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      The effects of perceived racism on psychological distress mediated by venting and disengagement coping in Native Hawaiians

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          Abstract

          Background

          Studies have linked perceived racism to psychological distress via certain coping strategies in several different racial and ethnic groups, but few of these studies included indigenous populations. Elucidating modifiable factors for intervention to reduce the adverse effects of racism on psychological well-being is another avenue to addressing health inequities.

          Methods

          We examined the potential mediating effects of 14 distinct coping strategies on the relationship between perceived racism and psychological distress in a community-based sample of 145 Native Hawaiians using structural equation modeling.

          Results

          Perceived racism had a significant indirect effect on psychological distress, mediated through venting and behavioral disengagement coping strategies, with control for age, gender, educational level, and marital status.

          Discussion

          The findings suggest that certain coping strategies may exacerbate the deleterious effects of racism on a person’s psychological well-being.

          Conclusion

          Our study adds Native Hawaiians to the list of U.S. racial and ethnic minorities whose psychological well-being is adversely affected by racism.

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          Most cited references59

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          Stress, Appraisal, and Coping

          <p><b>The reissue of a classic work, now with a foreword by Daniel Goleman!</b><p>Here is a monumental work that continues in the tradition pioneered by co-author Richard Lazarus in his classic book <i>Psychological Stress and the Coping Process</i>. Dr. Lazarus and his collaborator, Dr. Susan Folkman, present here a detailed theory of psychological stress, building on the concepts of cognitive appraisal and coping which have become major themes of theory and investigation.</p> <p>As an integrative theoretical analysis, this volume pulls together two decades of research and thought on issues in behavioral medicine, emotion, stress management, treatment, and life span development. A selective review of the most pertinent literature is included in each chapter. The total reference listing for the book extends to 60 pages.</p> <p>This work is necessarily multidisciplinary, reflecting the many dimensions of stress-related problems and their situation within a complex social context. While the emphasis is on psychological aspects of stress, the book is oriented towards professionals in various disciplines, as well as advanced students and educated laypersons. The intended audience ranges from psychiatrists, clinical psychologists, nurses, and social workers to sociologists, anthropologists, medical researchers, and physiologists.</p>
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            Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination.

            This article examines the extent to which racial differences in socio-economic status (SES), social class and acute and chronic indicators of perceived discrimination, as well as general measures of stress can account for black-white differences in self-reported measures of physical and mental health. The observed racial differences in health were markedly reduced when adjusted for education and especially income. However, both perceived discrimination and more traditional measures of stress are related to health and play an incremental role in accounting for differences between the races in health status. These findings underscore the need for research efforts to identify the complex ways in which economic and non-economic forms of discrimination relate to each other and combine with socio-economic position and other risk factors and resources to affect health.
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              • Abstract: not found
              • Article: not found

              Further Psychometric Support for the 10-Item Version of the Perceived Stress Scale

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                Author and article information

                Contributors
                kaholoku@hawaii.edu
                antoniom@hawaii.edu
                clairemt@hawaii.edu
                nacapoy@hawaii.edu
                kehall@hawaii.edu
                Rknight6@gmail.com
                TWills@cc.hawaii.edu
                Journal
                BMC Psychol
                BMC Psychol
                BMC Psychology
                BioMed Central (London )
                2050-7283
                12 January 2017
                12 January 2017
                2017
                : 5
                : 2
                Affiliations
                [1 ]Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, USA
                [2 ]University of Hawaii Cancer Center, Honolulu, USA
                Article
                171
                10.1186/s40359-017-0171-6
                5228113
                28081710
                01ccdc1f-ba0f-4881-a5a1-5ebf5953a008
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 6 August 2016
                : 2 January 2017
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100006545, National Institute on Minority Health and Health Disparities;
                Award ID: P20MD000173
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                native hawaiian,discrimination,racism,coping
                native hawaiian, discrimination, racism, coping

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