Article
Personal-Level and Group-Level Discrimination and Mental Health: the Role of Skin Color
Registro en:
FATTORE, Gisel Lorena et al. Personal-Level and Group-Level Discrimination and Mental Health:the Role of Skin Color. Journal of Racial and Ethnic Health Disparities, p. 1-9, Dec. 2017.
2197-3792
10.1007/s40615-017-0451-0
Autor
Fattore, Gisel Lorena
Amorim, Leila Denise
Santos, Letícia Marques dos
Santos, Darci Neves dos
Barreto, Maurício Lima
Resumen
SCAALA (Social Change, Asthma and Allergy in Latin America) program. Complementary funds were received from the INCT/MCTI/CNPq program, contract no. 5737862008-9. 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.