TABLE 3—
Association Between Self-Reported Everyday Discrimination and Categories of Chronic Health Conditions, by Ethnicity: National Latino and Asian American Study, 2002–2003
| All Asian and Pacific Islander Americans (n = 2095) | Vietnamese Americans (n = 520) | Filipino Americans (n = 508) | Chinese Americans (n = 600) | |||||
| Model 1, OR (95% CI)a,b | Model 2, OR (95% CI)a,b | Model 1, OR (95% CI)a | Model 2, OR (95% CI)a | Model 1, OR (95% CI)a | Model 2, OR (95% CI)a | Model 1, OR (95% CI)a | Model 2, OR (95% CI)a | |
| Cardiovascular conditions | ||||||||
| Everyday discrimination | 1.69 (1.20, 2.39)** | 1.69 (1.21, 2.38)** | 1.85 (1.07, 3.18)* | 1.87 (1.03, 3.39)* | 1.19 (0.88, 1.60) | 1.16 (0.88, 1.52) | 1.65 (1.03, 2.65)* | 1.69 (1.00, 2.83)* |
| Social desirability bias | 1.02 (0.09, 1.12) | 1.07 (0.93, 1.23) | 0.89 (0.76, 1.04) | 1.07 (0.89, 1.27) | ||||
| Respiratory conditions | ||||||||
| Everyday discrimination | 1.37 (1.18, 1.58)*** | 1.37 (1.18, 1.58)*** | 1.47 (1.04, 2.08)* | 1.45 (1.01, 2.06)* | 2.06 (1.63, 2.61)** | 2.02 (1.61, 2.54)** | 1.17 (0.84, 1.64) | 1.21 (0.87, 1.67) |
| Social desirability bias | 1.00 (0.93, 1.06) | 1.06 (0.92, 1.22) | 0.99 (0.90, 1.09) | 1.07 (0.97, 1.18) | ||||
| Pain conditions | ||||||||
| Everyday discrimination | 1.69 (1.45, 1.98)*** | 1.71 (1.46, 1.99)*** | 2.11 (1.34, 3.33)** | 2.12 (1.33, 3.38)** | 1.50 (1.12, 2.01)** | 1.51 (1.15, 1.99)** | 1.23 (0.90, 1.67) | 1.25 (0.92, 1.70) |
| Social desirability bias | 0.98 (0.92, 1.04) | 0.96 (0.87, 1.06) | 0.9 (0.80, 1.01) | 1.04 (0.95, 1.14) | ||||
| Other conditions | ||||||||
| Everyday discrimination | 0.88 (0.63, 1.24) | 0.89 (0.63, 1.25) | 1.12 (0.57, 2.21) | 1.13 (0.57, 2.23) | 1.18 (0.85, 1.63) | 1.18 (0.86, 1.63) | 0.57 (0.27, 1.20) | 0.54 (0.25, 1.17) |
| Social desirability bias | 0.98 (0.92, 1.04) | 1.04 (0.88, 1.24) | 1.07 (0.93, 1.22) | 0.92 (0.72, 1.18) | ||||
Note. OR = odds ratio; CI = confidence interval. Everyday discrimination was determined using a 9-item survey, adopted from the Detroit Area Study, measuring perceptions of chronic and routine unfair treatment (scale = 1–6); see “Methods” section. Social desirability was measured with a 10-item scale indicating the tendency of people to respond to surveys in ways that present a favorable impression of themselves. Model 1 included only everyday discrimination, and model 2 included everyday discrimination and social desirability bias.
aAnalyses controlled for age, gender, per capita income, education, employment, marital status, nativity, language proficiency, region, and same household. Discrimination was modeled as a continuous variable in all models. Analyses are weighted to be nationally representative.
bAnalysis controlled for ethnicity, in addition to all covariates noted in footnote a.
*P > .05; **P > .01; ***P > .001.