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. 2003 Feb;93(2):200–208. doi: 10.2105/ajph.93.2.200

TABLE 1.

—Studies of Perceived Discrimination and Health

Positive Associationa Negative Associationb Conditional Associationc No Associationd Total
Mental health studies
Well-being 15, 18, 20, 35, 42 45 6
Self-esteem 25, 40, 46, 47 45 5
Control/mastery 27, 48 45 3
Psychological distress 15, 18, 20, 21, 25–39, 41 42–44 19, 40 25
Major depression 23, 34, 49 21 4
Anxiety disorder 34 1
Other mental disorder 23, 50 2
Anger 50 1
    Total 38 0 3 6 47
Physical health studies
Self-rated health 15–17, 23, 24, 51 6
Other self-report 15, 16, 20, 23, 37, 51 19, 52 23, 24, 33 11
Blood pressure 52, 55, 56 23, 24, 57, 58, 59 55, 60, 61 11
Other cardiovascular 62 24, 61 3
Mortality 22 1
Very low birthweight 63 64 2
    Total 16 0 9 9 34
Health behavior studies
Smoking 26, 65, 66 3
Alcohol 67, 68 2
    Total 5 0 0 0 5
        Overall total 59 0 12 15 86

Note. Italicized numbers represent the relevant article’s location in the reference list. Totals are the sums of the numbers of articles reporting various types of empirical associations between perceived discrimination and indicators of health status/health risk. Many of the articles reviewed examined multiple outcomes, so the number of associations summarized (86) exceeded the number of articles examined (53).

aDefined as more perceived discrimination associated with higher levels of illness/health risk.

bDefined as more perceived discrimination associated with lower levels of illness/health risk.

cDefined as a positive association but only under some conditions.

dDiscrimination unrelated to health status/health risk.