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Title: Personal-Level and Group-Level Discrimination and Mental Health: the Role of Skin Color
Authors: Fattore, Gisel Lorena
Amorim, Leila Denise
Santos, Letícia Marques dos
Santos, Darci Neves dos
Barreto, Mauricio Lima
Affilliation: Universidad Nacional de Lanús. Departamento de Salud Comunitaria. Lanús, Argentina / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Universidade Federal da Bahia. Departamento de Estatística. Salvador, BA Brasil
Universidade Federal da Bahia. Instituto de Humanidades Artes e Ciências Professor Milton Santos. Salvador, BA, Brasil
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Abstract: This study investigates the association between personal-level and group-level discrimination and common mental disorders (CMDs) among Afro-Brazilian women, aiming to explore the role of skin color on this association. Methods This is a cross-sectional study involving 1130 women who were participating in the Social Change, Asthma and Allergy in Latin America (SCAALA) study, whose children were recruited from 24 geographical micro-regions representative of the population without sanitation. Measures of discrimination were defined by: experiences (personal-level) and concern about discrimination (group-level) using the Experiences of Discrimination Scale. Skin color was registered by self-declaration, being classified as white, brown, and black. The association between Bself-reported^ discrimination and CMDs was evaluated using Poisson regression analysis. Results Prevalence of CMDs was high (38.3%), especially in the group exposed to discriminatory experiences and black women. Experiences and concern about discrimination were positive and significantly associated with mental health, before and after adjustment for potential confounders. The effect of discrimination on CMDs was lower among black women, suggesting the development of other strategies to confront racism. Conclusion This study emphasizes the use of both personal- and group-level discrimination measures, as well as skin color, for the evaluation of mental disorders in public health research. Further studies of health consequences of discrimination will require investigation of protective factors for mental disorders in the population suffering discrimination and racism.
Keywords: Racial discrimination
Group-level discrimination
Skin color
Common mental disorders
keywords: Discriminação racial
Discriminação em nível de grupo
Cor da pele
Transtornos mentais comuns
Issue Date: 2017
Publisher: Springer Verlag
Citation: FATTORE, G. L. et al. Personal-Level and Group-Level Discrimination and Mental Health:the Role of Skin Color. Journal of Racial and Ethnic Health Disparities, dez. 2017.
DOI: 10.1007/s40615-017-0451-0
ISSN: 2197-3792
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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