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      Examining identity disclosure: Racial and ethnic identity amongst Multiracial/ethnic adults in the United States

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          Abstract

          Objectives

          Providing personal demographic information is routine practice in the United States, and yet, little is known about the impacts of this process. This study aims to examine the experiences and perspectives of Multiracial/ethnic adults in the United States when disclosing racial/ethnic identity.

          Methods

          Seventeen semistructured interviews were conducted with adults identifying as Multiracial/ethnic. The Multiracial/ethnic identities of participants included Black or African American and White; Black or African American, American Indian or Alaska Native (AI/AN) and Hispanic or Latino; Black or African American and Hispanic or Latino; Black or African American and AI/AN; AI/AN and White and Asian, Native Hawaiian or Pacific Islander and White. Multiple participants reported identifying with multiple ethnic groups for any single broad category. Three identified as sexual minorities. Nine were Millennials; six were Gen X; one was Gen Z; one was Baby Boomer. Qualitative data were analyzed using staged hybrid inductive–deductive thematic analysis.

          Results

          Disclosure of racial and ethnic identities presents a unique stressor for Multiracial/ethnic populations due to methods used to obtain data, perceived mismatch of identity and phenotype and exposure to prejudice. Social norms, constructs and movements impact the categories that a Multiracial/ethnic person indicates to external parties.

          Conclusions

          The stress and negative feelings that Multiracial/ethnic adults face when identifying their race/ethnicity underscore the broader implications of standard demographic questions on feelings of inclusivity and visibility within a population.

          Patient or Public Contribution

          Gathering data on individuals' racial and ethnic backgrounds is a standard practice, and yet, it can pose challenges for those who identify with multiple groups or do not see their identities reflected in the options provided. Such individuals may feel excluded or experience unfair treatment when disclosing their identity, leading to significant stress. As the frequency of this data collection increases, it is essential that the questions are posed empathetically and equitably, with a strong commitment to enhancing inclusivity throughout the process.

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          Most cited references37

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          Saturation in qualitative research: exploring its conceptualization and operationalization

          Saturation has attained widespread acceptance as a methodological principle in qualitative research. It is commonly taken to indicate that, on the basis of the data that have been collected or analysed hitherto, further data collection and/or analysis are unnecessary. However, there appears to be uncertainty as to how saturation should be conceptualized, and inconsistencies in its use. In this paper, we look to clarify the nature, purposes and uses of saturation, and in doing so add to theoretical debate on the role of saturation across different methodologies. We identify four distinct approaches to saturation, which differ in terms of the extent to which an inductive or a deductive logic is adopted, and the relative emphasis on data collection, data analysis, and theorizing. We explore the purposes saturation might serve in relation to these different approaches, and the implications for how and when saturation will be sought. In examining these issues, we highlight the uncertain logic underlying saturation—as essentially a predictive statement about the unobserved based on the observed, a judgement that, we argue, results in equivocation, and may in part explain the confusion surrounding its use. We conclude that saturation should be operationalized in a way that is consistent with the research question(s), and the theoretical position and analytic framework adopted, but also that there should be some limit to its scope, so as not to risk saturation losing its coherence and potency if its conceptualization and uses are stretched too widely.
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            Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence.

            Ilan Meyer (2003)
            In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding this excess in prevalence of disorder in terms of minority stress--explaining that stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health problems. The model describes stress processes, including the experience of prejudice events, expectations of rejection, hiding and concealing, internalized homophobia, and ameliorative coping processes. This conceptual framework is the basis for the review of research evidence, suggestions for future research directions, and exploration of public policy implications.
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              Structural racism and health inequities in the USA: evidence and interventions

              The Lancet, 389(10077), 1453-1463
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                Author and article information

                Contributors
                Role: DirectorJshaff1@jhu.edu , Jaimie.shaff@gmail.com
                Role: Strategic Partnerships and Equity Program manager
                Role: Assistant Professor
                Role: Professor
                Journal
                Health Expect
                Health Expect
                10.1111/(ISSN)1369-7625
                HEX
                Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
                John Wiley and Sons Inc. (Hoboken )
                1369-6513
                1369-7625
                28 June 2024
                August 2024
                : 27
                : 4 ( doiID: 10.1111/hex.v27.4 )
                : e14083
                Affiliations
                [ 1 ] Department of Mental Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA
                Author notes
                [*] [* ] Correspondence Jaimie Shaff, DrPH, MPA, MPH, 615 N Wolfe St, Baltimore, MD 21205, USA.

                Email: Jshaff1@ 123456jhu.edu and Jaimie.shaff@ 123456gmail.com

                Author information
                http://orcid.org/0000-0001-8289-3997
                Article
                HEX14083
                10.1111/hex.14083
                11213818
                38943250
                591610bf-e930-45c2-aae1-eaaebd4c6a6f
                © 2024 The Authors. Health Expectations published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 05 March 2024
                : 13 December 2023
                : 02 May 2024
                Page count
                Figures: 0, Tables: 1, Pages: 10, Words: 6866
                Funding
                Funded by: Robert Wood Johnson Foundation , doi 10.13039/100000867;
                Award ID: 79670
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                August 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.5 mode:remove_FC converted:29.06.2024

                Health & Social care
                ethnic and racial minorities,identity,prejudice,race factors,racial groups
                Health & Social care
                ethnic and racial minorities, identity, prejudice, race factors, racial groups

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