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AJPH First Look, published online ahead of print May 30, 2007
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©
American Journal of Public Health, 10.2105/AJPH.2006.091827

Research and Practice

A Nationwide Study of Discrimination and Chronic Health Conditions Among Asian Americans

Gilbert C. Gee 1*, Michael S. Spencer 2, Juan Chen 3, David Takeuchi 4

1 Univeristy of Michigan
2 University of Michigan
3 University of Michigan, Ann Arbor
4 University of Washington

* To whom correspondence should be addressed. E-mail: gilgee{at}umich.edu.


  Abstract

Objectives. We examined whether self-reported everyday discrimination was associated with chronic health conditions among a nationally representative sample of Asian Americans.

Methods. Data were from the Asian American subsample (n=2095) of the National Latino and Asian American Study conducted in 2002 and 2003. Regression techniques (negative binomial and logistic) were used to examine the association between discrimination and chronic health conditions. Analyses were conducted for the entire sample and 3 Asian subgroups (Chinese, Vietnamese, and Filipino).

Results. Reports of everyday discrimination were associated with many chronic conditions, with age, gender, region, per capita income, education, employment, marital status. Social desirability bias was controlled for. Discrimination was also associated with indicators of heart disease, pain, and respiratory illnesses. There were some differences by Asian subgroup.

Conclusions. Everyday discrimination may contribute to stress experienced by racial/ethnic minorities and could lead to chronic illness.

Key Words: Chronic Disease, Community Health, Human Rights, Immigration, Asians, Race/Ethnicity




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