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Cited by 45Racial and Ethnic Identity ResearchHealth disparities and outcomesIndigenous Health, Education, and Rights

The effects of perceived racism on psychological distress mediated by venting and disengagement coping in Native Hawaiians

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Kaholokula, Joseph Keawe‘aimoku, Antonio, Mapuana C.K., Ing, Claire K. Townsend, Hermosura, Andrea, Hall, Kimberly E., Knight, Rebecca, Wills, Thomas A.·2017·BMC Psychology
DOI 10.1186/s40359-017-0171-6PMC PMC5228113
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Abstract

BACKGROUND: Studies have linked perceived racism to psychological distress via certain coping strategies in several different racial and ethnic groups, but few of these studies included indigenous populations. Elucidating modifiable factors for intervention to reduce the adverse effects of racism on psychological well-being is another avenue to addressing health inequities. METHODS: We examined the potential mediating effects of 14 distinct coping strategies on the relationship between perceived racism and psychological distress in a community-based sample of 145 Native Hawaiians using structural equation modeling. RESULTS: Perceived racism had a significant indirect effect on psychological distress, mediated through venting and behavioral disengagement coping strategies, with control for age, gender, educational level, and marital status. DISCUSSION: The findings suggest that certain coping strategies may exacerbate the deleterious effects of racism on a person's psychological well-being. CONCLUSION: Our study adds Native Hawaiians to the list of U.S. racial and ethnic minorities whose psychological well-being is adversely affected by racism.

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  • Patients' experience of health care is affected by perceived discrimination, resulting in distrust in the provider and, potentially, racial concordance with providers.

    “Patients' experience of health care is also affected by perceived discrimination, resulting distrust in the provider, and, potentially, racial concordance with providers [47-51].”

    From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [47]

    The Background and Conclusion (page not provided) discuss perceived racism, psychological distress, and health among Native Hawaiians. Searches for patient health-care experience, provider distrust, and racial concordance found no passage addressing those points. (LLM, conf=0.76)

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Cited by

Sorted by citations

Authors
Kaholokula, J. K., Antonio, M. C. K., Ing, C. K. T., Hermosura, A., Hall, K. E., Knight, R., & Wills, T. A.
Affiliations
  • University of Hawaiʻi at Mānoa (US)
  • University of Hawaii Cancer Center (US)
Corresponding author
Kaholokula, Joseph Keawe‘aimoku
ORCID
Venue
BMC Psychology
Publisher
Springer Science and Business Media LLC
Published
2017-01-12
Volume
5
Issue
1
Pages
2-2
ISSN
2050-7283 (ISSN-L)
DOI
10.1186/s40359-017-0171-6
PMC
PMC5228113
OpenAlex
W2577085535
Cited by
45
References
15
Citations by year
2026: 5 · 2025: 4 · 2024: 4 · 2023: 8 · 2022: 8 · 2021: 2 · 2020: 7 · 2019: 3 · 2018: 3 · 2017: 1
FWCI
9.81
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Institute on Minority Health and Health Disparities (P20MD000173)
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords
perceived racism, psychological distress, coping strategies, venting, behavioral disengagement, Native Hawaiians, indigenous peoples, racial and ethnic minorities, health disparities, mediation
MeSH terms
Adaptation, Psychological, Cross-Sectional Studies, Depression, Female, Hawaii, Humans, Male, Middle Aged, Social Perception, Stress, Psychological, Native Hawaiian or Pacific Islander, Native Hawaiian or Other Pacific Islander, Racism

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