A Nationwide Study of Discrimination and Chronic Health Conditions Among Asian Americans
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 discriminationwas associated with chronic health conditions among a nationallyrepresentative sample of Asian Americans.
Methods. Data were from the Asian American subsample (n = 2095)of the National Latino and Asian American Study conducted in2002 and 2003. Regression techniques (negative binomial andlogistic) were used to examine the association between discriminationand chronic health conditions. Analyses were conducted for theentire sample and 3 Asian subgroups (Chinese, Vietnamese, andFilipino).
Results. Reports of everyday discrimination were associatedwith many chronicconditions, after we controlled for age, gender,region, per capita income, education, employment, and socialdesirability bias. Discrimination was also associated with indicatorsof heart disease, pain, and respiratory illnesses. There weresome differences by Asian subgroup.
Conclusions. Everyday discrimination may contribute to stressexperienced by racial/ethnic minorities and could lead to chronicillness.
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