  Google Scholar 

  • Barret, L. F., and Swim, J. K. (1998). Appraisals of prejudice and discrimination. In Swim, J. K., and Stangor, C. (Eds.), Prejudice, Academic Press, San Diego, CA, pp. 11–35.

    Google Scholar 

  • Barry, D. T., and Grilo, C. M. (2003). Cultural, self-esteem, and demographic correlates of perception of personal and group discrimination among East Asian immigrants. Am. J. Orthopsychiatry 73: 223–229.

    Article  PubMed  Google Scholar 

  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychol. Bull. 107: 238–246.

    Article  PubMed  CAS  Google Scholar 

  • Bird, S. T., and Bogart, L. M. (2001). Perceived race-based and socioeconomic status-based discrimination in interactions with health care providers. Ethn. Dis. 11: 554–563.

    PubMed  CAS  Google Scholar 

  • Branscombe, N. R., Schmitt, M. T., and Harvey, R. D. (1999). Perceiving pervasive discrimination among African-Americans. J. Pers. Soc. Psychol. 77: 135–149.

    Article  Google Scholar 

  • Broman, C. L., Mavaddat, R., and Hsu, S. (2000). The experience and consequences of perceived racial discrimination. J. Black Psychol. 26: 165–180.

    Article  Google Scholar 

  • Brondolo, E., Kelly, K. P., Coakley, V., Gordon, T., Thompson, S., Levy, E., et al. (2005). The perceived ethnic discrimination questionnaire. J. Appl. Soc. Psychol. 35(2): 335–365.

    Article  Google Scholar 

  • Brondolo, E., Rieppi, R., Kelly, K. P., and Gerin, W. (2003). Perceived racism and blood pressure. Ann. Behav. Med. 25: 55–65.

    Article  PubMed  Google Scholar 

  • Cacioppo, J. (1994). Social neuroscience: Autonomic, neuroendocrine, and immune responses to stress. Psychophysiology 31: 113–128.

    Article  PubMed  CAS  Google Scholar 

  • Choi, I., Nisbett, R. E., and Norenzayan, A. (1999). Causal attribution across cultures. Psychol. Bull. 125: 47–63.

    Article  Google Scholar 

  • Clark, R., Anderson, N. B., Clark, C. R., and Williams, D. R. (1999). Racism as a stressor for African Americans: A biopsychosocial model. Am. Psychol. 54: 805–816.

    Article  PubMed  CAS  Google Scholar 

  • Cohen, S. (1986). Contrasting the Hassles scale and the Perceived Stress Scale. Am. Psychol. 41: 716–718.

    Article  Google Scholar 

  • Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. J. Health Soc. Behav. 24: 385–396.

    Article  PubMed  CAS  Google Scholar 

  • Collins, J. W., David, R. J., Symons, R., Handler, A., Wall, S. N., and Dwyer, L. (2000). Low-income African-American mothers’ perception of exposure to racial discrimination and infant birth weight. Epidemiology 11: 337–339.

    Article  PubMed  Google Scholar 

  • Contrada, R. J., Ashmore, R. D., Gary, M. L., Coups, E., Egeth, J. D., Sewell, A., et al. (2001). Measures of ethnicity-related stress. J. Appl. Soc. Psychol. 31: 1775–1820.

    Article  Google Scholar 

  • Crocker, J., Major, B., and Steele, C. (1998). Social stigma. In Gilbert, D., Fiske, S. T., and Lindzey, G. (Eds.), Handbook of Social Psychology, McGraw-Hill, Boston, pp. 504–553.

    Google Scholar 

  • Crocker, J., and Quinn, D. (1998). Racism and self-esteem. In Eberhardt, J. L., and Fiske, S. T. (Eds.), Confronting Racism: The Problem and the Response, Sage, Thousand Oaks, CA, pp. 169–187.

    Google Scholar 

  • Darity, W. A. (2003). Employment discrimination, segregation, and health. Am. J. Public Health 93: 226–231.

    PubMed  Google Scholar 

  • Derogatis, L. R., Lipman, R. S., Covi, L., and Rickels, K. (1971). Neurotic symptom dimensions. Arch. Gen. Psychiatry 24: 454–464.

    PubMed  CAS  Google Scholar 

  • Derogatis, L. R., Lipman, R. S., Rickles, K., Ulenhuth, E., and Covi, L. (1994). The Hopkins Symptom Checklist: A self-report symptom inventory. Behav. Sci. 19: 1–15.

    Article  Google Scholar 

  • Dion, K. L. (2002). The social psychology of perceived prejudice and discrimination. Can. Psychol. 43: 1–10.

    Google Scholar 

  • Dion, K. L., Dion, K. K., and Pappas, G. (1992). Personality based hardiness as a buffer for discrimination-related stress in members of Toronto's Chinese community. Can. J. Behav. Sci. 24: 517–536.

    Article  Google Scholar 

  • Dohrenwend, B. P. (1998). Adversity, Stress, and Psychopathology, Oxford University Press, NY.

    Google Scholar 

  • Dohrenwend, B. S., and Dohrenwend, B. P. (1974). Stressful Life Events, Wiley, New York.

    Google Scholar 

  • Dohrenwend, B. S., and Dohrenwend, B. P. (1981). Life Stress and Illness. Prodist, New York.

    Google Scholar 

  • Dohrenwend, B. S., Krasnoff, L., Askenasy, A., and Dohrenwend, B. P. (1978). Exemplification of a method for scaling life events. J. Health Soc. Behav. 19: 205–229.

    Article  PubMed  CAS  Google Scholar 

  • Essed, P. (1991). Everyday Racism, Hunter House, Claremont, CA.

    Google Scholar 

  • Finch, B. K., Kolody, B., and Vega, W. A. (2000). Perceived discrimination and depression among Mexican origin adults in California. J. Health Soc. Behav. 41: 295–313.

    Article  PubMed  CAS  Google Scholar 

  • Flesch, R. (1948). A new readability yardstick. J. Appl. Psychol. 32: 221–233.

    Article  PubMed  CAS  Google Scholar 

  • Flesch, R. (1974). The Art of Readable Writing, Harper and Row, New York.

    Google Scholar 

  • Gallo, L. C., and Matthews, K. A. (2003). Understanding the association between socioeconomic status and physical health: Do negative emotions play a role? Psychol. Bull. 129: 10–51.

    Article  PubMed  Google Scholar 

  • Garfinkel, L. (1997). Trends in cigarette smoking in the United States. Prev. Med. 26: 447–450.

    Article  PubMed  CAS  Google Scholar 

  • Gee, G. C. (2002). A multilevel analysis of the relationship between institutional and individual racial discrimination and health status. Am. J. Public Health 92: 615–623.

    PubMed  Google Scholar 

  • Harrell, J. P., Hall, S., and Taliaferro, J. (2003). Physiological responses to racism and discrimination. Am. J. Public Health 93: 243–248.

    PubMed  Google Scholar 

  • Herbert, T. B., and Cohen, S. (1993). Stress and immunity in humans: A meta-analytic review. Psychosom. Med. 55: 364–379.

    PubMed  CAS  Google Scholar 

  • Hoyle, R. H. (2000). Confirmatory factor analysis. In Tinsley, H. E. A., and Brown, S. D. (Eds.), Handbook of Applied Multivariate Statistics and Mathematical Modeling, Academic Press, San Diego, CA, pp. 465–497.

    Google Scholar 

  • Hu, L. T., and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct. Equat. Model. 6: 1–55.

    Article  Google Scholar 

  • Jackson, J. S., Brown, T. N., Williams, D. R., Torres, M., Sellers, S. L., and Brown, K. (1996). Racism and the physical and mental health status of African Americans. Ethn. Dis. 6: 32–47.

    Google Scholar 

  • Kanner, A. D., Coyne, J. C., Schaeffer, C., and Lazarus, R. S. (1981). Comparison of two modes of stress measurement. J. Behav. Med. 4: 1–39.

    Article  PubMed  CAS  Google Scholar 

  • Karlsen, S., and Nazroo, J. Y. (2002). Relation between racial discrimination, social class, and health among ethnic minority groups. Am. J. Public Health 92: 624–631.

    PubMed  Google Scholar 

  • Kiecolt-Glaser, J. K., and Glaser, R. (1995). Psychoneuroimmunology and health consequences: Data and shared mechanisms. Psychosom. Med. 57: 269–274.

    PubMed  CAS  Google Scholar 

  • Klonoff, E. A., and Landrine, H. (1996). Acculturation and cigarette smoking among African-American adults. J. Behav. Med. 19(5): 501–514.

    Article  PubMed  CAS  Google Scholar 

  • Klonoff, E. A., and Landrine, H. (1999a). Cross-validation of the schedule of racist events. J. Black Psychol. 25: 231–254.

    Article  Google Scholar 

  • Klonoff, E. A., and Landrine, H. (1999b). Acculturation and cigarette smoking among African Americans: Replication and implications for prevention and cessation programs. J. Behav. Med. 22(2): 195–204.

    Article  PubMed  CAS  Google Scholar 

  • Klonoff, E. A., and Landrine, H. (2000). Is skin color is a marker for racial discrimination? Explaining the skin color-hypertension relationship. J. Behav. Med. 23: 329–338.

    Article  PubMed  CAS  Google Scholar 

  • Klonoff, E. A., and Landrine, H. (2001). Depressive symptoms and smoking among Black adults: Absence of a relationship? J. Health Psychol. 6(6): 645–649.

    Google Scholar 

  • Klonoff, E. A., Landrine, H., and Campbell, R. R. (2000). Sexist discrimination may account for wellknown gender differences in psychiatric symptoms. Psychol. Women Q. 24(1): 92–98.

    Article  Google Scholar 

  • Klonoff, E. A., Landrine, H., and Ullman, J. B. (1999). Racial discrimination and psychiatric symptoms among Blacks. Cult. Divers. Ethn. Minor. Psychol. 5: 329–339.

    Article  Google Scholar 

  • Krieger, N. (1990). Racial and gender discrimination: Risk factors for high blood pressure? Soc. Sci. Med. 30: 1273–1281.

    Article  PubMed  CAS  Google Scholar 

  • Krieger, N., and Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA study. Am. J. Public Health 86: 1370–1378.

    PubMed  CAS  Google Scholar 

  • Krieger, N., Sidney, S., and Coakley, E. (1998). Racial discrimination and skin color in the CARDIA study. Am. J. Public Health 88: 1308–1313.

    Article  PubMed  CAS  Google Scholar 

  • Landrine, H., and Klonoff, E. A. (1996a). The schedule of racist events. J. Black Psychol. 22: 144–168.

    Article  Google Scholar 

  • Landrine, H., and Klonoff, E. A. (1996b). African-American Acculturation: Deconstructing “Race” and Reviving Culture, Sage, Thousand Oaks, CA.

    Google Scholar 

  • Landrine, H., and Klonoff, E. A. (1997). Discrimination Against Women: Prevalence, Consequences, Remedies, Sage, Thousand Oaks, CA.

    Google Scholar 

  • Landrine, H., and Klonoff, E. A. (2000). Racial discrimination and smoking among Blacks: Findings from two studies. Ethn. Dis. 10: 195–202.

    PubMed  CAS  Google Scholar 

  • LaVeist, T. A., and Wallace, J. M. (2000). Health risk and inequitable distribution of liquor stores in African American neighborhoods. Soc. Sci. Med. 51: 613–617.

    Article  PubMed  CAS  Google Scholar 

  • Lazarus, R. S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer, New York.

    Google Scholar 

  • LeClere, F. B., Rogers, R. G., and Peters, K. D. (1997). Ethnicity and mortality in the United States: Individual and community correlates. Soc. Forces 76: 169–198.

    Article  Google Scholar 

  • Lee, R. E., and Cubbin, C. (2002). Neighborhood context and youth cardiovascular health behaviors. Am. J. Public Health 92: 428–436.

    Article  PubMed  Google Scholar 

  • Lee, R. M. (2003). Do ethnic identity and other-group orientation protect against discrimination for Asian Americans? J. Couns. Psychol. 50: 133–141.

    Article  Google Scholar 

  • Lepore, S. J. (1995). Measurement of chronic stressors. In Cohen, S. C., Kessler, R. C., and Gordon, L. U. (Eds.), Measuring Stress, Oxford University Press, New York, pp. 102–120.

    Google Scholar 

  • Loo, C. M., Fairbank, J. A., Scurfield, R. M., Ruch, L. O., King, D. W., Adams, L. J., and Chemtob, C. M. (2001). Measuring exposure to racism: Development and validation of a Race-Related Stressor Scale for Asian American Vietnam veterans. Psychol. Assess. 13: 503–520.

    Article  PubMed  CAS  Google Scholar 

  • Major, B., Gramzow, R. H., McCoy, S. K., Levin, S., Schmader, T., and Sidanius, J. (2002). Perceiving personal discrimination. J. Pers. Soc. Psychol. 82: 269–282.

    Article  PubMed  Google Scholar 

  • Mattsson, N. B., Williams, H. V., Rickles, K., Lipman, R. S., and Uhlenhuth, E. H. (1969). Dimensions of symptom distress in anxious neurotic outpatients. Psychopharmacol. Bull. 5: 19–32.

    PubMed  CAS  Google Scholar 

  • McCoy, S. K., and Major, B. (2003). Group identification moderates emotional responses to perceived prejudice. Pers. Soc. Psychol. Bull. 29: 1005–1017.

    Article  PubMed  Google Scholar 

  • Morris, M. W., Nisbett, R. E., and Peng, K. (1995). Causal understanding across domains and cultures. In Sperber, D., Premack, D., and Premack, A. J. (Eds.), Causal Cognition, Oxford University Press, Oxford, pp. 577–612.

    Google Scholar 

  • Myer, I. H. (2003). Prejudice as stress: Conceptual and measurement problems. Am. J. Public Health 93: 262–265.

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • Noh, S., Beiser, M., Kaspar, V., Hou, F., and Rummens, J. (1999). Perceived racial discrimination, depression and coping: A study of Southeast Asian refugees in Canada. J. Health Soc. Behav. 40: 208–230.

    Article  PubMed  Google Scholar 

  • Noh, S., and Kaspar, V. (2003). Perceived discrimination and depression: Moderating effects of coping, acculturation, and ethnic support. Am. J. Public Health 93: 232–238.

    PubMed  Google Scholar 

  • Polednak, A. P. (1996). Segregation, discrimination and mortality in U.S. Blacks. Ethn. Dis. 6: 99–108.

    PubMed  CAS  Google Scholar 

  • Ruggiero, K. M., and Taylor, D. M. (1997). Why minority group members perceive or do not perceive the discrimination that confronts them: The role of self-esteem and perceived control. J. Pers. Soc. Psychol. 72: 373–389.

    Article  PubMed  CAS  Google Scholar 

  • Satorra, A., and Bentler, P. M. (1988). Scaling corrections for chi-square statistics in covariance structure analysis. Proc. Am. Stat. Assoc. 308–313.

  • Steiger, J. S. (1999). Structural model evaluation and modification: An interval estimation approach. Multivar. Behav. Res. 25: 173–180.

    Article  Google Scholar 

  • Szalacha, L. A., Erkut, S., Coll, C. G., Alarcon, O., Fields, J. P., and Ceder, I. (2003). Discrimination and Puerto Rican children's and adolescents’ mental health. Cult. Divers. Ethn. Minor. Psychol. 9: 141–155.

    Article  Google Scholar 

  • Tanaka, J. S. (1993). Multifaceted conceptions of fit in structural equation models. In Bollen, K. A., and Long, J. S. (Eds.), Testing Structural Equation Models, Sage Press, Newbury Park, CA, pp. 10–39.

    Google Scholar 

  • Thompson, V. L. S. (1996). Perceived experiences of racism as stressful life events. Community Ment. Health J. 32: 223–233.

    Article  PubMed  CAS  Google Scholar 

  • Ullman, J. B. (2001). Structural equation modeling. In Tabachnick, B. G., and Fidell, L. S. (Eds.), Using Multivariate Statistics, Harper Collins, New York, pp. 709–811.

    Google Scholar 

  • U.S. Dept. of Health and Human Services (1998). Tobacco Use Among U.S. Racial/ethnic Minority Groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A Report of the Surgeon General, DHHS, Centers for Disease Control & Prevention, Office on Smoking and Health.

  • Utsey, S. O. (1998). Assessing the stressful effects of racism: A review of instrumentation. J. Black Psychol. 24: 269–288.

    Article  Google Scholar 

  • Utsey, S. O., and Ponterotto, J. G. (1996). Development and validation of the Index of Race-Related Stress. J. Couns. Psychol. 43: 490–501.

    Article  Google Scholar 

  • Vines, A. I., McNeilly, M. D., Stevens, J., Hertz-Picciotto, I., Bohlig, M., and Baird, D. S. (2001). Development and reliability of a Telephone-Administered Perceived Racism Scale (TPRS). Ethn. Dis. 11: 251–262.

    PubMed  CAS  Google Scholar 

  • Williams, D. R., Neighbors, H. W., and Jackson, J. S. (2003). Racial/ethnic discrimination and health. Am. J. Public Health 93: 200–208.

    PubMed  Google Scholar 

  • Williams, D. R., Spencer, M. S., and Jackson, J. S. (1999). Race, stress, and physical health. In Contrada, R. J., and Ashmore, R. D. (Eds.), Self, Social Identity, and Physical Health: Interdisciplinary Explorations, Oxford University Press, New York, pp. 71–100.

    Google Scholar 

  • Williams, D. R., Yu, Y., Jackson, J. S., and Anderson, N. B. (1997). Racial differences in physical and mental health. J. Health Psychol. 2: 335–351.

    Article  Google Scholar 

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ACKNOxsWLEDGMENTS

Supported by funds provided by National Cancer Institute Grants No. 1-U56-CA92079-01A1 and 5F31-CA110213-01; the University of California Tobacco-Related Disease Research Program Grants 8RT-0013 and 9RT-0043; and by the California Department of Health Services Tobacco Control Section Grants 90-11528, 94-20962, and 96-26617.

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Correspondence to Hope Landrine.

APPENDIX: The General Ethnic Discrimination (GED) Scale

APPENDIX: The General Ethnic Discrimination (GED) Scale

We are interested in your experiences with racism. As you answer the questions below, please think about your ENTIRE LIFE, from when you were a child to the present. For each question, please circle the number that best captures the things that have happened to you. Answer each question 3 times. ***

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Landrine, H., Klonoff, E.A., Corral, I. et al. Conceptualizing and Measuring Ethnic Discrimination in Health Research. J Behav Med 29, 79–94 (2006). https://doi.org/10.1007/s10865-005-9029-0

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