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Gilbert C. Gee, PhD, Michael S. Spencer, PhD, Juan Chen, PhD, MSW and David Takeuchi, PhD

Gilbert C. Gee is with the Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor. Michael S. Spencer and Juan Chen are with the School of Social Work, University of Michigan, Ann Arbor. David Takeuchi is with the School of Social Work, University of Washington, Seattle.

Correspondence: Requests for reprints should be sent to Gilbert C. Gee, PhD, Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1420 Washington Heights, Rm M5224, Ann Arbor, MI 48109 (e-mail: gilgee{at}umich.edu).

Objectives. We examined whether self-reported everyday discrimination was associated with chronic health conditions among a nationally representative sample of Asian Americans.

Methods. Data were from the Asian American subsample (n = 2095) of the National Latino and Asian American Study conducted in 2002 and 2003. Regression techniques (negative binomial and logistic) were used to examine the association between discrimination and chronic health conditions. Analyses were conducted for the entire sample and 3 Asian subgroups (Chinese, Vietnamese, and Filipino).

Results. Reports of everyday discrimination were associated with many chronic conditions, after we controlled for age, gender, region, per capita income, education, employment, and social desirability bias. Discrimination was also associated with indicators of heart disease, pain, and respiratory illnesses. There were some differences by Asian subgroup.

Conclusions. Everyday discrimination may contribute to stress experienced by racial/ethnic minorities and could lead to chronic illness.

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