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Perceived Racism and Mental Health Among Black American Adults: A Meta-Analytic Review
Open accessAbstract
The literature indicates that perceived racism tends to be associated with adverse psychological and physiological outcomes; however, findings in this area are not yet conclusive. In this meta-analysis, we systematically reviewed 66 studies (total sample size of 18,140 across studies), published between January 1996 and April 2011, on the associations between racism and mental health among Black Americans. Using a random-effects model, we found a positive association between perceived racism and psychological distress (r = .20). We found a moderation effect for psychological outcomes, with anxiety, depression, and other psychiatric symptoms having a significantly stronger association than quality of life indicators. We did not detect moderation effects for type of racism scale, measurement precision, sample type, or type of publication. Implications for research and practice are discussed.
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“The magnitude of associations in our meta-analysis was similar (or slightly higher) than findings from previous meta-analyses that focused on these specific ethnic/racial population groups [28–31].”
From Racism as a Determinant of Health: A Systematic Review and Meta-Analysis (2015) · cites this paper as [31]
Citations
Cites
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
The satisfaction with life scale
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985) · Journal of Personality Assessment · doi:10.1207/s15327752jpa4901_13 · Cited by 31,768
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Construct validity in psychological tests.
Cronbach, L. J., & Meehl, P. E. (1955) · Psychological Bulletin · doi:10.1037/h0040957 · Cited by 11,195
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2021) · doi:10.1002/9781119558378 · Cited by 9,799
The file drawer problem and tolerance for null results.
Rosenthal, R. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.3.638 · Cited by 9,068
Fanon, F. (2000) · Princeton University Press eBooks · doi:10.1007/978-1-137-05194-3_4 · Cited by 7,516
Unequal treatment: confronting racial and ethnic disparities in health care
(2003) · Choice Reviews Online · doi:10.5860/choice.40-5843 · Cited by 7,043
A threat in the air: How stereotypes shape intellectual identity and performance
Steele, C. M. (1997) · American Psychologist · doi:10.1037/0003-066x.52.6.613 · Cited by 6,770
Fanon, F. (2023) · Routledge eBooks · doi:10.4324/9781003320609-46 · Cited by 6,322
Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination
Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997) · Journal of Health Psychology · doi:10.1177/135910539700200305 · Cited by 4,786
The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974) · Behavioral Science · doi:10.1002/bs.3830190102 · Cited by 4,604
The Handbook of Research Synthesis and Meta-Analysis
(2019) · doi:10.7758/9781610448864 · Cited by 4,553
Perceived discrimination and health: A meta-analytic review.
Pascoe, E. A., & Smart Richman, L. (2009) · Psychological Bulletin · doi:10.1037/a0016059 · Cited by 4,427
DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.14.2101 · Cited by 4,177
The Handbook of Research Synthesis.
Howel, D., Cooper, H., & Hedges, L. V. (1995) · Biometrics · doi:10.2307/2533295 · Cited by 3,657
Discrimination and racial disparities in health: evidence and needed research
Williams, D. R., & Mohammed, S. A. (2009) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9185-0 · Cited by 3,371
Fixed-and random-effects models in meta-analysis.
Hedges, L. V., & Vevea, J. L. (1998) · Psychological Methods · doi:10.1037/1082-989x.3.4.486 · Cited by 2,977
A Nonparametric “Trim and Fill” Method of Accounting for Publication Bias in Meta-Analysis
Duval, S., & Tweedie, R. (2000) · Journal of the American Statistical Association · doi:10.1080/01621459.2000.10473905 · Cited by 2,955
Racism as a stressor for African Americans: A biopsychosocial model.
Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999) · American Psychologist · doi:10.1037/0003-066x.54.10.805 · Cited by 2,830
Racial/Ethnic discrimination and health: findings from community studies
Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.2.200 · Cited by 2,634
Kessler, R. C., Mickelson, K. D., & Williams, D. R. (1999) · Journal of Health and Social Behavior · doi:10.2307/2676349 · Cited by 2,262
The structure of psychological distress and well-being in general populations.
Veit, C. T., & Ware, J. E. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.51.5.730 · Cited by 2,094
Satcher, D. S. (2001) · University Libraries (University of Maryland) · doi:10.13016/jela-ckxw · Cited by 2,016
Meta-Analysis: Recent Developments in Quantitative Methods for Literature Reviews
Rosenthal, R., & DiMatteo, M. R. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.59 · Cited by 1,780
Research Synthesis and Meta-Analysis: A Step-by-Step Approach
Cooper, H. (2017) · doi:10.4135/9781071878644 · Cited by 1,716
A systematic review of empirical research on self-reported racism and health
Paradies, Y. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyl056 · Cited by 1,681
Harrell, S. P. (2000) · American Journal of Orthopsychiatry · doi:10.1037/h0087722 · Cited by 1,589
Racism and Psychological and Emotional Injury: Recognizing and Assessing Race-Based Traumatic Stress
Carter, R. T. (2007) · The Counseling Psychologist · doi:10.1177/0011000006292033 · Cited by 1,316
Self-citationA simple, general purpose display of magnitude of experimental effect.
Rosenthal, R., & Rubin, D. B. (1982) · Journal of Educational Psychology · doi:10.1037//0022-0663.74.2.166 · Cited by 1,233
Landrine, H., & Klonoff, E. A. (1996) · Journal of Black Psychology · doi:10.1177/00957984960222002 · Cited by 1,154
Racism and Mental Health: The African American experience
R. Williams, D., & Williams-Morris, R. (2000) · Ethnicity & Health · doi:10.1080/713667453 · Cited by 1,040
Racial and gender discrimination: risk factors for high blood pressure?
Krieger, N. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90307-e · Cited by 929
Race, race-based discrimination, and health outcomes among African Americans
Mays, V. M., Cochran, S. D., & Barnes, N. W. (2007) · Annual Review of Psychology · doi:10.1146/annurev.psych.57.102904.190212 · Cited by 889
The power of statistical tests for moderators in meta-analysis
Hedges, L. V., & Pigott, T. D. (2004) · Psychological Methods · doi:10.1037/1082-989x.9.4.426 · Cited by 672
(2009) · Cited by 670
Jones, J. M. (1972) · Cited by 644
Measuring racial discrimination
(2005) · Choice Reviews Online · doi:10.5860/choice.42-4949 · Cited by 547
Brand, J. L. (1997) · Digital Commons - Andrews University (Andrews University) · Cited by 537
Jackson, J. S., Brown, T. N., Williams, D. R., Torres, M. E., Sellers, S. L., & Brown, K. T. (1996) · PubMed · Cited by 486
Test “Reliability”: Its Meaning and Determination
Cronbach, L. J. (1947) · Psychometrika · doi:10.1007/bf02289289 · Cited by 469
Swim, J. K., Hyers, L. L., Cohen, L., Fitzgerald, D. C., & Bylsma, W. H. (2003) · Journal of Black Psychology · doi:10.1177/0095798402239228 · Cited by 442
Fischer, A. R., & Shaw, C. M. (1999) · Journal of Counseling Psychology · doi:10.1037/0022-0167.46.3.395 · Cited by 437
Effect sizes for experimenting psychologists.
Rosnow, R. L., & Rosenthal, R. (2003) · Canadian Journal of Experimental Psychology/Revue canadienne de psychologie expérimentale · doi:10.1037/h0087427 · Cited by 416
Race, racism and health: disparities, mechanisms, and interventions
Brondolo, E. N., Gallo, L. C., & Myers, H. F. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9190-3 · Cited by 391
Development and validation of the Index of Race-Related Stress (IRRS).
Utsey, S. O., & Ponterotto, J. G. (1996) · Journal of Counseling Psychology · doi:10.1037/0022-0167.43.4.490 · Cited by 377
The Nature of Contemporary Prejudice: Insights from Aversive Racism
Pearson, A. R., Dovidio, J. F., & Gaertner, S. L. (2009) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2009.00183.x · Cited by 375
Overton, R. C. (1998) · Psychological Methods · doi:10.1037/1082-989x.3.3.354 · Cited by 365
Research synthesis and meta-analysis: A step-by-step approach (4th ed.).
Cooper, H. M. (2010) · Cited by 335
Racial discrimination and psychiatric symptoms among Blacks.
Klonoff, E. A., Landrine, H., & Ullman, J. B. (1999) · Cultural Diversity and Ethnic Minority Psychology · doi:10.1037/1099-9809.5.4.329 · Cited by 331
Handbook of African American psychology
(2009) · Choice Reviews Online · doi:10.5860/choice.46-5904 · Cited by 298
Racial discrimination and the stress process.
Ong, A. D., Fuller‐Rowell, T. E., & Burrow, A. L. (2009) · Journal of Personality and Social Psychology · doi:10.1037/a0015335 · Cited by 282
McNeilly, M., Anderson, N. B., Armstead, C. A., Clark, R., Corbett, M., Robinson, E. L., Pieper, C. F., & Lepisto, E. M. (1996) · PubMed · Cited by 280
Pieterse, A. L., Carter, R. T., Evans, S. A., & Walter, R. A. (2010) · Journal of Counseling Psychology · doi:10.1037/a0020040 · Cited by 261
Self-citationSpeight, S. L. (2006) · The Counseling Psychologist · doi:10.1177/0011000006295119 · Cited by 251
Racial Discrimination and Asian Mental Health: A Meta-Analysis
Lee, D. L., & Ahn, S. (2011) · The Counseling Psychologist · doi:10.1177/0011000010381791 · Cited by 227
Pieterse, A. L., & Carter, R. T. (2007) · Journal of Counseling Psychology · doi:10.1037/0022-0167.54.1.101 · Cited by 219
Self-citationUses of Rasch modeling in counseling psychology research.
Fox, C. M., & Jones, J. (1998) · Journal of Counseling Psychology · doi:10.1037/0022-0167.45.1.30 · Cited by 216
Impacts on Racism on White Americans.
Levin, W. C., Bowser, B. P., & Hunt, R. G. (1983) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2069006 · Cited by 212
Assessing the Stressful Effects of Racism: A Review of Instrumentation
Utsey, S. O. (1998) · Journal of Black Psychology · doi:10.1177/00957984980243001 · Cited by 181
Kressin, N. R., Raymond, K. L., & Manze, M. G. (2008) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.0.0041 · Cited by 174
Racism and ethnoviolence as trauma: Enhancing professional training.
Helms, J. E., Nicolas, G., & Green, C. E. (2010) · Traumatology · doi:10.1177/1534765610389595 · Cited by 165
Trauma Assessments: A Clinician's Guide
Carlson, E. B. (1997) · Cited by 151
The Meta-Analysis of Clinical Judgment Project
Spengler, P. M., White, M. J., Ægisdóttir, S., Maugherman, A. S., Anderson, L. A., Cook, R. S., Nichols, C. N., Lampropoulos, G. K., Walker, B. S., Cohen, G. R., et al. (2007) · The Counseling Psychologist · doi:10.1177/0011000006295149 · Cited by 148
The Study of the Negro Problems
DuBois, W. E. B. (1898) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716200568001003 · Cited by 129
Woods-Giscombé, C. L., & Lobel, M. (2008) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/1099-9809.14.3.173 · Cited by 116
Harvey, R. J., & Hammer, A. L. (1999) · The Counseling Psychologist · doi:10.1177/0011000099273004 · Cited by 111
Coping Responses and the Experience of Discrimination1
Thompson, V. L. S. (2006) · Journal of Applied Social Psychology · doi:10.1111/j.0021-9029.2006.00038.x · Cited by 107
Counseling psychology trainees' social justice interest and commitment.
Miller, M. J., & Sendrowitz, K. (2011) · Journal of Counseling Psychology · doi:10.1037/a0022663 · Cited by 99
Ridley, C. R., Li, L. C., & Hill, C. L. (1998) · The Counseling Psychologist · doi:10.1177/0011000098266001 · Cited by 91
Guidelines for Meta-Analyses of Counseling Psychology Research
Quintana, S. M., & Minami, T. (2006) · The Counseling Psychologist · doi:10.1177/0011000006286991 · Cited by 83
Pierre, M. R., & Mahalik, J. R. (2005) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/1099-9809.11.1.28 · Cited by 80
Rationale for a posttraumatic stress spectrum disorder
Moreau, C., & Zisook, S. (2002) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(02)00019-9 · Cited by 69
Khaylis, A., Waelde, L. C., & Bruce, E. (2007) · Journal of Trauma & Dissociation · doi:10.1300/j229v08n04_06 · Cited by 65
Ford, J. D. (2008) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2008.00110.x · Cited by 59
Teaching Antiracism in Counselor Training: Reflections on a Course
Pieterse, A. L. (2009) · Journal of Multicultural Counseling and Development · doi:10.1002/j.2161-1912.2009.tb00098.x · Cited by 42
Self-citationHeard, E., Whitfield, K. E., Edwards, C. L., Bruce, M. A., & Beech, B. M. (2011) · Journal of the National Medical Association · doi:10.1016/s0027-9684(15)30260-1 · Cited by 40
Counseling People of African Ancestry
(2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511977350 · Cited by 39
Racism and White racial identity: Merging realities.
Jones, J. M., & Carter, R. T. (1996) · Cited by 39
Clinical interviewing, 4th ed.
Sommers‐Flanagan, J., & Sommers‐Flanagan, R. (2009) · Cited by 18
Racism, White Supremacy, and Resistance: Contextualizing Black American Experiences
Neville, H. A., & Pieterse, A. L. (2008) · Cited by 12
Self-citationFranklin, A. J., Boyd‐Franklin, N., & Kelly, S. (2006) · Journal of Emotional Abuse · doi:10.1300/j135v06n02_02 · Cited by 12
Anxiety Disorders and Physical Illness Comorbidity: An Overview
Sala, T., Cox, B. J., & Sareen, J. (2007) · Springer eBooks · doi:10.1007/978-0-387-74753-8_6 · Cited by 6
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“[31] who found no moderation by sample, publication or instrument type in their meta-analysis of perceived racism and mental health for Black Americans, we found stronger associations for some health outcomes in studies utilizing direct rather than indirect exposure measures, exposure assessment with specified rather…”
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Metadata
- Authors
- Pieterse, A. L., Todd, N. R., Neville, H. A., & Carter, R. T.
- Affiliations
- State University of New York (US)
- DePaul University (US)
- University of Illinois Urbana-Champaign (US)
- Columbia University (US)
- Venue
- Journal of Counseling Psychology
- Published
- 2012-01
- Volume
- 59
- Issue
- 1
- Pages
- 1-9
- ISSN
- 0022-0167 (ISSN-L)
- 1939-2168
- OpenAlex
- W2154539735
- Cited by
- 649
- References
- 91
- Citations by year
- 2026: 36 · 2025: 43 · 2024: 52 · 2023: 60 · 2022: 63 · 2021: 64 · 2020: 67 · 2019: 53 · 2018: 56 · 2017: 39 · 2016: 30 · 2015: 28 · 2014: 26 · 2013: 21 · 2012: 11
- FWCI
- 62.98
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Journal of Counseling Psychology (publishedVersion)
- PubMed (publishedVersion)
- University Libraries (University of Maryland) (submittedVersion)
- Digital Repository at the University of Maryland (University of Maryland College Park)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Keywords
- perceived racism, mental health, African Americans, psychological distress, anxiety, depression, psychiatric symptoms, quality of life, racial discrimination
- MeSH terms
- Anxiety Disorders, Black or African American, Depressive Disorder, Humans, Mental Health, Prejudice, Quality of Life, Social Perception, Black People
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