Journal article
Emotional and physical reactions to perceived discrimination, language preference, and health-related quality of life among Latinos and Whites
Quality of life research, v 28(10), pp 2799-2811
01 Oct 2019
PMID: 31183603
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose To investigate whether emotional and physical reactions to perceived discrimination are associated with health-related quality of life (HRQOL) among whites and Latinos (by language preference) in Arizona.
Methods A cross-sectional analysis using the Arizona Behavioral Risk Factor Surveillance System (2012-2014) was restricted to non-Hispanic white and Latino (grouped by English- or Spanish-language preference) participants who completed the Reactions to Race optional module (N = 14,623). Four core items from the Centers for Disease Control and Prevention's Healthy Days Measures were included: self-rated health; physically unhealthy, mentally unhealthy; and functionally limited days. Poisson regression models estimated prevalence ratios and 95% confidence intervals (CIs) for poor self-rated health. Multinomial logistic models estimated odds ratios and 95% CI for poor mental, physical, and functionally limited days (defined as 14 + more days). Models were adjusted for sociodemographics, health behaviors, and multimorbidity.
Results Reports of emotional and physical reactions to perceived discrimination were highest among Spanish-language preference Latinos. Both Spanish- and English-language preference Latinos were more likely to report poor self-rated health in comparison to whites. In separate fully adjusted models, physical reactions were positively associated with each HRQOL measure. Emotional reactions were only associated with reporting 14 + mental unhealthy (aOR 3.16; 95% CI 1.82; 5.48) and functionally limited days (aOR 1.93; 95% CI 1.04, 3.58).
Conclusions Findings from this study suggest that physical and emotional reactions to perceived discrimination can manifest as diminished HRQOL. Consistent collection of population-based measures of perceived discrimination is warranted to track and monitor differential health vulnerability that affect Latinos.
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Details
- Title
- Emotional and physical reactions to perceived discrimination, language preference, and health-related quality of life among Latinos and Whites
- Creators
- Kellee White - University of Maryland, College ParkJourdyn A. Lawrence - Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USAJason L. Cummings - University of South CarolinaCalley Fisk - University of South Carolina
- Publication Details
- Quality of life research, v 28(10), pp 2799-2811
- Publisher
- Springer Nature
- Number of pages
- 13
- Grant note
- USC: 11520 / University of South Carolina Social Science Provost Grant
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000509098600020
- Scopus ID
- 2-s2.0-85067273699
- Other Identifier
- 991021448026304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services
- Public, Environmental & Occupational Health