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Perceived interpersonal discrimination and older women’s mental health: accumulation across domains, attributions, and time
journal contribution
posted on 2023-06-09, 14:28 authored by Laia Becares, Nan ZhangExperiencing discrimination is associated with poor mental health, but how cumulative experiences of perceived interpersonal discrimination across attributes, domains, and time are associated with mental disorders is still unknown. Using data from the Study of Women’s Health Across the Nation (1996–2008), we applied latent class analysis and generalized linear models to estimate the association between cumulative exposure to perceived interpersonal discrimination and older women’s mental health. We found 4 classes of perceived interpersonal discrimination, ranging from cumulative exposure to discrimination over attributes, domains, and time to none or minimal reports of discrimination. Women who experienced cumulative perceived interpersonal discrimination over time and across attributes and domains had the highest risk of depression (Center for Epidemiologic Studies Depression Scale score =16) compared with women in all other classes. This was true for all women regardless of race/ethnicity, although the type and severity of perceived discrimination differed across racial/ethnic groups. Cumulative exposure to perceived interpersonal discrimination across attributes, domains, and time has an incremental negative long-term association with mental health. Studies that examine exposure to perceived discrimination due to a single attribute in 1 domain or at 1 point in time underestimate the magnitude and complexity of discrimination and its association with health.
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Publication status
- Published
File Version
- Published version
Journal
American Journal of EpidemiologyISSN
0002-9262Publisher
Oxford University PressExternal DOI
Issue
5Volume
187Page range
924-932Department affiliated with
- Social Work and Social Care Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2018-08-10First Open Access (FOA) Date
2018-08-10First Compliant Deposit (FCD) Date
2018-08-10Usage metrics
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