Perceived Racism and Health Among Black Americans: The Role of Racial Identity as a Moderator Over Time

Abstract

Perceived racism is an important health stressor, but few studies explore resources that moderate the association between perceived racism and health over time. Most previous research models racial identity as a main effect and its moderating potential remains unclear. In this study, I use the Stress Process Model to test whether racial identity moderates the association between perceived racism and changes in self-rated health among Black Americans. Data from the American Changing Lives study are used to test this research question ( n = 388). Strength of racial identity moderates the association between perceived racism and changes in self-rated health. A strong racial identity buffers the relationship between perceived racism and health for low levels of racism. However, a strong racial identity exacerbates this association for those experiencing high levels of racism. These findings suggest that racial identity may be a protective factor, but it does not buffer against chronic exposure to racism. This study contributes to the existing literature by highlighting that whether racial identity is health-protective against perceived racism depends on the level of perceived racism Black Americans experience. Future studies should continue investigating the conditions under which racial identity buffers the perceived racism-health association.