Conceptual and methodological aspects of relations between discrimination and health in epidemiological studies

Bastos, João Luiz; Faerstein, Eduardo

doi:10.1590/s0102-311x2012000100019

Cited by 14 publications

(13 citation statements)

References 19 publications

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“…When different types of discrimination are conjointly measured, it may be possible to evaluate the relative importance of each one with regard to the health outcome in question, as well as to detect high magnitudes of association between discrimination and mental health. This is significant, given that the literature on discrimination and (mental) health has emphasized unfair treatments attributed to race 5,34 . Even though a recent literature review has shown that many types of discrimination are harmful to health 8 , other authors indicate that it is problematic to consider self-reported racial discrimination as synonymous with unfair treatment without attribution 35 .…”

Section: Discussionmentioning

confidence: 99%

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Age, class and race discrimination: their interactions and associations with mental health among Brazilian university students

et al. 2014

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Although research on discrimination and health has progressed significantly, it has tended to focus on racial discrimination and US populations. This study explored different types of discrimination, their interactions and associations with common mental disorders among Brazilian university students, in Rio de Janeiro in 2010. Associations between discrimination and common mental disorders were examined using multiple logistic regression models, adjusted for confounders. Interactions between discrimination and socio-demographics were tested. Discrimination attributed to age, class and skin color/race were the most frequently reported. In a fully adjusted model, discrimination attributed to skin color/race and class were both independently associated with increased odds of common mental disorders. The simultaneous reporting of skin color/race, class and age discrimination was associated with the highest odds ratio. No significant interactions were found. Skin color/race and class discrimination were important, but their simultaneous reporting, in conjunction with age discrimination, were associated with the highest occurrence of common mental disorders.

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Section: Discussionmentioning

confidence: 99%

“…Among several health outcomes, mental health conditions have inspired substantial theoretical reflection and empirical scrutiny, as regards their association with discrimination 5 . A growing body of research has shown that mental health outcomes are the most consistently associated with discriminatory experiences.…”

Section: Introductionmentioning

confidence: 99%

Age, class and race discrimination: their interactions and associations with mental health among Brazilian university students

et al. 2014

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“…Roma reported the lack of money for medication and transport and bad experience, fear or lack of trust to be the most common barriers they perceive. These barriers can be understood as institutional and intrapersonal discrimination of Roma which affect health condition of this highly discriminated group (Bastos and Faerstein 2012). However, differences in the use of health care services might arise from differences in social norms, values and health beliefs such as the purity of the body or fatalism which are typical for Roma (Zeman et al 2003;Vivian and Dundes 2004;Van Cleemput et al 2007).…”

Section: Discussionmentioning

confidence: 99%

Are barriers in accessing health services in the Roma population associated with worse health status among Roma?

Jarčuška

Bobakova

Uhrin

et al. 2013

Int J Public Health

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Are barriers in accessing health services in the Roma population associated with worse health status among Roma? Jarcuska, P.; Bobakova, D.; Uhrin, J.; Bobak, L.; Babinska, I.; Kolarcik, P.; Veselska, Z.; Madarasova-Geckova, A. Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Jarcuska, P., Bobakova, D., Uhrin, J., Bobak, L., Babinska, I., Kolarcik, P., ... Madarasova-Geckova, A. (2013). Are barriers in accessing health services in the Roma population associated with worse health status among Roma? International Journal of Public Health, 58(3), 427-434. CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Abstract Objectives The health of Roma has been found to be poorer than that of the majority population. The aim of this study was to explore the differences between Roma and non-Roma regarding perceived barriers in accessing health services. Furthermore, we aimed to assess the association between self-rated health status and Roma ethnicity and explore to what degree barriers in accessing health services explain this association. Methods We used data from the cross-sectional HepaMeta study conducted in 2011 in Slovakia. The final sample comprised 452 Roma (mean age 34.7; 35.2 % men) and 403 (mean age 33.5; 45.9 % men) non-Roma respondents. Results Roma ethnicity was found to be significantly associated with poorer self-rated health status. A considerable part of this association can be explained by barriers in accessing health services as perceived by Roma. Conclusions Worse health in Roma is partially mediated by worse access to health services, apart from a large educational gap between Roma living in settlements and the majority population. Interventions should focus not only on health literacy among Roma but also on the health care system and health care professionals.

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“…This neighborhood was chosen because 40% of its population is black (10) , in addition to the high level of social vulnerability (11) to which its residents are subjected. Racial discrimination is being increasingly recognized as a determinant of ethnic and racial inequalities in health care, with clear growth and strong association between racial discrimination and effects on the health of adults, young people and children (12)(13) . The focus of this study was the women because they generally take upon themselves the responsibilities related to practices of care and healing of the health-illness process in the family and social context (14) .…”

Section: Methodsmentioning

confidence: 99%

Use of medicinal plants by black women: ethnography study in a low-income community

Rosa

Hoga

Santana

et al. 2014

Rev. esc. enferm. USP

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Use of medicinal plants by black women: ethnography study in a low-income community RESUMENObjetivo: Explorar las creencias, valores y prácticas sobre el uso de las plantas medicinales entre las familias negras de bajos ingresos. Método: El método de investigación fue la etnografía y el proceso de observación participante fue desarrollado en una comunidad de bajos ingresos en las afueras de la Ciudad de São Paulo. Se entrevistó a veinte mujeres negras. Resultados: Dos subtemas culturales Uso remedios que aprendí a hacer con mi madre y con los religiosos para cuidar de enfermedades y Remedios caseros se utilizan para resolver problemas que no son graves y el tema cultural Uso remedio casero para resolver enfermedades simples porque tengo todo lo que necesito, es gratuito y no necesita una receta médica simbolizam las prácticas de las mujeres.Conclusión: Estas prácticas, que pueden estar enmascarando vulnerabilidades étnicas y sociales, ponen de manifiesto la resiliencia de las mujeres negras de bajos ingresos en el confrontamiento de los problemas del proceso salud-enfermedad. DESCRIPTORES

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Conceptual and methodological aspects of relations between discrimination and health in epidemiological studies

Abstract: Abstract

Cited by 14 publications

References 19 publications

Age, class and race discrimination: their interactions and associations with mental health among Brazilian university students

Age, class and race discrimination: their interactions and associations with mental health among Brazilian university students

Are barriers in accessing health services in the Roma population associated with worse health status among Roma?

Use of medicinal plants by black women: ethnography study in a low-income community

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