The Mental Health Impact of COVID-19 Racial and Ethnic Discrimination Against Asian American and Pacific Islanders

Hate crimes against Asian American/Pacific Islanders (AAPIs) have surged in the United States during the COVID-19 pandemic to alarming new levels. We analyzed data from the Healthy Minds Study, and found that COVID-19 related racial/ethnic discrimination was associated with greater odds of having depression, anxiety, non-suicidal self-injury, binge drinking, and suicidal ideation among AAPI university students (N = 1,697). Findings suggest that the COVID-19 pandemic precipitated discrimination, which has been linked to mental health problems, calling for more preventive interventions to address the AAPI population, especially given their low rates of formal treatment utilization.

What Do We Mean by “Ethnicity” and “Race”? A Consensual Qualitative Research Investigation of Colloquial Understandings

Lack of clarity and questionable congruence between researcher and participant understandings of ethnicity and race challenge the validity and impact of research utilizing these concepts. We aimed to both elucidate the multiple meanings that research participants in the United States might bring to questions about ethnicity and race and examine their relation to formal conceptualizations of these variables. We used consensual qualitative research-modified analyses to conduct thematic content analysis of 151 responses to open-ended survey questions about meanings of ethnicity and race. Participants included a racially diverse sample of 53 males, 87 females, and 11 unidentified gender with a mean age of 28.71 years. Results indicated that the most frequent colloquial meanings of ethnicity included origin, culture, ancestry, related or similar to race, social similarity, religion, and identity. The most frequent colloquial meanings of race included physical characteristics, ethnicity, origin, social grouping, ancestry, and imposed categorization. Results also illustrated how participants approached defining ethnicity and race. Results support the acknowledged and critiqued colloquial confounding of ethnicity and race and indicate a lack of agreed upon meaning between lay representations/meanings and formal meanings used by social scientists. This incongruence threatens valid operationalizations for research and challenges our ability to use these concepts in interventions to promote social justice and psychological health.

Racial discrimination and disability among Asian and Latinx populations in the United States

Purpose: This study examined the association between perceived racial discrimination and disability among Asian and Latinx residents of the United States, as the link between discrimination and disability has gone largely ignored in analyses of these populations.Materials and methods: Nationally representative samples included 2046 Asian Americans and 2515 Latinx Americans from the National Latino and Asian American Study (NLAAS). We used multivariable logistic regression and multivariable negative binomial regression to analyze the association between racial discrimination and five different disability domains as well as racial discrimination and a count of simultaneous functional limitations, respectively. The disability domains included: self-care, cognition, mobility, time out of role, and social interaction.Results and conclusions: Perceived racial discrimination positively and significantly predicted impairments across a variety of disability domains for both Asian and Latinx populations. The estimated associations between racial discrimination and disability were heterogeneous across Asian and Latinx ethnicities. Racial discrimination may contribute to stress for Asians and Latinxs in the United States, potentially increasing the possibility these populations develop disabilities. Rehabilitation efforts should consider the social contexts in which people of color live, recognizing that discrimination may differentially affect risk profiles for disabilities across racial and ethnic groups.IMPLICATIONS FOR REHABILITATIONAcross Asian and Latinx populations, racial discrimination is associated with impairments in self-care, cognition, mobility, time out of role, and social interaction.Future translational research can explore the utility of brief racial discrimination screens in clinical settings to assess risk for disability in various domains.Professionals should attend to the stress and overall impact of racial discrimination, as it is conceivable that racial discrimination may result in the exclusion or hindrance of people of color who are pursuing meaningful participation in places of work, public spaces, and civic life.Society bears the collective obligation to reduce discrimination against Asian and Latinx populations, particularly against those who experience disability.

A Meta-Analysis of the Relationship Between Internalized Racial Oppression and Health-Related Outcomes

Internalized racism represents a critical component of the system of racial oppression wherein People of Color adopt the negative beliefs about their race held by members of the White majority group. In this meta-analysis, the authors reviewed 29 studies (32 effect sizes) on the relationships between internalized racism and negative physical and mental health outcomes published between 1999 and 2015 and tested for literature-driven moderator effects using subgroup analyses. Results suggested that the direct overall relation between internalized racism and health was strongest for negative mental health outcomes ( r = .26), followed by negative physical health outcomes ( r = .11). Significant moderator effects were found for scale of measurement, country of sample (United States vs. international), and sampling method. Moderator effects of gender, publication type, year, and sample setting were not statistically significant. These findings are discussed and their implications for practice, advocacy, education/training, and research are described.

Racial Microaggression, Overt Discrimination, and Distress: (In)Direct Associations With Psychological Adjustment

Scholars in diverse disciplines have examined the associations between psychological adjustment and microaggression, and overt discrimination. It remains unclear whether the roles of microaggression in adjustment outcomes can be differentiated from the roles of overt discrimination and neuroticism. I examined the extent to which racial microaggression explained unique variances of negative affect, alcohol consumption, and drinking problems while controlling for overt discrimination and neuroticism among African American, Asian American, and Latinx American college students ( N = 713). Intervening roles of psychological distress linking microaggression and overt discrimination to adjustment outcomes were also tested. Among African Americans, microaggression and overt discrimination did not consistently predict psychological adjustment. Among Asian and Latinx Americans, microaggression and overt discrimination predicted negative affect via psychological distress. Microaggression also explained the variances of alcohol use outcomes among Asian Americans. Findings are discussed in the context of an acute racism reactions model and underscore the importance of considering overt discrimination and microaggression simultaneously as determinants of psychological adjustment.

Counseling Psychology and the Amelioration of Oppression: Translating Our Knowledge Into Action

In the new millennium, counseling psychologists have answered the call to address oppression related to intersectional identities. We have played a major role in the development of practice guidelines and policies, as well as in the application of ethical principles in cultural contexts. The Counseling Psychologist has served to disseminate information addressing needs and interventions for diverse communities. In this article, we review the history and impact of our efforts to ameliorate oppression. The pressing challenges of economic and educational disparities are highlighted along with how counseling psychologists are uniquely situated to meet the needs of the underserved. Our research, training, and practice are anchored in methodological pluralism, global helping paradigms, participatory engagement, and the promotion of liberation and radical healing. We offer recommendations to deconstruct current models and reconstruct a decolonized approach, embrace interdisciplinary collaboration to fight cultural encapsulation, strengthen prevention and advocacy, train a culturally diverse workforce, and prioritize intersectional research.

Discrimination in the United States: Experiences of Asian Americans

Objective

To examine experiences of racial discrimination among Asian Americans, which broadly contribute to poor health outcomes.

Data Source and Study Design

Data come from a nationally representative, probability‐based telephone survey, including 500 Asian and a comparison group of 902 white US adults, conducted January to April 2017.

Methods

We calculated the percent of Asian Americans reporting discrimination in several domains, including health care. We used logistic regression to compare the Asian‐white difference in odds of discrimination, and among Asians only to examine variation by geographic heritage group (South Asian versus East Asian) and gender.

Principal Findings

13 percent of Asians reported discrimination in healthcare encounters. At least one in four adults reported experiencing discrimination in employment (27 percent job applications, 25 percent equal pay/promotions); housing (25 percent); and interpersonal interactions (35 percent microaggressions, 32 percent racial slurs). In unadjusted models, East and South Asians were more likely than whites to report experiences of institutional discrimination, and South Asians were more likely than whites to report microaggressions. In adjusted models, Asians had higher odds than whites of reporting avoiding health care due to discrimination concerns and also when obtaining housing.

Conclusions

Asians in the United States experience discrimination interpersonally and across many institutional settings, including housing and health care. South Asians may be especially vulnerable to forms of institutional discrimination and microaggressions. These results illustrate a need for greater investigation into the unique experiences of Asian subgroups and greater protections for groups at higher risk of discrimination, within health care and beyond.

Perceived discrimination, health and mental health among immigrants in Norway: the role of moderating factors

BACKGROUND

Ethnic discrimination is a relatively common experience among immigrants and ethnic minorities. The experience of discrimination can have detrimental effects on an individual's health and well-being. This study investigated the association between perceived discrimination and general health and mental health among immigrants in Norway, in order to identify potential protective factors.

METHODS

Using data from the Living Conditions Survey among Immigrants 2016, our sample consisted of 4294 participants aged 16-66 years from 12 different countries. Participants were asked about a variety of themes including health and mental health, perceived discrimination, sense of belonging and language proficiency.

RESULTS

Around 27% of participants reported perceived discrimination. While perceived discrimination was not associated with general health, logistic regression analyses indicated that it was associated with 1.86 higher odds of mental health problems, even after adjusting for sociodemographic and psychosocial variables. Further, interaction analyses suggested that sense of belonging and trust in others moderated the relationship. Those with higher levels of trust did not have increased odds of mental health problems when experiencing discrimination, while those with low levels of trust did. In line with rejection sensitivity theory, the association between perceived discrimination and mental health was stronger for participants who had a strong sense of belonging to their own country of origin but not to Norway compared with those who had a sense of belonging to both.

CONCLUSIONS

Improved integration strategies could potentially improve the mental health of immigrants as well as increase the acceptability of diversity, which in turn, could reduce discrimination towards immigrants. Limitations and suggestions for further research are discussed.

Time-varying associations of racial discrimination and adjustment among Chinese-heritage adolescents in the United States and Canada

The aim of our study was twofold: to examine (a) whether the link between racial discrimination and adjustment showed age-related changes across early to late adolescence for Chinese-heritage youth and (b) whether the age-related associations of the discrimination–adjustment link differed by gender, nativity, and geographical region. We pooled two independently collected longitudinal data sets in the United States and Canada (N = 498, ages 12–19 at Wave 1) and used time-varying effect modeling to show that discrimination is consistently associated with poorer adjustment across all ages. These associations were stronger at certain ages, but for males and females, first- and second-generation adolescents, and US and Canadian adolescents they differed. There were stronger relations between discrimination and adjustment in early adolescence for males compared to females, in middle adolescence for first-generation compared to second-generation adolescents, and in early adolescence for US adolescents compared to Canadian adolescents. In general, negative implications for adjustment associated with discrimination diminished across the span of adolescence for females, second-generation, and US and Canadian adolescents, but not for males or first-generation adolescents. The results show that the discrimination–adjustment link must be considered with regard to age, gender, nativity, and region, and that attention to discrimination in early adolescence may be especially important.

Racial Discrimination and Experience of New Possibilities Among Chinese International Students

The purpose of this study was to examine whether the coping strategies of internalization (e.g., attributing the causes or responsibility of racial discrimination events to oneself) and resistance (e.g., confronting others for their discriminatory behaviors) moderated the association between racial discrimination and experience of new possibilities for Chinese international students. Experience of new possibilities refers to the positive psychological changes associated with finding new opportunities after a traumatic, negative event such as racial discrimination. A total of 258 Chinese international students in the United States completed an online survey. Results indicated that an association between perceived racial discrimination and experience of new possibilities was significantly positive for female Chinese international students with a higher use of the internalization coping or a lower use of resistance coping. However, this association was significantly positive for male Chinese international students with a lower use of the internalization coping or a higher use of resistance coping.

Asian American Women’s Body Image Experiences

The purpose of our study was to explore Asian American women’s body image experiences from an intersectional framework. Utilizing grounded theory methodology, we sought to understand how gender and race intersect with unique experiences of oppression to contribute to body dissatisfaction among Asian American women. Twenty Asian American undergraduate women born in the United States participated in semi-structured interviews. The core category “body image” was composed of attitudes and perceptions about body weight, shape, and size; facial features (e.g., eye size); and skin complexion or tone. Five categories emerged that informed the body image experiences of Asian American women: (1) navigating cultural beauty norms, (2) experiences of sexism and racism, (3) parental influences, (4) peer influences, and (5) identity management processes. Each of these categories appeared to have both positive and negative consequences for appearance evaluation, ranging from self-consciousness to confidence. Participants also described coping strategies for managing these experiences. We encourage psychologists and clinicians to consider culture-specific beauty standards for Asian American women as well as salient racial and cultural factors (e.g., perceived discrimination and biculturative stress) that may influence body image beliefs. Our results offer a new model for understanding Asian American women’s body dissatisfaction as rooted in experiences of racism and sexism. Online slides for instructors who want to use this article for teaching are available on PWQ' s website at http://journals.sagepub.com/page/pwq/suppl/index

Self-reported Discrimination and Depressive Symptoms Among Older Chinese Adults in Chicago

Background

Discrimination is part of life for many Americans, especially ethnic minorities. Focusing on older Chinese Americans, this study examines the association between self-reported discrimination and depressive symptoms and identifies subgroups that are more likely to report experiencing discrimination.

Methods

We conducted cross-sectional analysis of data collected from adults (age 60+ years) of Chinese origin residing in the Greater Chicago area (N = 3,004). Self-reported discrimination was assessed by the Experiences of Discrimination instrument and was dichotomized (yes vs no). Depressive symptoms were measured by the Patient Health Questionnaire (PHQ-9). Logistic regression of self-reported discrimination and negative binominal regression of depressive symptoms were conducted.

Results

About 21.5% of the sample reported having experienced discrimination. The odds of reporting discrimination are higher for those who are younger, have higher education and income, are more acculturated, have been in the United States longer, live outside Chinatown, and have higher levels of neuroticism and conscientiousness. Self-reported discrimination is significantly and positively associated with depressive symptoms, independent of sociodemographic characteristics, migration-related variables, and personality factors.

Conclusion

Findings suggest a robust relationship between self-reported discrimination and depressive symptoms in older Chinese Americans. They further suggest that the relatively advantaged groups-younger, higher socioeconomic status, more acculturated, and living outside Chinatown-are more likely to report experiencing discrimination.

Discrimination and psychiatric disorder among Asian American immigrants: a national analysis by subgroups

Although considerable evidence suggests that discrimination negatively affects mental health for Asian American (AA) immigrants, few studies have disaggregated this heterogeneous community and/or differentiated effects of different forms of discrimination. Using the first nationally representative data on AA immigrants in US, this study examines whether perceived racial discrimination, perceived language discrimination, and vicarious racism experiences increase the risk of psychiatric disorder for different Asian immigrant groups in the past 12 months. Results from group specific logistic regressions show that both perceived racial and language discrimination have strong deleterious effects on mental health only for Filipinos, while Vietnamese and Chinese are more likely to be affected by vicarious racism experiences. No significant association was found between racial discrimination and the mental health outcome for Vietnamese and Chinese. Findings were discussed in the light of inter-racial contact pattern and acculturation status for each group.

Beliefs in an Unjust World: Mediating Ethnicity-Related Stressors and Psychological Functioning

OBJECTIVE

Racism is negatively associated with health. Explorations of cognitive reactions, such as beliefs in an unjust world (BUW), are needed to understand the associations between both perceived discrimination and own-group conformity pressures (OGCPS) and reduced psychological well-being.

METHOD

With a sample of 215 ethnic minority individuals, this study used structural equation modeling to explore BUW's mediating role between the two aforementioned forms of ethnicity-related stressors (ERS), anger rumination, and negative affect.

RESULTS

ERS were directly positively associated with BUW, anger rumination, and negative affect. BUW were directly and positively associated with both anger rumination and negative affect. Finally, BUW significantly mediated the direct relationships between both ethnicity-related stressors and anger rumination and negative affect.

CONCLUSION

Although addressing racism and OGCPS at a systemic level (e.g., policy, prejudice prevention) is needed to reduce ERS, these findings suggest that BUW is one point of possible clinical intervention for individuals who have experienced these stressors.

Effects of Perceived Discrimination on Depressive Symptoms Among Black Men Residing in the United States: A Meta-Analysis

Research reports that perceived discrimination is positively associated with depressive symptoms. The literature is limited when examining this relationship among Black men. This meta-analysis systematically examines the current literature and investigates the relationship of perceived discrimination on depressive symptoms among Black men residing in the United States. Using a random-effects model, study findings indicate a positive association between perceived discrimination and depressive symptoms among Black men ( r = .29). Several potential moderators were also examined in this study; however, there were no significant moderation effects detected. Recommendations and implications for future research and practice are discussed.

Examining Anxiety and Depression Comorbidity Among Chinese and European Canadian University Students

Clark and Watson’s tripartite model of comorbidity between anxiety and depression has been well-supported by empirical evidence among European descent samples in North America. Its applicability to Chinese biculturals remains to be challenged due to two Chinese-specific symptom reporting style in somatization and under-endorsement of positive affect. The current study began with an evaluation of a revised Clark and Watson’s tripartite model of comorbidity by adopting a comprehensive assessment of anxiety- and depression-specific component, and by incorporating cognitive aspects of symptomatology. The revised model’s applicability to a Chinese Canadian university sample was then empirically tested, followed by an investigation of the potential impact of cultural experiences on symptomatology. Item response theory (IRT)–informed statistical analyses were applied to each of the 14 anxiety and depression symptom measures that 251 European Canadian and 206 Chinese Canadian university student participants completed to remove items that functioned differentially across samples. Sample-specific exploratory factor analyses identified a two-factor structure (Affective-Somatic and Cognitive) among the Chinese Canadian sample, and a three-factor structure (Mixed, Cognitive, and Autonomic Hyperarousal) among the European Canadian sample. Worry and Autonomic Hyperarousal scales reflected the most between-group structural differences. These results indicated that different cultural groups responded differently to clinical assessment items commonly used in North America, and that applicability of the tripartite model of comorbidity across cultural groups was limited. Symptom factors were found related to specific (i.e., negative acculturative experiences and collective self-esteem) but not to generic indicators of acculturation (i.e., Chinese or Canadian Orientation).

Racism as a Determinant of Health: A Systematic Review and Meta-Analysis

Despite a growing body of epidemiological evidence in recent years documenting the health impacts of racism, the cumulative evidence base has yet to be synthesized in a comprehensive meta-analysis focused specifically on racism as a determinant of health. This meta-analysis reviewed the literature focusing on the relationship between reported racism and mental and physical health outcomes. Data from 293 studies reported in 333 articles published between 1983 and 2013, and conducted predominately in the U.S., were analysed using random effects models and mean weighted effect sizes. Racism was associated with poorer mental health (negative mental health: r = -.23, 95% CI [-.24,-.21], k = 227; positive mental health: r = -.13, 95% CI [-.16,-.10], k = 113), including depression, anxiety, psychological stress and various other outcomes. Racism was also associated with poorer general health (r = -.13 (95% CI [-.18,-.09], k = 30), and poorer physical health (r = -.09, 95% CI [-.12,-.06], k = 50). Moderation effects were found for some outcomes with regard to study and exposure characteristics. Effect sizes of racism on mental health were stronger in cross-sectional compared with longitudinal data and in non-representative samples compared with representative samples. Age, sex, birthplace and education level did not moderate the effects of racism on health. Ethnicity significantly moderated the effect of racism on negative mental health and physical health: the association between racism and negative mental health was significantly stronger for Asian American and Latino(a) American participants compared with African American participants, and the association between racism and physical health was significantly stronger for Latino(a) American participants compared with African American participants. Protocol PROSPERO registration number: CRD42013005464.

Targeting Prejudice

Although Asians in the United States are targets of racial prejudice and discrimination, cultural forces may hinder their acknowledging that such bias has occurred. High personal self-esteem (SE) may facilitate acknowledging discrimination—which is costly yet necessary to remedy unfair treatment—but the importance of personal SE for Asians has been questioned. This study investigated a novel question: Does high personal SE function as a psychological resource for Asians’ attributions to racial discrimination? Participants received negative performance feedback containing one of three levels of cues to a White evaluator’s prejudice (feedback only, less-clear cues, or more-clear cues). Participants with lower SE reported elevated attributions to discrimination only when cues were more clear, whereas participants with higher SE reported elevated attributions when any cues to prejudice were present. Results suggest that high personal SE serves as a psychological resource for Asian targets of prejudice, lowering the threshold for acknowledging discriminatory treatment.

"More than skin deep": stress neurobiology and mental health consequences of racial discrimination

Ethnic minority groups across the world face a complex set of adverse social and psychological challenges linked to their minority status, often involving racial discrimination. Racial discrimination is increasingly recognized as an important contributing factor to health disparities among non-dominant ethnic minorities. A growing body of literature has recognized these health disparities and has investigated the relationship between racial discrimination and poor health outcomes. Chronically elevated cortisol levels and a dysregulated hypothalamic-pituitary-adrenal (HPA) axis appear to mediate effects of racial discrimination on allostatic load and disease. Racial discrimination seems to converge on the anterior cingulate cortex (ACC) and may impair the function of the prefrontal cortex (PFC), hence showing substantial similarities to chronic social stress. This review provides a summary of recent literature on hormonal and neural effects of racial discrimination and a synthesis of potential neurobiological pathways by which discrimination affects mental health.

Does Social Support Buffer the Stress of Discrimination and Reduce Psychological Distress Among Asian Americans?

Using the stress process paradigm and data from the first national epidemiological survey of Asian Americans, we investigate whether social support from family and friends buffers the stress of discrimination to protect psychological well-being. Results suggest that perceived emotional support from family for a serious problem buffers the stress of high levels of everyday discrimination, controlling for sociodemographics, acculturation, and community factors. Contrary to our expectations, perceived emotional support from family about worries and received social support from regularly talking on the phone and getting together with family are not statistically significant stress buffers. Moreover, perceived and received social support from friends do not buffer the stress of any level of discrimination. Overall, our study has broader implications for research on the influence of social relationships on mental health and advances our knowledge of the social psychological process of coping with discrimination in the United States.

Depression in Europe: does migrant integration have mental health payoffs? A cross-national comparison of 20 European countries

Objectives. Depression is a leading cause of ill health and disability. As migrants form an increasing group in Europe, already making up about 8.7% of the population in 2010, knowledge on migrant-related inequalities in depression is of main public health interest. In this study, we first assess whether migrants in Europe are at higher risk for depression compared to the native population. Second, we assess whether the association between migration and depression is dependent on different forms of migrant integration. Migrant integration is looked at both from the individual and from the national level. Design. Hierarchical linear regression analyses based on data for 20 countries in the European Social Survey 2006/2007 (N = 37,076 individuals aged 15 or more). Depression is measured using the center for Epidemiologic Depression Scale. We consider migrant integration over time (first- and second-generation migrants, differentiated according to European Union (EU) or non-EU origin), barriers to integration (low educational level, financial difficulties, being out of the labor market, ethnic minority status, discrimination), and the host country environment (national migrant integration policy). Controls are gender, age, partner relationship, social support, and welfare state regime. Results. Natives and second-generation migrants do not differ significantly in their risk profile for depression. First-generation migrants show higher levels of depression, with those born outside of Europe to be the worst off. This higher risk for depression is not attributable to ethnic minority status but is mainly due to experienced barriers to socioeconomic integration and processes of discrimination. A country's national policy on migrant integration shows not to soften the depressing effect of being a first-generation migrant nor does it have indirect beneficial health effects by reducing barriers to integration. Conclusion. In Europe, first-generation EU and non-EU migrants experience higher levels of depression. Second-generation migrants and natives show similar risk profiles.

Racism as a determinant of health: a protocol for conducting a systematic review and meta-analysis

BACKGROUND

Racism is increasingly recognized as a key determinant of health. A growing body of epidemiological evidence shows strong associations between self-reported racism and poor health outcomes across diverse minority groups in developed countries. While the relationship between racism and health has received increasing attention over the last two decades, a comprehensive meta-analysis focused on the health effects of racism has yet to be conducted. The aim of this review protocol is to provide a structure from which to conduct a systematic review and meta-analysis of studies that assess the relationship between racism and health.

METHODS

This research will consist of a systematic review and meta-analysis. Studies will be considered for review if they are empirical studies reporting quantitative data on the association between racism and health for adults and/or children of all ages from any racial/ethnic/cultural groups. Outcome measures will include general health and well-being, physical health, mental health, healthcare use and health behaviors. Scientific databases (for example, Medline) will be searched using a comprehensive search strategy and reference lists will be manually searched for relevant studies. In addition, use of online search engines (for example, Google Scholar), key websites, and personal contact with experts will also be undertaken. Screening of search results and extraction of data from included studies will be independently conducted by at least two authors, including assessment of inter-rater reliability. Studies included in the review will be appraised for quality using tools tailored to each study design. Summary statistics of study characteristics and findings will be compiled and findings synthesized in a narrative summary as well as a meta-analysis.

DISCUSSION

This review aims to examine associations between reported racism and health outcomes. This comprehensive and systematic review and meta-analysis of empirical research will provide a rigorous and reliable evidence base for future research, policy and practice, including information on the extent of available evidence for a range of racial/ethnic minority groups.

Where are you from? A validation of the Foreigner Objectification Scale and the psychological correlates of foreigner objectification among Asian Americans and Latinos

Many ethnic minorities in the United States consider themselves to be just as American as their European American counterparts. However, there is a persistent cultural stereotype of ethnic minorities as foreigners (i.e., the perpetual foreigner stereotype) that may be expressed during interpersonal interactions (i.e., foreigner objectification). The goal of the present study was to validate the Foreigner Objectification Scale, a brief self-report measure of perceived foreigner objectification, and to examine the psychological correlates of perceived foreigner objectification. Results indicated that the Foreigner Objectification Scale is structurally (i.e., factor structure) and metrically (i.e., factor loadings) invariant across foreign-born and U.S.-born Asian Americans and Latinos. Scalar (i.e., latent item intercepts) invariance was demonstrated for the two foreign-born groups and the two U.S.-born groups, but not across foreign-born and U.S.-born individuals. Multiple-group structural equation models indicated that, among U.S.-born individuals, perceived foreigner objectification was associated with less life satisfaction and more depressive symptoms, and was indirectly associated with lower self-esteem via identity denial, operationalized as the perception that one is not viewed by others as American. Among foreign-born individuals, perceived foreigner objectification was not significantly associated directly with self-esteem, life satisfaction, or depressive symptoms. However, perceived foreigner objectification was positively associated with identity denial, and identity denial was negatively associated with life satisfaction. This study illustrates the relevance of perceived foreigner objectification to the psychological well-being of U.S.-born Asian Americans and Latinos.

A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people

Racial discrimination is increasingly recognised as a determinant of racial and ethnic health inequalities, with growing evidence of strong associations between racial discrimination and adult health outcomes. There is a growing body of literature that considers the effects of racial discrimination on child and youth health. The aim of this paper is to provide a systematic review of studies that examine relationships between reported racial discrimination and child and youth health. We describe the characteristics of 121 studies identified by a comprehensive search strategy, including definitions and measurements of racial discrimination and the nature of reported associations. Most studies were published in the last seven years, used cross-sectional designs and were conducted in the United States with young people aged 12-18 years. African American, Latino/a, and Asian populations were most frequently included in these studies. Of the 461 associations examined in these studies, mental health outcomes (e.g. depression, anxiety) were most commonly reported, with statistically significant associations with racial discrimination found in 76% of outcomes examined. Statistically significant associations were also found for over 50% of associations between racial discrimination and positive mental health (e.g. self esteem, resilience), behaviour problems, wellbeing, and pregnancy/birth outcomes. The field is currently limited by a lack of longitudinal studies, limited psychometrically validated exposure instruments and poor conceptualisation and definition of racial discrimination. There is also a need to investigate the complex and varying pathways by which reported racial discrimination affect child and youth health. Ensuring study quality in this field will allow future research to reveal the complex role that racial discrimination plays as a determinant of child and youth health.