Skip to main content

Advertisement

Log in

Racial Microaggressions and Self-rated Health Among Asians and Asian Americans

  • Published:
Race and Social Problems Aims and scope Submit manuscript

Abstract

Asians are currently the fastest growing racial/ethnic group in the USA. Using community samples, previous research has explored the role of racial microaggressions on Asian health. Findings have shown these experiences have a negative effect on health. However, few have examined the health impact of specific types of microaggressions, particularly using nationally representative data. Using data from the 2016 National Asian American Survey, a nationally representative sample of Asians from ten ethnic subgroups, we examined the separate and concurrent effects of three types of racial microaggressions (microinsults, microinvalidations, microassaults) on self-rated health among Asian and Asian American adults aged 18 and older. Our results showed that several microaggressions, specifically those related to the “model minority” stereotype and the perceived foreignness of Asians, were associated with higher odds of poorer self-rated health status. Overall, our findings suggest that specific forms of microaggressions must be taken more seriously and viewed as social determinants of Asian health. Limitations of this study are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Allison, P. (2014). Listwise deletion: It's NOT evil. Statistical Horizons. Retrieved September 4, 2019, from https://statisticalhorizons.com/listwise-deletion-its-notevil.

  • Assari, S., & Kumar, A. (2018). Social determinants of physical self-rated health among Asian Americans; Comparison of six ethnic groups. Societies,8(2), 24.

    Article  Google Scholar 

  • Bauer, A. M., Chen, C. N., & Alegría, M. (2010). English language proficiency and mental health service use among Latino and Asian Americans with mental disorders. Medical Care,48(12), 1097.

    Article  Google Scholar 

  • Berdahl, J., Min, J., & Zárate, M. A. (2012). Prescriptive stereotypes and workplace consequences for East Asians in North America. Cultural Diversity and Ethnic Minority Psychology,18(2), 141–152.

    Article  Google Scholar 

  • Cheng, J. K. Y., Fancher, T. L., Ratanasen, M., Conner, K. R., Duberstein, P. R., Sue, S., et al. (2010). Lifetime suicidal ideation and suicide attempts in Asian Americans. Asian American Journal of Psychology,1(1), 18.

    Article  Google Scholar 

  • Choi, S., Lewis, J., Harwood, S., Mendenhall, R., & Huntt, M. (2017). Is ethnic identity a buffer? Exploring the relations between racial microaggressions and depressive symptoms among Asian-American individuals. Journal of Ethnic & Cultural Diversity in Social Work,26(1–2), 18–29. https://doi.org/10.1080/15313204.2016.1263815.

    Article  Google Scholar 

  • Chou, R. S., & Feagin, J. R. (2015). Myth of the model minority: Asian Americans facing racism. London: Routledge.

    Book  Google Scholar 

  • Erosheva, E., Walton, E. C., & Takeuchi, D. T. (2007). Self-rated health among foreign-and US-born Asian Americans: A test of comparability. Medical Care,45(1), 80. https://doi.org/10.1097/01.mlr.0000241114.90614.9c.

    Article  Google Scholar 

  • Gee, G. C., & Ponce, N. (2010). Associations between racial discrimination, limited English proficiency, and health-related quality of life among 6 Asian ethnic groups in California. American Journal of Public Health,100(5), 888–895.

    Article  Google Scholar 

  • Gee, G. C., Ro, A., Shariff-Marco, S., & Chae, D. (2009). Racial discrimination and health among Asian Americans: Evidence, assessment, and directions for future research. Epidemiological Reviews,31, 130–151. https://doi.org/10.1093/epirev/mxp009].

    Article  Google Scholar 

  • Gee, G. C., Spencer, M. S., Chen, J., & Takeuchi, D. (2007a). A nationwide study of discrimination and chronic health conditions among Asian Americans. American Journal of Public Health,97, 1275–1282. https://doi.org/10.2105/AJPH.2006.091827.

    Article  Google Scholar 

  • Gee, G. C., Spencer, M., Chen, J., Yip, T., & Takeuchi, D. T. (2007b). The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide. Social Science & Medicine,64(10), 1984–1996.

    Article  Google Scholar 

  • Gong, F., Xu, J., & Takeuchi, D. T. (2017). Racial and ethnic differences in perceptions of everyday discrimination. Sociology of Race and Ethnicity,3(4), 506–521. https://doi.org/10.1177/2332649216681587.

    Article  Google Scholar 

  • Guo, J., Dixon, J. K., Whittemore, R., & He, G. P. (2010). Psychometric testing of the Health Quotient questionnaire: A measure of self-reported holistic health. Journal of Advanced Nursing,66(3), 653–663.

    Article  Google Scholar 

  • Haddock, C. K., Poston, W. S., Pyle, S. A., Klesges, R. C., Vander Weg, M. W., Peterson, A., et al. (2006). The validity of self-rated health as a measure of health status among young military personnel: Evidence from a cross-sectional survey. Health and Quality of Life Outcomes,4(1), 57.

    Article  Google Scholar 

  • Hahm, H. C., Ozonoff, A., Gaumond, J., & Sue, S. (2010). Perceived discrimination and health outcomes: A gender comparison among Asian-Americans nationwide. Women's Health Issues,20(5), 350–358.

    Article  Google Scholar 

  • Harwood, S., Huntt, M. B., Mendenhall, R., & Lewis, J. A. (2012). Racial microaggressions in the residence halls: Experiences of students of color at a predominantly white university. Journal of Diversity in Higher Education,5(3), 159–173. https://doi.org/10.1037/a0028956.

    Article  Google Scholar 

  • Hwang, W., & Goto, S. (2008). The impact of perceived racial discrimination on the mental health of Asian American and Latino college students. Cultural Diversity and Ethnic Minority Psychology,14(4), 326–335. https://doi.org/10.1037/1099-9809.14.4.326.

    Article  Google Scholar 

  • Huynh, V. W. (2012). Ethnic microaggressions and the depressive and somatic symptoms of Latino and Asian American adolescents. Journal of Youth Adolescence,41, 831–846. https://doi.org/10.1007/s10964-012-9756-9.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Inagami, S., Cohen, D. A., & Finch, B. K. (2007). Non-residential neighborhood exposures suppress neighborhood effects on self-rated health. Social Science & Medicine,65(8), 1779–1791.

    Article  Google Scholar 

  • Kalton, G., & Anderson, D. W. (1986). Sampling rare populations. Journal of the Royal Statistical Society: Series A (General),149(1), 65–82.

    Article  Google Scholar 

  • Keum, B., Brady, J., Sharma, R., Lu, Y., Kim, Y., Thai, C., et al. (2018). Gendered racial microaggressions scale for Asian American women: Development and initial validation. Journal of Counseling Psychology,65(5), 571–585. https://doi.org/10.1037/cou0000305.

    Article  Google Scholar 

  • Kim, I., Chen, J., & Spencer, M. S. (2012). Social determinants of health and mental health among Asian Americans in the United States. Journal of the Society for Social Work and Research,3(4), 346–361.

    Article  Google Scholar 

  • Kim, P., Kendall, D., & Cheon, H. (2017). Racial microaggressions, cultural mistrust, and mental health outcomes among Asian American college students. American Journal of Orthopsychiatry,87(6), 663–670.

    Article  Google Scholar 

  • Koku, P. S. (2005). Is there a difference in tipping in restaurant versus non-restaurant service encounters, and do ethnicity and gender matter? Journal of Services Marketing,19(7), 445–452.

    Article  Google Scholar 

  • Lee, D. L., & Ahn, S. (2011). Racial discrimination and Asian Mental Health: A meta-analysis. The Counseling Psychologist,39(3), 463–489. https://doi.org/10.1177/0011000010381791.

    Article  Google Scholar 

  • Lee, S., Juon, H., Martinez, G., Hsu, C., Robinson, E., Bawa, S., et al. (2009). Model minority at risk: Expressed needs of mental health by Asian American young adults. Journal of Community Health,34(2), 144–152.

    Article  Google Scholar 

  • Leong, F. T., & Serafica, F. C. (1995). Career development of Asian Americans: A research area in need of a good theory. Career Development and Vocational Behavior of Racial and Ethnic Minorities, 67–102.

  • Lin, A. I. (2010). Racial microaggressions directed at Asian Americans: Modern forms of prejudice and discrimination. In D. W. Sue (Ed.),Microaggressions and marginality: Manifestation, dynamics, and impact (pp. 85–103). John Wiley & Sons Inc.

  • Mereish, E. H., Liu, M. M., & Helms, J. E. (2012). Effects of discrimination on Chinese, Pilipino, and Vietnamese Americans' mental and physical health. Asian American Journal of Psychology,3(2), 91.

    Article  Google Scholar 

  • Nadal, K. L., Griffin, K. E., Wong, Y., Davidoff, K. C., & Davis, L. S. (2017). The injurious relationship between racial microaggressions and physical health: Implications for social work. Journal of Ethnic & Cultural Diversity in Social Work,26(1–2), 6–17.

    Article  Google Scholar 

  • Nadal, K. L., Griffin, K. E., Wong, Y., Hamit, S., & Rasmus, M. (2014a). The impact of racial microaggressions on mental health: Counseling implications for clients of color. Journal of Counseling & Development,92(1), 57–66. https://doi.org/10.1002/j.1556-6676.2014.00130.x.

    Article  Google Scholar 

  • Nadal, K. L., Mazzula, S. L., Rivera, D. P., & Fujii-Doe, W. (2014b). Microaggressions and Latina/o Americans: An analysis of nativity, gender, and ethnicity. Journal of Latina/o Psychology,2(2), 67.

    Article  Google Scholar 

  • Nadal, K., Wong, Y., Sriken, J., Griffin, K., Fujii-Doe, W., & Kim, B. S. K. (2015). Racial microaggressions and Asian Americans: An exploratory study on within-group differences and mental health. Asian American Journal of Psychology,6(2), 136–144. https://doi.org/10.1037/a0038058.

    Article  Google Scholar 

  • Ong, A., Burrow, A., Fuller-Rowell, T., Ja, N., & Sue, D. (2013). Racial microaggressions and daily well-being among Asian Americans. Journal of Counseling Psychology,60(2), 188–199.

    Article  Google Scholar 

  • Pascoe, E. A., & Smart Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin,135(4), 531.

    Article  Google Scholar 

  • Pepinsky, T. (2018). A note on listwise deletion versus multiple imputation. Political Analysis,26(4), 480–488.

    Article  Google Scholar 

  • Pew Research Center. (2012). The rise of Asian Americans. Retrieved August 1, 2019, from https://www.pewsocialtrends.org/asianamericans/

  • Ramakrishnan, K., Wong, J., Lee, J., & Lee, T. (2017). 2016 Post-Election National Asian American Survey. Retrieved May 7, 2017, from https://naasurvey.com/wp-content/uploads/2017/05/NAAS16-post-election-report.pdf

  • Shen, F. C., Wang, Y.-W., & Swanson, J. L. (2011). Development and initial validation of the internalization of Asian American Stereotypes Scale. Cultural Diversity and Ethnic Minority Psychology,17, 283–294. https://doi.org/10.1037/a0024727.

    Article  Google Scholar 

  • Solorzano, D., Ceja, M., & Yosso, T. (2000). Critical race theory, racial microaggressions, and campus racial climate: The experiences of African American college students. Journal of Negro Education,69(1/2), 60–73.

    Google Scholar 

  • Sue, D. W., Bucceri, J., Lin, A. I., Nadal, K. L., & Torino, G. C. (2009). Racial microaggressions and the Asian American experience. Cultural Diversity and Ethnic Minority Psychology,13(1), 72–81.

    Article  Google Scholar 

  • 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. https://doi.org/10.1037/0003-066X.62.4.27.

    Article  Google Scholar 

  • Trytten, D. A., Lowe, A. W., & Walden, S. E. (2012). “Asians are good at math. What an awful stereotype” The model minority stereotype's impact on Asian American engineering students. Journal of Engineering Education,101(3), 439–468.

    Article  Google Scholar 

  • United States Census Bureau. (2000). The Asian population: 2000. Retrieved August 1, 2019, from https://www2.census.gov/library/publications/decennial/2000/briefs/c2kbr01-16.pdf.

  • United States Census Bureau. (2010). The Asian population: 2010. Retrieved August 1, 2019, from https://www.census.gov/prod/cen2010/briefs/c2010br-11.pdf.

  • United States Census Bureau. (2011). Table 615. Employed civilians by occupation, sex, race, and Hispanic origin: 2009. From Statistical abstract of the United States: 2011. Retrieved August 1, 2019, from https://www.census.gov/compendia/statab/2011/tables/11s0615.pdf.

  • Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health,93(2), 200–208.

    Article  Google Scholar 

  • Wang, J., Leu, J., & Shoda, Y. (2011a). When the seemingly innocuous “stings”: Racial microaggressions and their emotional consequences. Personality and Social Psychology Bulletin,37(12), 1666–1678. https://doi.org/10.1177/0146167211416130.

    Article  Google Scholar 

  • Wang, J., Siy, J. O., & Cheryan, S. (2011b). Racial discrimination and mental health among Asian American youth. In F. T. L. Leong, L. Juang, D. B. Qin, & H. E. Fitzgerald (Eds.), Asian American and Pacific islander children and mental health: Vol. 1. Development and context (pp. 219–242). Santa Barbara, CA: Greenwood.

    Google Scholar 

  • Xie, Y., & Goyette, K. (2003). Social mobility and the educational choices of Asian Americans. Social Science Research, 32(3), 467–498.

    Article  Google Scholar 

  • Yoo, H. C., Gee, G. C., & Takeuchi, D. (2008). Discrimination and health among Asian American immigrants: Disentangling racial from language discrimination. Social Science & Medicine,68, 726–732. https://doi.org/10.1016/j.socscimed.2008.11.013.

    Article  Google Scholar 

Download references

Acknowledgements

This research was exempt from the University of Florida Institutional Review Board.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harvey L. Nicholson Jr.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Appendix

Appendix

See Table 4.

Table 4 Weighted descriptive statistics for racial microaggressions by ethnicity

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nicholson, H.L., Mei, D. Racial Microaggressions and Self-rated Health Among Asians and Asian Americans. Race Soc Probl 12, 209–218 (2020). https://doi.org/10.1007/s12552-020-09293-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12552-020-09293-1

Keywords

Navigation