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Perceived discrimination and health: A meta-analytic review.
Open accessAbstract
Perceived discrimination has been studied with regard to its impact on several types of health effects. This meta-analysis provides a comprehensive account of the relationships between multiple forms of perceived discrimination and both mental and physical health outcomes. In addition, this meta-analysis examines potential mechanisms by which perceiving discrimination may affect health, including through psychological and physiological stress responses and health behaviors. Analysis of 134 samples suggests that when weighting each study's contribution by sample size, perceived discrimination has a significant negative effect on both mental and physical health. Perceived discrimination also produces significantly heightened stress responses and is related to participation in unhealthy and nonparticipation in healthy behaviors. These findings suggest potential pathways linking perceived discrimination to negative health outcomes.
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“When differential or unfair treatment is perceived as racially motivated, it triggers physiological (eg, cardiovascular reactivity, dysregulated hypothalamic-pituitary-adrenal axis activity), cognitive-affective (eg, rumination, emotion suppression), and behavioral (eg, avoidance, aggression) responses that prepare the individual to confront the situation [6-8].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [7]
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“Moderation by age, sex, education level and birthplace of study participants has been found in previous individual studies (e.g., [42, 414]) but has been inconclusive in previous systematic reviews and meta-analyses [e.g., [13]).”
From Racism as a Determinant of Health: A Systematic Review and Meta-Analysis (2015) · cites this paper as [13]
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“This contrasts with the findings reported by Pascoe and Richman [13], where the association between perceived discrimination and physical health compared to mental health did not differ significantly.”
From Racism as a Determinant of Health: A Systematic Review and Meta-Analysis (2015) · cites this paper as Pascoe and Richman [13]
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“Despite extensive evidence showing the negative mental health effects of race-related stress in POC [6-11,14-17] and the promise of mindfulness meditation to help these individuals cope [20-24,26,30-32,79], this evidence-based treatment continues to be understudied among this high-risk population in both traditional [30,35,36] and digital formats [46-48].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [7]
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Metadata
- Authors
- Pascoe, E. A., & Smart Richman, L.
- Affiliations
- Duke University (US)
- ORCID
- Pascoe, Elizabeth A.
- Venue
- Psychological Bulletin
- Published
- 2009
- Volume
- 135
- Issue
- 4
- Pages
- 531-554
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- PMC
- PMC2747726
- OpenAlex
- W2120100418
- Semantic Scholar
- 886863c7ce89acfe9551d8fca9699381297cef52
- Cited by
- 4,427
- References
- 275
- Citations by year
- 2026: 244 · 2025: 327 · 2024: 352 · 2023: 347 · 2022: 373 · 2021: 398 · 2020: 347 · 2019: 326 · 2018: 303 · 2017: 291 · 2016: 279 · 2015: 239 · 2014: 183 · 2013: 165 · 2012: 129
- FWCI
- 268.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- SSRN Electronic Journal (submittedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute of Mental Health (K01MH074942, 1 K01-MH074942-02)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
- Keywords
- perceived discrimination, health outcomes, mental health, physical health, stress response, physiological stress, psychological stress, health behavior, harmful habits
- MeSH terms
- Adaptation, Psychological, Anxiety, Arousal, Depression, Humans, Models, Psychological, Prejudice, Psychophysiologic Disorders, Risk Factors, Social Perception, Health Behavior
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