{"id":42886,"date":"2015-09-25T02:37:46","date_gmt":"2015-09-25T02:37:46","guid":{"rendered":"http:\/\/www.mixedracestudies.org\/?p=42886"},"modified":"2015-09-26T14:25:31","modified_gmt":"2015-09-26T14:25:31","slug":"racism-as-a-determinant-of-health-a-systematic-review-and-meta-analysis","status":"publish","type":"post","link":"https:\/\/mixedracestudies.org\/wp\/?p=42886","title":{"rendered":"Racism as a Determinant of Health: A Systematic Review and Meta-Analysis"},"content":{"rendered":"<p><em><strong><a href=\"http:\/\/dx.doi.org\/10.1371\/journal.pone.0138511\" target=\"_blank\">Racism as a Determinant of Health: A Systematic Review and Meta-Analysis<\/a><\/strong><\/em><\/p>\n<p><a href=\"http:\/\/journals.plos.org\/plosone\/\" target=\"_blank\">PLOS ONE<\/a><br \/>\n2015-09-23<br \/>\n48 pages<br \/>\nDOI: <a href=\"http:\/\/dx.doi.org\/10.1371\/journal.pone.0138511\" target=\"_blank\">10.1371\/journal.pone.0138511<\/a><\/p>\n<p><a href=\"http:\/\/www.deakin.edu.au\/profiles\/yin-paradies\" target=\"_blank\"><strong>Yin Paradies<\/strong><\/a>, Professor<br \/>\nAlfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education<br \/>\n<em>Deakin University, Melbourne, Victoria, Australia<\/em><\/p>\n<p><strong>Jehonathan Ben<\/strong><br \/>\nAlfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education<br \/>\n<em>Deakin University, Melbourne, Victoria, Australia<\/em><\/p>\n<p><strong>Amanuel Elias<\/strong><br \/>\nAlfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education<br \/>\n<em>Deakin University, Melbourne, Victoria, Australia<\/em><\/p>\n<p><strong>Nida Denson<\/strong><br \/>\nSchool of Social Sciences and Psychology<br \/>\n<em>University of Western Sydney, Sydney, New South Wales, Australia<\/em><\/p>\n<p><strong><a href=\"https:\/\/twitter.com\/naomi_priest\" target=\"_blank\">Naomi Priest<\/a><\/strong>, Senior Research Fellow in child public health and health inequalities<br \/>\nAustralian Centre for Applied Social Research Methods<br \/>\n<em>Australian National University, Canberra, Australian Capital Territory, Australia<\/em><\/p>\n<p><strong>Alex Pieterse<\/strong><br \/>\nDivision of Counseling Psychology<br \/>\n<em>University at Albany, State University of New York<\/em><\/p>\n<p><b>Arpana Gupta<\/b><br \/>\nOppenheimer Center for Neurobiology of Stress, David Geffen School of Medicine<br \/>\n<em>University of California, Los Angeles<\/em><\/p>\n<p><strong>Margaret Kelaher<\/strong><br \/>\nCentre for Health Policy Programs and Economics, Melbourne School of Population and Global Health<br \/>\n<em>University of Melbourne, Melbourne, Victoria, Australia<\/em><\/p>\n<p><strong>Gilbert Gee<\/strong><br \/>\nDepartment of Community Health Sciences<br \/>\n<em>University of California, Los Angeles, Fielding School of Public Health, Los Angeles, California<\/em><\/p>\n<p>Despite a growing body of epidemiological evidence in recent years documenting the health impacts of racism, the cumulative evidence base has yet to be synthesized in a comprehensive meta-analysis focused specifically on racism as a determinant of health. This meta-analysis reviewed the literature focusing on the relationship between reported racism and mental and physical health outcomes. Data from 293 studies reported in 333 articles published between 1983 and 2013, and conducted predominately in the U.S., were analysed using random effects models and mean weighted effect sizes. Racism was associated with poorer mental health (negative mental health: <a href=\"https:\/\/en.wikipedia.org\/wiki\/Pearson_product-moment_correlation_coefficient\" target=\"_blank\"><em>r<\/em><\/a> = -.23, 95% <a href=\"https:\/\/en.wikipedia.org\/wiki\/Confidence_interval\" target=\"_blank\">CI<\/a> [-.24,-.21], <a href=\"https:\/\/en.wikipedia.org\/wiki\/Kappa\" target=\"_blank\"><em>k<\/em><\/a> = 227; positive mental health: <em>r<\/em> = -.13, 95% CI [-.16,-.10], <em>k<\/em> = 113), including depression, anxiety, psychological stress and various other outcomes. Racism was also associated with poorer general health (<em>r<\/em> = -.13 (95% CI [-.18,-.09], <em>k<\/em> = 30), and poorer physical health (<em>r<\/em> = -.09, 95% CI [-.12,-.06], <em>k<\/em> = 50). Moderation effects were found for some outcomes with regard to study and exposure characteristics. Effect sizes of racism on mental health were stronger in cross-sectional compared with longitudinal data and in non-representative samples compared with representative samples. Age, sex, birthplace and education level did not moderate the effects of racism on health. Ethnicity significantly moderated the effect of racism on negative mental health and physical health: the association between racism and negative mental health was significantly stronger for Asian American and Latino(a) American participants compared with African American participants, and the association between racism and physical health was significantly stronger for Latino(a) American participants compared with African American participants. <a href=\"http:\/\/www.crd.york.ac.uk\/PROSPERO\/\" target=\"_blank\">Protocol PROSPERO<\/a> registration number: CRD42013005464.<\/p>\n<p>Read the entire article <a href=\"http:\/\/www.plosone.org\/article\/fetchObject.action?uri=info:doi\/10.1371\/journal.pone.0138511&amp;representation=PDF\" target=\"_blank\">here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Racism as a Determinant of Health: A Systematic Review and Meta-Analysis PLOS ONE 2015-09-23 48 pages DOI: 10.1371\/journal.pone.0138511 Yin Paradies, Professor Alfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education Deakin University, Melbourne, Victoria, Australia Jehonathan Ben Alfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education Deakin University, Melbourne, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,2039,125,8,4405,20],"tags":[21183,21186,21182,21181,21185,21180,21184,11247,20087],"class_list":["post-42886","post","type-post","status-publish","format-standard","hentry","category-articles","category-health-medicine","category-identitydevelopment","category-media-archive","category-oceania","category-usa","tag-alex-pieterse","tag-amanuel-elias","tag-arpana-gupta","tag-gilbert-gee","tag-jehonathan-ben","tag-margaret-kelaher","tag-nida-denson","tag-plos-one","tag-yin-paradies"],"_links":{"self":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/42886","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=42886"}],"version-history":[{"count":5,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/42886\/revisions"}],"predecessor-version":[{"id":42899,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/42886\/revisions\/42899"}],"wp:attachment":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42886"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}