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Gilbert C. Gee, PhD, Juan Chen, MSW, Michael S. Spencer, PhD, Sarita See, PhD, Oliva A. Kuester, MSW, CSW, Diem Tran, MPH, MS 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. Juan Chen, Michael S. Spencer, and Oliva A. Kuester are with the School of Social Work, University of Michigan. Sarita See is with the Department of American Culture and English, School of Literature, Sciences and Arts, University of Michigan. At the time of writing, Diem Tran was with the Office of Analysis, Epidemiology, and Health Statistics, National Center for Health Statistics, Hyattsville, Md. 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, Room M5224, Ann Arbor, MI 48103-2029 (e-mail: gilgee{at}umich.edu).

Objectives. We examined whether perceived unfair treatment is associated with health conditions, whether social support moderates this association, and whether such relationships differ by location.

Methods. Data were derived from the 1998–1999 Filipino American Community Epidemiological Study, a cross-sectional investigation of 2241 Filipino Americans living in San Francisco and Honolulu. Negative binomial regression was used to examine potential 2-way and 3-way interactions between support, unfair treatment, and city (San Francisco vs Honolulu).

Results. Reports of unfair treatment were associated with increased illness after control for education, employment, acculturation, ethnic identity, negative life events, gender, and age. Furthermore, 2-way interactions were found between instrumental support and city, emotional support and city, and unfair treatment and city, and a 3-way interaction was shown between instrumental support, unfair treatment, and city.

Conclusions. Local contexts may influence the types of treatment encountered by members of ethnic minority groups, as well as their resources. These factors in turn may have implications for health disparities and well-being

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