The DRUID study: racism and self-assessed health status in an indigenous population.

BMC Public Health
Yin C Paradies, Joan Cunningham

Abstract

There is now considerable evidence from around the world that racism is associated with both mental and physical ill-health. However, little is known about the mediating factors between racism and ill-health. This paper investigates relationships between racism and self-assessed mental and physical health among Indigenous Australians as well as potential mediators of these relationships. A total of 164 adults in the Darwin Region Urban Indigenous Diabetes (DRUID) study completed a validated instrument assessing interpersonal racism and a separate item on discrimination-related stress. Self-assessed health status was measured using the SF-12. Stress, optimism, lack of control, social connections, cultural identity and reactions/responses to interpersonal racism were considered as mediators and moderators of the relationship between racism/discrimination and self-assessed health status. After adjusting for socio-demographic factors, interpersonal racism was significantly associated with the SF-12 mental (but not the physical) health component. Stress, lack of control and feeling powerless as a reaction to racism emerged as significant mediators of the relationship between racism and general mental health. Similar findings emerged...Continue Reading

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Citations

Aug 12, 2014·Australian Journal of Primary Health·Alister ThorpeKevin Rowley
Aug 13, 2015·Social Psychiatry and Psychiatric Epidemiology·João Luiz BastosYin Carl Paradies
Sep 3, 2014·Social Science & Medicine·Pippa WaterworthJames Dimmock
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Nov 2, 2017·Ethnicity & Health·Rebecca E RitteLouise Maple-Brown
Jan 12, 2019·Australasian Journal on Ageing·Jeromey B TempleYin Paradies
Jun 25, 2019·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Jeromey B TempleYin Paradies
Nov 1, 2015·Society and Mental Health·Margarette L KadingMelissa L Walls
Jun 2, 2014·American Journal of Lifestyle Medicine·Robert J Donovan, Julia Anwar-McHenry
Jul 8, 2014·The Medical Journal of Australia·Margaret A KelaherYin Paradies
Jul 3, 2021·International Journal of Environmental Research and Public Health·Katherine A Thurber On Behalf Of The Mayi Kuwayu Study Team

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