Stress and the Mental Health of Populations of Color: Advancing Our Understanding of Race-related Stressors

Overview

Journal J Health Soc Behav

Specialty Social Sciences

Date 2018 Nov 29

PMID 30484715

Citations 297

Authors

David R Williams

Affiliations

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Abstract

This article provides an overview of research on race-related stressors that can affect the mental health of socially disadvantaged racial and ethnic populations. It begins by reviewing the research on self-reported discrimination and mental health. Although discrimination is the most studied aspect of racism, racism can also affect mental health through structural/institutional mechanisms and racism that is deeply embedded in the larger culture. Key priorities for research include more systematic attention to stress proliferation processes due to institutional racism, the assessment of stressful experiences linked to natural or manmade environmental crises, documenting and understanding the health effects of hostility against immigrants and people of color, cataloguing and quantifying protective resources, and enhancing our understanding of the complex association between physical and mental health.

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References

Hicken M, Lee H, Ailshire J, Burgard S, Williams D . "Every shut eye, ain't sleep": The role of racism-related vigilance in racial/ethnic disparities in sleep difficulty. Race Soc Probl. 2013; 5(2):100-112. PMC: 3722054. DOI: 10.1007/s12552-013-9095-9. View

Williams D, Yu Y, Jackson J, Anderson N . Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination. J Health Psychol. 2011; 2(3):335-51. DOI: 10.1177/135910539700200305. View

Ren X, Amick B, Williams D . Racial/ethnic disparities in health: the interplay between discrimination and socioeconomic status. Ethn Dis. 1999; 9(2):151-65. View

Clark R, Benkert R, Flack J . Large arterial elasticity varies as a function of gender and racism-related vigilance in black youth. J Adolesc Health. 2006; 39(4):562-9. DOI: 10.1016/j.jadohealth.2006.02.012. View

LaVeist T, Thorpe Jr R, Pierre G, Mance G, Williams D . THE RELATIONSHIPS AMONG VIGILANT COPING STYLE, RACE, AND DEPRESSION. J Soc Issues. 2014; 70(2):241-255. PMC: 4061746. DOI: 10.1111/josi.12058. View

Harris R, Tobias M, Jeffreys M, Waldegrave K, Karlsen S, Nazroo J . Effects of self-reported racial discrimination and deprivation on Māori health and inequalities in New Zealand: cross-sectional study. Lancet. 2006; 367(9527):2005-9. DOI: 10.1016/S0140-6736(06)68890-9. View

James S . John Henryism and the health of African-Americans. Cult Med Psychiatry. 1994; 18(2):163-82. DOI: 10.1007/BF01379448. View

Williams D, Neighbors H, Jackson J . Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003; 93(2):200-8. PMC: 1447717. DOI: 10.2105/ajph.93.2.200. View

Bor J, Venkataramani A, Williams D, Tsai A . Police killings and their spillover effects on the mental health of black Americans: a population-based, quasi-experimental study. Lancet. 2018; 392(10144):302-310. PMC: 6376989. DOI: 10.1016/S0140-6736(18)31130-9. View

10.

Toomey R, Umana-Taylor A, Williams D, Harvey-Mendoza E, Jahromi L, Updegraff K . Impact of Arizona's SB 1070 immigration law on utilization of health care and public assistance among Mexican-origin adolescent mothers and their mother figures. Am J Public Health. 2013; 104 Suppl 1:S28-34. PMC: 3924594. DOI: 10.2105/AJPH.2013.301655. View

11.

Wildeman C, Wang E . Mass incarceration, public health, and widening inequality in the USA. Lancet. 2017; 389(10077):1464-1474. DOI: 10.1016/S0140-6736(17)30259-3. View

12.

Priest N, Slopen N, Woolford S, Philip J, Singer D, Kauffman A . Stereotyping across intersections of race and age: Racial stereotyping among White adults working with children. PLoS One. 2018; 13(9):e0201696. PMC: 6135395. DOI: 10.1371/journal.pone.0201696. View

13.

Kugelmass H . "Sorry, I'm Not Accepting New Patients": An Audit Study of Access to Mental Health Care. J Health Soc Behav. 2016; 57(2):168-83. DOI: 10.1177/0022146516647098. View

14.

Wallace S, Nazroo J, Becares L . Cumulative Effect of Racial Discrimination on the Mental Health of Ethnic Minorities in the United Kingdom. Am J Public Health. 2016; 106(7):1294-300. PMC: 4984732. DOI: 10.2105/AJPH.2016.303121. View

15.

Cooper L, Roter D, Carson K, Beach M, Sabin J, Greenwald A . The associations of clinicians' implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. Am J Public Health. 2012; 102(5):979-87. PMC: 3483913. DOI: 10.2105/AJPH.2011.300558. View

16.

Padela A, Heisler M . The association of perceived abuse and discrimination after September 11, 2001, with psychological distress, level of happiness, and health status among Arab Americans. Am J Public Health. 2009; 100(2):284-91. PMC: 2804633. DOI: 10.2105/AJPH.2009.164954. View

17.

Colen C, Ramey D, Cooksey E, Williams D . Racial disparities in health among nonpoor African Americans and Hispanics: The role of acute and chronic discrimination. Soc Sci Med. 2017; 199:167-180. PMC: 5673593. DOI: 10.1016/j.socscimed.2017.04.051. View

18.

Leitner J, Hehman E, Ayduk O, Mendoza-Denton R . Blacks' Death Rate Due to Circulatory Diseases Is Positively Related to Whites' Explicit Racial Bias. Psychol Sci. 2016; 27(10):1299-1311. DOI: 10.1177/0956797616658450. View

19.

Sawyer P, Major B, Casad B, Townsend S, Mendes W . Discrimination and the stress response: psychological and physiological consequences of anticipating prejudice in interethnic interactions. Am J Public Health. 2012; 102(5):1020-6. PMC: 3483920. DOI: 10.2105/AJPH.2011.300620. View

20.

Wildeman C, Goldman A, Turney K . Parental Incarceration and Child Health in the United States. Epidemiol Rev. 2018; 40(1):146-156. DOI: 10.1093/epirev/mxx013. View