Journal article
Understanding how discrimination can affect health
Health services research, v 54(2), pp 1374-1388
Dec 2019
PMID: 31663121
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background To provide an overview of the empirical research linking self-reports of racial discrimination to health status and health service utilization. Methods A review of literature reviews and meta-analyses published from January 2013 to 2019 was conducted using PubMed, PsycINFO, Sociological s, and Web of Science. Articles were considered for inclusion using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) framework. Results Twenty-nine studies met the criteria for review. Both domestic and international studies find that experiences of discrimination reported by adults are adversely related to mental health and indicators of physical health, including preclinical indicators of disease, health behaviors, utilization of care, and adherence to medical regimens. Emerging evidence also suggests that discrimination can affect the health of children and adolescents and that at least some of its adverse effects may be ameliorated by the presence of psychosocial resources. Conclusions Increasing evidence indicates that racial discrimination is an emerging risk factor for disease and a contributor to racial disparities in health. Attention is needed to strengthen research gaps and to advance our understanding of the optimal interventions that can reduce the negative effects of discrimination.
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Details
- Title
- Understanding how discrimination can affect health
- Creators
- David R. Williams - Harvard UniversityJourdyn A. Lawrence - The Huntington Library, Art Museum, and Botanical GardensBrigette A. Davis - Harvard UniversityCecilia Vu - Harvard University
- Publication Details
- Health services research, v 54(2), pp 1374-1388
- Publisher
- Wiley
- Number of pages
- 15
- Grant note
- P0131281 / W.K. Kellogg Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000497198200002
- Scopus ID
- 2-s2.0-85074651949
- Other Identifier
- 991021448152904721
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- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services