This study provided a test of the minority status stress model by examining whether perceived discrimination would directly affect health outcomes even when perceived stress was taken into account among 215 Mexican-origin adults. Perceived discrimination predicted depression and poorer general health, and marginally predicted health symptoms, when perceived stress was taken into account. Perceived stress predicted depression and poorer general health while controlling for the effects of perceived discrimination. The influence of perceived discrimination on general health was greater for men than women, and the effect of perceived stress on depression was greater for women than men. Results provide evidence that discrimination is a source of chronic stress above and beyond perceived stress, and the accumulation of these two sources of stress is detrimental to mental and physical health. Findings suggest that mental health and health practitioners need to assess for the effects of discrimination as a stressor along with perceived stress.
Alderete, E., Vega, W.A., Kolody, B., & Aguilar-Gaxiola, S. (1999). Depressive symptomatology: Prevalence and psychosocial risk factors among Mexican migrant farmworkers in California. Journal of Community Psychology, 27, 457-471.
2.
Amaro, H., Russo, N.F., & Johnson, J. (1987). Family and work predictors of psychological well-being among Hispanic women professionals. Psychology of Women Quarterly , 11, 505-521.
3.
Allison, K.W. (1998). Stress and oppressed social category membership . In J. K. Swim & C. Stangor (Eds.), Prejudice: The target's perspective (pp. 145-170). San Diego, CA: Academic Press.
4.
American Psychological Association. (2006). Stress and mind/body health among Hispanics. Washington, DC: Author.
5.
Anderson, N.B. (1989). Racial differences in stress-induced cardiovascular reactivity and hypertension: Current status and substantive issues. Psychological Bulletin, 105, 89-105.
6.
Araujo, B.Y., & Borrell, L.N. (2006). Understanding the link between discrimination, mental health outcomes, and life chances among Latinos. Hispanic Journal of Behavioral Sciences, 28, 245-266.
7.
Borrell, L.N., Kiefe, C.I., Williams, D.R., Diez-Roux, A.V., & Gordon-Larsen, P. (2006). Self-reported health, perceived racial discrimination, and skin color in African Americans in the CARDIA study. Social Science & Medicine, 63, 1415-1427.
8.
Broman, C.L., Mavaddat, R., & Hsu, S. (2000). The experiences and consequences of perceived racial discrimination: A study of African Americans. Journal of Black Psychology, 26, 165-180.
9.
Cervantes, R.C., & Castro, F.C. (1985). Stress, coping, and Mexican American mental health: A systematic review. Hispanic Journal of Behavioral Sciences , 7, 1-73.
10.
Cohen, S., Kamarack, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396.
11.
Cohen, S., Kessler, R.C., & Gordon, L.U. (1995). Strategies for measuring stress in studies of psychiatric and physical disorders. In S. Cohen, R. C. Kessler, & L. U. Gordon (Eds.), Measuring stress: A guide for health and social scientists (pp. 3-26). New York: Oxford University Press.
12.
Cohen, S., Tyrrell, D.A.J., & Smith, A.P. (1993). Negative life events, perceived stress, negative affect, and susceptibility to the common cold. Journal of Personality and Social Psychology, 64, 131-140.
13.
Davis, M.C., Matthews, K.A., & Twamley, E.W. (1999). Is life more difficult on Mars or Venus? A meta-analytic review of sex differences in major and minor life events. Annals of Behavioral Medicine, 21, 83-97.
14.
DeFrietas, G. (1991). Inequality at work: Hispanics in the U.S. labor force. New York: Oxford University Press.
15.
Dimas, J.M., Snowden, L., Lopez-Kinney, D., & Vega, W.A. (1999). Acculturative stress, minority status stress and psychiatric disorder among Mexican Americans in California. Paper presented at the XXVII Inter-American Congress of Psychology , Caracas, Venezuela.
16.
Dion, K.L., Dion, K.K., & Pak, A.W. (1992). Personality-based hardiness as a buffer for discrimination-related stress in members of Toronto's Chinese community. Canadian Journal of Behavioral Science, 24, 517-536.
17.
Farley, T., Galves, A., Dickinson, L.M., & Perez, M.D. (2005). Stress, coping, and health: A comparison of Mexican immigrants, Mexican-Americans, and non-Hispanic Whites. Journal of Immigrant Health, 7, 213-220.
18.
Finch, B.K., Hummer, R.A., Kolody, B., & Vega,W.A. (2001). The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hispanic Journal of Behavioral Sciences, 23, 399-429.
19.
Finch, B.K., Kolody, B., & Vega, W.A. (2000). Perceived discrimination and depression among Mexican-origin adults in California. Journal of Health and Social Behavior, 41, 295-313.
20.
Finch, B.K., & Vega, W.A. (2003). Acculturation stress, social support, and self-rated health among Latinos in California. Journal of Immigrant Health , 5, 109-117.
21.
Flores, E., Tschann, J.M., Marin, B.V., & Pantoja, P. (2004). Marital conflict and acculturation among Mexican American husbands and wives. Cultural Diversity and Ethnic Minority Psychology, 10, 39-52.
22.
Golding, J.M., & Burnam, M.A. (1990). Stress and social support as predictors of depressive symptoms in Mexican Americans and non-Hispanic Whites. Journal of Social and Clinical Psychology, 9, 268-286.
23.
Gil, A., Vega, W.A., & Dimas, J. (1994). Acculturative stress and personal adjustment among Hispanic adolescent boys. Journal of Community Psychology , 22, 43-53.
24.
Gutierres, S.E., Delia, S.S., & Green, B.L. (1994). Job stress and health outcomes among White and Hispanic employees: A test of the person-environment fit model. In G. P. Keita & J. J. Hurrell (Eds.), Job stress in a changing workforce: Investigating, gender, diversity, and family issues (pp. 107-125). Washington, DC: American Psychological Association.
25.
Harrell, S.P. (2000). A multidimensional conceptualization of racism-related stress: Implications for the well-being of people of color. American Journal of Orthopsychiatry, 70, 42-57.
26.
Hollingshead, A.B. (1975). Four-factor index of social status. New Haven, CT: Department of Sociology, Yale University .
27.
Hovey, J.D. (2000). Acculturative stress, depression, and suicidal ideation in Mexican Immigrants. Cultural Diversity and Ethnic Minority Psychology, 6, 134-151.
28.
Hovey, J.D., & Magana, C. (2000). Acculturative stress, anxiety, and depression among Mexican immigrant farmworkers in the Midwest United States. Journal of Immigrant Health, 2, 119-131.
29.
Idler, E.L., & Benjamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21-37.
30.
Jackson, J.S., Brown, T.N., Williams, D.R., Torres, M., Sellers, S.L., & Brown, K. (1996). Racism and the physical and mental health status of African Americans: A thirteen-year national panel study. Ethnicity and Disease, 6, 132-147.
31.
Jenkins, C.D., Kreger, B.E., Rose, R.M., & Hurst, M. (1980). Use of a monthly health review to ascertain illness and injuries. American Journal of Public Health, 70, 82-84.
32.
Jones, D.R., Harrell, J.P., Morris-Prather, C.E., Thomas, J., & Omowale, N. (1996). Gender differences in mood and cardiovascular responses to socially stressful stimuli. Ethnicity and Disease , 6, 123-131.
33.
Kessler, R.C., Mickelson, K.D., & Williams, D.R. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the United States . Journal of Health and Social Behavior, 40, 208-230.
34.
Krieger, N., & Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA study of young Black and White adults. American Journal of Public Health, 86, 1370-1378.
35.
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
36.
Lee, R.M. (2005). Resilience against discrimination: Ethnic identity and other-group orientation as protective factors for Korean Americans. Journal of Counseling Psychology, 52, 36-44.
37.
Marin, G., & Marin, B.V. (1991). Research with Hispanics. Newbury Park, CA: Sage.
38.
Marin, G., Sabogal, F., Marin, B.V., Sabogal, R.O., & Perez-Stable, E.J. (1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9, 183-205.
39.
Martin, J.K., Tuch, S.A., & Roman, P.M. (2003). Problem drinking patterns among African Americans: The impacts of reports of discrimination, perceptions of prejudice, and "risky" coping strategies. Journal of Health and Social Behavior, 44, 408-425.
40.
Matthews, K.A., Gump, B.B., & Owens, J.F. (2001). Chronic stress influences cardiovascular and neuroendocrine responses during acute stress and recovery, especially in men. Health Psychology, 20, 403-410.
41.
Matud, M.P. (2004). Gender differences in stress and copying styles . Personality and Individual Differences, 37, 1401-1415.
42.
Meyer, I.H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence . Psychological Bulletin, 129, 674-697.
43.
Miranda, A.O. (2000). Socio-psychological predictors of acculturative stress among Latino adults. Journal of Mental Health Counseling , 22, 306-317.
44.
Moradi, B., & Risco, C. (2006). Perceived discrimination experiences and mental health of Latina/oAmerican persons. Journal of Counseling Psychology, 53, 411-421.
45.
Morris-Prather, C.E., Harrell, J.P., Collins, R., Leonard, K.L.J., Boss, M., & Lee, J.W. (1996). Gender differences in mood and cardiovascular responses to socially stressful stimuli. Ethnicity and Disease , 6, 123-131.
46.
Mossakowski, K.N. (2003). Coping with perceived discrimination: Does ethnic identity protect mental health? Journal of Health and Social Behavior, 44, 318-331.
47.
National Survey of Latinos. (2002). National survey of Latinos: Summary of findings. Menlo Park, CA: Pew Hispanic Center and Henry J. Kaiser Family Foundation.
48.
Noh, S., Beiser, M., Kaspar, V., Hou, F., & Rummens, J. (1999). Perceived racial discrimination, depression, and coping: A study of Southeast Asian refugees in Canada. Journal of Health and Social Behavior, 40, 193-207.
49.
Ren, X.S., Amick, B.C., & Williams, D.R. (1999). Racial/ethnic disparities in health: The interplay between discrimination and socioeconomic status. Ethnicity and Disease, 9, 151-165.
50.
Ryff, C.D., Keyes, C.L.M., & Hughes, D.L. (2003). Status inequalities, perceived discrimination, and eudaimonic well-being: Do the challenges of minority life hone purpose and growth?Journal of Health and Social Behavior, 44, 275-291.
51.
Salgado de Snyder, V.N. (1987). Factors associated with acculturative stress and depressive symptomatology among married Mexican immigrant women. Psychology of Women Quarterly, 11, 475-488.
52.
Slavin, L.A., Rainer, K.L., McCreary, M.L., & Gowda, K.K. (1991). Toward a multicultural model of the stress process . Journal of Counseling & Development, 70, 156-163.
53.
Spalter-Roth, R., Lowenthal, T.A., & Rubio, M. (2005). Race, ethnicity, and the health of Americans. Washington, DC: American Sociological Association.
54.
Steffen, P.R., & Bowden, M. (2006). Sleep disturbance mediates the relationship between perceived racism and depressive symptoms. Ethnicity and Disease , 16, 16-21.
55.
Telles, E.E., & Murguia, E. (1990). Phenotypic discrimination and income differences among Mexican Americans. Social Science Quarterly, 71, 682-696.
56.
Troxel, W.M., Matthews, K.A., Bromberger, J.T., & Sutton-Tyrrell, K. (2003). Chronic stress burden, discrimination, and subclinical carotid artery disease in African American and Caucasian women. Health Psychology, 22, 300-309.
57.
Tschann, J.M., Flores, E., Marin, B.V., Pasch, L.A., Baisch, E.M., & Wibbelsman, C.J. (2002). Interparental conflict and risk behaviors among Mexican American adolescents: A cognitive-emotional model. Journal of Abnormal Child Psychology, 30, 373-385.
58.
Tschann, J.M., Pasch, L.A., Flores, E., Marin, B.V., Baisch, E.M., & Wibbelsman, C.J. (in press). Nonviolent aspects of interparental conflict and dating violence among adolescents. Journal of Family Issues.
59.
Turner, R.J., & Avison, W.R. (2003). Status variations in stress exposure: Implications for the interpretation of research on race, socioeconomic status, and gender . Journal of Health and Social Behavior, 44, 488-505.
60.
Williams, D.R., Lavizzo-Mourey, R., & Warren, R.C. (1994). The concept of race and health status in America . Public Health Reports, 109, 26-41.
61.
Williams, D.R., & Neighbors, H.W. (2001). Racism, discrimination and hypertension: Evidence and needed research. Ethnicity and Disease, 11, 800-816.
62.
Williams, D.R., Neighbors, H.W., & Jackson, J.S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health , 93, 200-208.
63.
Williams, D.R., Yu, Y., Jackson, J.S., & Anderson, N.B. (1997). Racial differences in physical and mental health: Socioeconomic status, stress, and discrimination. Journal of Health Psychology, 2, 335-351.
64.
Yen, I.H., Ragland, D.R., Greiner, B.A., & Fisher, J.M. (1999). A majority of public health workers reported experiencing racial discrimination on the job. Public Health Reports, 114, 450-458.
