Perceived discrimination and physical health-related quality of life: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study

Kristine M. Molina, Mayra L. Estrella, Ramon Durazo-Arvizu, Vanessa L. Malcarne, Maria M. Llabre, Carmen R. Isasi, India J. Ornelas, Krista M. Perreira, Frank J. Penedo, Elizabeth Brondolo, Linda Gallo, Martha L. Daviglus

Research output: Contribution to journalArticle

Abstract

Rationale: The aim of this study was to examine the direct associations of perceived personal and group discrimination with physical health-related quality of life (HRQoL) among Latinx adults. We also tested whether ethnic identity and depression symptoms sequentially mediate these associations. Method: This population-based study included 5313 Latinx adults, ages 18–74 years, from the Hispanic Community Health Study/Study of Latinos (2008-11) and its Sociocultural Ancillary Study (2010-11). Participants were recruited from the Bronx; NY; Chicago, IL; Miami, FL; and San Diego, CA. Self-reported perceived personal and group discrimination, ethnic identity, depression symptoms, and physical HRQoL were ascertained through interviewer-administered surveys. Survey-weighted path analysis was used to examine direct and indirect effects simultaneously in one analytic model controlling for demographic covariates. Results: Path analysis indicated that higher perceived personal discrimination was directly associated with poorer physical HRQoL and this association was only mediated by depression symptoms. In contrast, perceived group discrimination was not directly associated with physical HRQoL. However, each of the direct paths linking perceived group discrimination to physical HRQoL were statistically significant: perceived group discrimination was positively associated with ethnic identity, and ethnic identity was negatively associated with depression symptoms, and, in turn, depression symptoms were negatively associated with physical HRQoL. Our model accounted for 18% of the variance of physical HRQoL. Conclusions: Perceived personal and group discrimination are differently associated with physical HRQoL. Results highlight the importance of considering self-perceptions of different discrimination forms when evaluating its impact on the physical HRQoL of Latinx adults.

Original languageEnglish (US)
Pages (from-to)91-100
Number of pages10
JournalSocial Science and Medicine
Volume222
DOIs
StatePublished - Feb 1 2019
Externally publishedYes

Fingerprint

Hispanic Americans
quality of life
discrimination
Quality of Life
Health
health
community
ethnic identity
Depression
Group
path analysis
Latinos
Perceived Discrimination
Physical Health
Discrimination
Ethnic Groups
Self Concept
self-image
Demography
Interviews

Keywords

  • Depression symptoms
  • Ethnic identity
  • Group discrimination
  • Health-related quality of life
  • Hispanics
  • Latinx
  • Perceived discrimination
  • Personal discrimination

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

Cite this

Perceived discrimination and physical health-related quality of life : The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. / Molina, Kristine M.; Estrella, Mayra L.; Durazo-Arvizu, Ramon; Malcarne, Vanessa L.; Llabre, Maria M.; Isasi, Carmen R.; Ornelas, India J.; Perreira, Krista M.; Penedo, Frank J.; Brondolo, Elizabeth; Gallo, Linda; Daviglus, Martha L.

In: Social Science and Medicine, Vol. 222, 01.02.2019, p. 91-100.

Research output: Contribution to journalArticle

Molina, KM, Estrella, ML, Durazo-Arvizu, R, Malcarne, VL, Llabre, MM, Isasi, CR, Ornelas, IJ, Perreira, KM, Penedo, FJ, Brondolo, E, Gallo, L & Daviglus, ML 2019, 'Perceived discrimination and physical health-related quality of life: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study', Social Science and Medicine, vol. 222, pp. 91-100. https://doi.org/10.1016/j.socscimed.2018.12.038
Molina, Kristine M. ; Estrella, Mayra L. ; Durazo-Arvizu, Ramon ; Malcarne, Vanessa L. ; Llabre, Maria M. ; Isasi, Carmen R. ; Ornelas, India J. ; Perreira, Krista M. ; Penedo, Frank J. ; Brondolo, Elizabeth ; Gallo, Linda ; Daviglus, Martha L. / Perceived discrimination and physical health-related quality of life : The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. In: Social Science and Medicine. 2019 ; Vol. 222. pp. 91-100.
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abstract = "Rationale: The aim of this study was to examine the direct associations of perceived personal and group discrimination with physical health-related quality of life (HRQoL) among Latinx adults. We also tested whether ethnic identity and depression symptoms sequentially mediate these associations. Method: This population-based study included 5313 Latinx adults, ages 18–74 years, from the Hispanic Community Health Study/Study of Latinos (2008-11) and its Sociocultural Ancillary Study (2010-11). Participants were recruited from the Bronx; NY; Chicago, IL; Miami, FL; and San Diego, CA. Self-reported perceived personal and group discrimination, ethnic identity, depression symptoms, and physical HRQoL were ascertained through interviewer-administered surveys. Survey-weighted path analysis was used to examine direct and indirect effects simultaneously in one analytic model controlling for demographic covariates. Results: Path analysis indicated that higher perceived personal discrimination was directly associated with poorer physical HRQoL and this association was only mediated by depression symptoms. In contrast, perceived group discrimination was not directly associated with physical HRQoL. However, each of the direct paths linking perceived group discrimination to physical HRQoL were statistically significant: perceived group discrimination was positively associated with ethnic identity, and ethnic identity was negatively associated with depression symptoms, and, in turn, depression symptoms were negatively associated with physical HRQoL. Our model accounted for 18{\%} of the variance of physical HRQoL. Conclusions: Perceived personal and group discrimination are differently associated with physical HRQoL. Results highlight the importance of considering self-perceptions of different discrimination forms when evaluating its impact on the physical HRQoL of Latinx adults.",
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AU - Molina, Kristine M.

AU - Estrella, Mayra L.

AU - Durazo-Arvizu, Ramon

AU - Malcarne, Vanessa L.

AU - Llabre, Maria M.

AU - Isasi, Carmen R.

AU - Ornelas, India J.

AU - Perreira, Krista M.

AU - Penedo, Frank J.

AU - Brondolo, Elizabeth

AU - Gallo, Linda

AU - Daviglus, Martha L.

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Rationale: The aim of this study was to examine the direct associations of perceived personal and group discrimination with physical health-related quality of life (HRQoL) among Latinx adults. We also tested whether ethnic identity and depression symptoms sequentially mediate these associations. Method: This population-based study included 5313 Latinx adults, ages 18–74 years, from the Hispanic Community Health Study/Study of Latinos (2008-11) and its Sociocultural Ancillary Study (2010-11). Participants were recruited from the Bronx; NY; Chicago, IL; Miami, FL; and San Diego, CA. Self-reported perceived personal and group discrimination, ethnic identity, depression symptoms, and physical HRQoL were ascertained through interviewer-administered surveys. Survey-weighted path analysis was used to examine direct and indirect effects simultaneously in one analytic model controlling for demographic covariates. Results: Path analysis indicated that higher perceived personal discrimination was directly associated with poorer physical HRQoL and this association was only mediated by depression symptoms. In contrast, perceived group discrimination was not directly associated with physical HRQoL. However, each of the direct paths linking perceived group discrimination to physical HRQoL were statistically significant: perceived group discrimination was positively associated with ethnic identity, and ethnic identity was negatively associated with depression symptoms, and, in turn, depression symptoms were negatively associated with physical HRQoL. Our model accounted for 18% of the variance of physical HRQoL. Conclusions: Perceived personal and group discrimination are differently associated with physical HRQoL. Results highlight the importance of considering self-perceptions of different discrimination forms when evaluating its impact on the physical HRQoL of Latinx adults.

AB - Rationale: The aim of this study was to examine the direct associations of perceived personal and group discrimination with physical health-related quality of life (HRQoL) among Latinx adults. We also tested whether ethnic identity and depression symptoms sequentially mediate these associations. Method: This population-based study included 5313 Latinx adults, ages 18–74 years, from the Hispanic Community Health Study/Study of Latinos (2008-11) and its Sociocultural Ancillary Study (2010-11). Participants were recruited from the Bronx; NY; Chicago, IL; Miami, FL; and San Diego, CA. Self-reported perceived personal and group discrimination, ethnic identity, depression symptoms, and physical HRQoL were ascertained through interviewer-administered surveys. Survey-weighted path analysis was used to examine direct and indirect effects simultaneously in one analytic model controlling for demographic covariates. Results: Path analysis indicated that higher perceived personal discrimination was directly associated with poorer physical HRQoL and this association was only mediated by depression symptoms. In contrast, perceived group discrimination was not directly associated with physical HRQoL. However, each of the direct paths linking perceived group discrimination to physical HRQoL were statistically significant: perceived group discrimination was positively associated with ethnic identity, and ethnic identity was negatively associated with depression symptoms, and, in turn, depression symptoms were negatively associated with physical HRQoL. Our model accounted for 18% of the variance of physical HRQoL. Conclusions: Perceived personal and group discrimination are differently associated with physical HRQoL. Results highlight the importance of considering self-perceptions of different discrimination forms when evaluating its impact on the physical HRQoL of Latinx adults.

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KW - Ethnic identity

KW - Group discrimination

KW - Health-related quality of life

KW - Hispanics

KW - Latinx

KW - Perceived discrimination

KW - Personal discrimination

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