Experiences Of Discrimination Research Articles

Psychotic-like experiences and associated factors in resident physicians: A Canadian cross-sectional study.

Medical residency training is associated with a range of sociodemographic, lifestyle and mental health factors that may confer higher risk for psychotic-like experiences (PLEs) in residents, yet little research has examined this question. Thus, we aimed to document the prevalence and associated factors of PLEs among resident physicians. Physicians enrolled in residency programmes in the Province of Québec, Canada (four universities) were recruited in Fall 2022 via their programme coordinators and social media. They completed an online questionnaire assessing PLEs in the past 3 months (the 15-item Community Assessment of Psychic Experiences), as well as sociodemographic characteristics, lifestyle and mental health. Analyses included survey weights and gamma regressions. The sample included 502 residents (mean age, 27.6 years; 65.9% women). Only 1.3% (95% CI: 0.5%, 4.0%) of residents met the screening cut-off for psychotic disorder. Factors associated with higher scores for PLEs included racialised minority status (relative difference: +7.5%; 95% CI: +2.2%, +13.2%) and English versus French as preferred language (relative difference: +7.9% 95% CI: +3.1%, +12.9%), as well as each additional point on scales of depression (relative difference: +0.8%; 95% CI: +0.3%, +1.3%) and anxiety (relative difference: +1.3%; 95% CI: +0.8%, +1.7%). In secondary analyses, racialised minority status was associated with persecutory items, but not with other PLEs. Gender, residency programmes and lifestyle variables were not associated with PLEs. This study found low reports of PLEs in a sample of resident physicians. Associations of PLEs with minoritised status may reflect experiences of discrimination.

Black, indigenous, and people of color's experiences of discrimination in psychoanalytic professional organizations in the USA: Results of a thematic analysis of interview data

Black, indigenous, and people of color's experiences of discrimination in psychoanalytic professional organizations in the USA: Results of a thematic analysis of interview data

Developing practical strategies to reduce addiction-related stigma and discrimination in public addiction treatment centers: a mixed-methods study protocol.

People with substance use disorders (SUDs) have restricted engagement with health-care facilities and describe repeated experiences of stigma, discrimination, and mistreatment when receiving care at health-care and public addiction treatment centers (PATCs). The purpose of the current study is to design practical cultural-based strategies to reduce addiction-related stigma and discrimination at PATCs. The present study will use a mixed-methods design with an explanatory sequential approach. Phase 1 of the study will combine a cluster sampling technique combined with a cross-sectional survey of Patients with Substance Use Disorders (SUDs) in Mazandaran, Iran. A total of three hundred and sixty individuals with SUDs will be selected to assess their experiences of stigma and factors predicting stigma. Phase 2 will involve qualitative study aimed at exploring participants' perceptions regarding the aspects and determinants of their stigma experience. The participants will include two groups: people with SUDs and staff/health-care providers at PATCs. Participants for Phase 2 will be purposively sampled from those involved in Phase 1.Qualitative data will be collected using in-depth semi-structured interviews and focus group discussions and analyzed using content analysis with a conventional approach. Phase 3 will focus on the development of new strategies to reduce the experiences of stigma among people with SUDs at PATCs. These strategies will be formulated based on the findings derived from the qualitative and quantitative data obtained in Phases 1 and 2, a comprehensive review of the literature, and expert opinions gathered using the nominal group technique. This is one of the few studies conducted within the domain of stigma pertaining to individuals who use drugs within the context of Iranian culture employing a mixed-methods approach, this study aims to develop culturally sensitive strategies to reduce such problems from the perspective of Iranian people who use drugs. It is anticipated that the study will yield evidence-based insights and provide practical strategies to reduce the stigma and discrimination experienced by people who use drugs at PATCs. Such outcomes are important for informing policymaking and designing healthcare interventions tailored to the needs of individuals grappling with substance dependency.

Friendship Homophily Trajectories among Asian American Youth from High School to College.

Friendship racial homophily, the tendency to form friendships with individuals who share the same racial background, is a normative developmental phenomenon that holds particular significance for youth of color in a racialized society. Yet, there exists a paucity of longitudinal research elucidating the stability and change of friendship racial composition across developmental span. This study aimed to examine the friendship racial homophily trajectories over a six-year period encompassing four time points. The sample comprised 437 Asian American youth (MAge = 16.52, SDAge = 1.36, 53% female), with 197 Filipino and 240 Korean participants. Using logistic multilevel modeling analyses, it was found that both Filipino and Korean American youth demonstrated an increase in friendship racial homophily from high school to college, but that Filipino youth overall reported lower levels of racial homophily compared to their Korean counterparts. The study findings also pinpointed several influential factors impacting these trajectories, including proficiency in heritage languages, ethnic identity, and encounters with racial discrimination from both White Americans and other People of Color. These results highlight the continuous evolution of friendship racial composition from high school to college and emphasize the crucial role of ethnic identity and experiences of discrimination in influencing these dynamics, with ethnic identity exerting more enduring effects and experiences of discrimination showing more situational impacts on the levels of racial homophily.

Adding injury to insult: Unfair treatment at work and occupational injury among hospital patient-care workers.

Hospital patient-care workers have high occupational injury rates. While physical hazards within hospital work environments are established determinants of injury, social exposures may also contribute. This study examined how reports of unfair treatment at work, a dimension of work-related experiences of discrimination, were associated with injury among hospital-based patient-care workers. We used data from the Boston Hospital Workers Health Study, a longitudinal cohort of nurses and nursing assistants at two Boston-area hospitals. In 2018, we conducted a worker survey asking about three types of unfair treatment at work and occupational injuries during the past year. We used mixed-effects logistic regression models to evaluate associations between specific types, total load, and high-frequency exposure of unfair treatment with injury, adjusting for age, gender, race and ethnicity, job title, and unit type. Among 1001 respondents, 21% reported being humiliated in front of others at work, 28% reported being watched more closely than other workers, and 47% reported having to work twice as hard as others for the same treatment. For each type of unfair treatment, we observed a monotonic relationship with occupational injury wherein increasing frequency of exposure was associated with increased odds of injury. We also observed monotonic relationships between total load and high-frequency exposure to unfair treatment and odds of injury. Work-related unfair treatment is associated with injury among hospital workers. Programs and policies that focus on preventing unfair treatment may lessen injury burden in hospital workers.

Prevalence of Mental Health Disorders and Their Associated Risk Factors Among People Living with HIV in Rwanda: A Cross-Sectional Study.

While life expectancy of people living with HIV is increasing, their burden of non-communicable diseases, including mental health disorders, is growing as well. The aim of this study is to investigate the prevalence and identify the risk factors associated with mental health disorders among this population in Rwanda. This cross-sectional study enrolled people living with HIV from 12 HIV clinics across Rwanda using random sampling. Trained HIV nurses conducted the Mini International Neuropsychiatric Interview to estimate the prevalence of major depressive episode, post-traumatic stress disorder, and generalized anxiety disorder. Sociodemographic, psychosocial, and HIV-related data were also collected. Associated risk factors for being diagnosed with one of the mental health disorders were assessed using modified Poisson regression with robust error variance. Of 428 participants, 70 (16.4%) had at least one mental health disorder with major depressive episode being most prevalent (n = 60, 14.0%). Almost all participants were adherent to antiretroviral therapy (n = 424, 99.1%) and virally suppressed (n = 412, 96.9%). Of those diagnosed with a mental health disorder, only few were aware of (n = 4, 5.7%) or under treatment for this mental health disorder (n = 5, 7.2%). Mental health disorders were associated with experiences of HIV-related stigma and discrimination (aRR = 2.14, 95%CI 1.30-3.53, p = 0.003). The results demonstrate underdiagnosis and undertreatment of mental health disorders among Rwandan People Living with HIV. Using HIV nurses to diagnose mental health disorders could serve as a low-cost strategy for integrating mental health care with existing HIV services and could inspire the implementation in other low-resource settings.

‘My multiple cultural backgrounds are pulling me in all directions with my identity’: Asian and Latino Canadian youth experiences of cultural identity

ABSTRACT Identity, diversity, and inclusion are constantly being reshaped in the face of global migration and resettlement. New research is needed that examines youth identities. In this article, we analyse Asian and Latino youth’s understandings and experiences of how their cultural identity has been influenced by exclusion, inequitable access and racism on the part of their host society. We report on a qualitative study; focus groups (2) and individual interviews were conducted with 15 youth participants. Analysis process included code-driven guided by grounded theory. Youth narratives resisted oversimplified representations by inserting their gendered, minority, and youth identity within mainstream multicultural narratives to make visible immigrant youth experiences. Interwoven in youth’s narratives were experiences of racial discrimination, gender inequality, and indeterminate belonging. Cultural identity is a complex and changing concept. We analyse how youth living in multicultural view their need to negotiate their identities to adapt to their challenging multicultural context where they live.

A Qualitative Study Describing Experiences of Pregnancy Discrimination in the Workplace.

Qualitatively assess experiences of occupational pregnancy discrimination. A fully remote phenomenological qualitative study was completed leveraging semi-structured interviews with a sample of pregnant employees in the US. Inclusion criteria included being pregnant, working at least 35 hours/week, employed at least one year at current employer, and without diagnosed depression/anxiety. Participants (N = 20) were on average 30 years of age, worked 42.6 hours per week, self-identified as non-Hispanic black (50%) and earned least a bachelor's degree (85%). Individuals successfully identified various forms of pregnancy discrimination, believing it occurred due to systemic issues or perceptions that women are weak. Most did not report experiences of discrimination fearing retaliation or being unaware of workplace protections. Pregnancy discrimination in the workplaces comes in various forms and is an issue for some working pregnant individuals.

Romani Bildungsroman – On the Cultural Trauma of Coming-of-Age as Presented in the Novels - City of Pain and City of Sin by Meti Kamberi

The aim of this paper is to analyze the articulation of cultural trauma of coming-of-age as depicted in the novels City of Pain and City of Sin by the young Romani author Meti Kamberi. The common feature of these two novels is that they both explore the traumatic childhood and coming –of-age experiences through the main protagonist’s point of view, suggesting that they either belong to the genres of autobiography and bildungsroman. Both novels are examined from the ethnic/minority bildungsroman perspective, with a particular focus on the personal experience narrative of coming-of-age of a Romani minority member in post-socialist Serbia as described in either of the two. Through illustrative examples, this paper demonstrates that the literary and artistic creations of minority populations can be a valuable ethnographic source for investigating their self-representations. The pages of these novels represent a space for articulating ethnic as well as racialized traumas, caused by both personal and transgenerational experiences of discrimination, stigmatization, and marginalization of the Romani population in this region. The thematization of life between two worlds, the dichotomy between the community of origin and the mainstream society, is a key characteristic of the Romani bildungsroman.

Disparities in behaviors and experiences among transgender and cisgender high school students — 18 U.S. states, 2021

PurposeTransgender youth (those whose gender identity differs from their sex assigned at birth) experience stigma and discrimination that can place them at increased risk for poor health outcomes compared with cisgender youth (those whose gender identity aligns with their sex assigned at birth). Limited population-based data exist on disparities among transgender and cisgender youth. MethodsWe examined differences in experiences of violence, substance use, mental health, suicide, sexual behavior, unstable housing, parental monitoring, and school connectedness among 98,174 transgender and cisgender high school students using data from 18 states that included an item to assess transgender identity on their 2021 Youth Risk Behavior Survey. ResultsOverall, 2.9% of students identified as transgender and 2.6% questioned whether they were transgender. Among transgender students, 71.5% reported that their mental health was not good, 32.3% had attempted suicide, and 29.0% experienced sexual violence. Transgender students were more likely than cisgender students to report experiences of violence, substance use, poor mental health, suicide risk, some sexual risk behaviors, and unstable housing, and were less likely to report feeling connected to others at school. ConclusionsInterventions that can address the causes of these adverse outcomes and promote the health and wellbeing of transgender youths are warranted.

Experiences of stigma, discrimination and violence and their impact on the mental health of health care workers during the COVID-19 pandemic

Health care workers have been exposed to COVID-19 more than people in other professions, which may have led to stigmatization, discrimination, and violence toward them, possibly impacting their mental health. We investigated (1) factors associated with stigma, discrimination, and violence, (2) the association of stigma, discrimination, and violence with mental health, (3) everyday experiences of stigmatization, discrimination, and violence. We chose a combination of a quantitative approach and qualitative content analysis to analyze data collected at three time points: in 2020, 2021 and 2022. A higher age was associated with lower odds of experiencing stigma, discrimination, and violence, whereas female gender was related to more negative experiences. The intensity of exposure to COVID-19 was associated with greater experience with stigmatization, discrimination, and violence across all three years (for example in 2022: odds ratio, 95% confidence interval: 1.74, 1.18–2.55 for mild exposure; 2.82, 1.95–4.09 for moderate exposure; and 5.74, 3.55–9.26 for severe exposure, when compared to no exposure). Stigma, discrimination, and violence were most strongly associated with psychological distress in 2020 (odds ratio = 2.97, 95% confidence interval 2.27–3.88) and with depressive symptoms in 2021 (odds ratio = 2.78, 95% confidence interval 2.12–3.64). Attention should be given to the destigmatization of contagious diseases and the prevention of discrimination, violence, and mental health problems, both within workplaces and among the public.

Medical mistrust, discrimination and healthcare experiences in a rural Namibian community

ABSTRACT Substantial evidence indicates that medical mistrust, resulting from experiences with discrimination and marginalisation, is a determinant of health disparities in minority populations. However, this research is largely limited to the US and other industrialised countries. To broaden our understanding of the role of medical mistrust on health-care decision making, we conducted a study on healthcare experiences and perceptions in a rural, underserved indigenous community in northwest Namibia (n = 86). Mixing semi-structured interview questions with the medical mistrust index (MMI), we aim to determine the relevance of the MMI in a non-industrialised population and compare index scores with reports of healthcare experiences. We find that medical mistrust is a salient concept in this community, mapping onto negative healthcare experiences and perceptions of discrimination. Reported healthcare experiences indicate that perceived incompetence, maltreatment and discrimination drive mistrust of medical personnel. However, reporting of recent healthcare experiences are generally positive. Our results indicate that the concept of medical mistrust can be usefully applied to communities in the Global South. These populations, like minority communities in the US, translate experiences of discrimination and marginalisation into medical mistrust. Understanding these processes can help address health disparities and aid in effective public health outreach in underserved populations.

Societal and community factors facilitating cultural adaptation and mental health of North Korean refugee women in South Korea.

North Korean (NK) refugee women face unique challenges in their acculturation process in South Korea (SK), often leading to higher rates of depression among them. This study uses the Multidimensional Individual Difference Acculturation (MIDA) model to examine the role of societal and local community factors in facilitating cultural adaptation and influencing mental health issues, such as depression, among NK refugee women. The study focuses on three predictors from the MIDA model: out-group social support, attachment to NK culture, and daily life experience of discrimination. Data from a sample of 212 NK refugee women in SK were analyzed using structural equation modeling. The findings highlight the crucial role of the social and community environment in attaining a balance between embracing a new culture and preserving one's connection to one's heritage culture. This balance is essential for promoting stable cultural adaptation, sound mental health, and overall well-being, so as to reduce the incidence of depression among NK refugee women. Based on the results, specific intervention strategies are proposed to support the acculturation journey of NK refugee women in SK.

Stressors in the family‐work system, family‐friendly management practice assessment and dedication to work: A comparative analysis between fathers and mothers

AbstractThe study explored the correlations between stressors in the family‐work system, the assessment of family‐friendly management practices, and work dedication among parents in Israel, with a comparison between fathers and mothers. The research sample included 317 Jewish parents, each with at least one child under the age of 10 (158 mothers, 159 fathers). Quantitative methods were employed, and data were collected by the Israeli Panels Research Institute. Women tend to make more accommodation requests for childcare and experience greater discrimination at work than fathers. Accommodation requests and assessments of non‐family‐friendly management practices correlated with feelings of being discriminated against among both men and women. However, discrimination correlated negatively to work dedication only among women. Negative experiences at work contribute more to explaining the dedication of women to work than the dedication of men.Public significance statement The findings indicate that for both genders, perceptions of management as non‐family‐friendly and the frequency of accommodation requests are positively correlated with experiences of discrimination among working parents. However, the experience of discrimination is negatively correlated with work dedication only among mothers. These findings underscore the importance of organizations pursuing a family‐friendly agenda. Advancing such an agenda is pivotal, as it could mitigate experiences of discrimination and thereby contribute indirectly to employee well‐being.

Who Really Represents Me? The Case of Afro-Latinx Bureaucratic Representation in New York City Public Schools

Who Really Represents Me? The Case of Afro-Latinx Bureaucratic Representation in New York City Public Schools

The mental health toll among healthcare workers during the COVID-19 Pandemic in Malawi

The COVID-19 pandemic has affected the mental health of healthcare workers worldwide, with frontline personnel experiencing heightened rates of depression, anxiety, and posttraumatic stress. This mixed-methods study aimed to assess the mental health toll of COVID-19 on healthcare workers in Malawi. A cross-sectional survey utilising the Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), and Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) was conducted among 109 frontline healthcare workers. Additionally, in-depth interviews were conducted with 16 healthcare workers to explore their experiences and challenges during the pandemic. The results indicated a high prevalence of COVID-19-related depression (31%; CI [23, 41]), anxiety (30%; CI [22, 40]), and PTSD (25%; CI [17, 34]) among participants. Regression analysis revealed significantly higher rates of depression, anxiety, and PTSD among healthcare workers in city referral hospitals compared to district hospitals. Qualitative findings highlighted the emotional distress, impact on work and personal life, and experiences of stigma and discrimination faced by healthcare workers. The stress process model provided a valuable framework for understanding the relationship among pandemic-related stressors, coping resources, and mental health outcomes. The findings underscore the urgent need for interventions and support systems to mitigate the mental health impact of COVID-19 on frontline healthcare workers in Malawi. Policymakers should prioritise the assessment and treatment of mental health problems among this critical workforce to maintain an effective pandemic response and build resilience for future crises.

Racial-ethnic socialization among Asian American families with preadolescent children.

The COVID-19 pandemic and resurgence of overt anti-Asian racism have prompted many Asian American parents to grapple with ways to discuss race and ethnicity with their children. Racial-ethnic socialization (RES) has been shown to have promotive and protective influences on Asian American adolescents' adjustment but remains understudied among Asian American families with younger children. This study examined parent (i.e., racial-ethnic identity [REI], experiences of discrimination) predictors of RES among Asian American families with preadolescent-aged children and moderation by parental generational status. We surveyed a sample of 404 Asian American parents (Mage = 38.4, SD = 7.0; 66% female) with 6- to 12-year-olds (Mage = 8.9, SD = 2.0; 56% boys). Findings revealed that parents with higher levels of REI centrality were more likely to report engaging in cultural maintenance practices and those with higher levels of REI private regard were less likely to minimize race. Parents' experiences of racial discrimination were also associated with more frequent cultural maintenance practices and discussions of anti-Asian discrimination. Tests for moderation by parental generational status indicated that the positive association between experiences of racial discrimination and discussions of anti-Asian discrimination was stronger among first-generation than second+ generation parents. Findings highlight that among Asian American parents of preadolescent-aged children, RES approaches and practices are nuanced and differentially responsive to parents' views of their own REI, their experiences of racial discrimination, and by generational status. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Discrimination faced by radiology residents: an analysis of experiences and mitigation strategies

Rationale and ObjectivesLiterature shows that discrimination has been pervasive in the field of medicine. The aim of this study was to collect experiences related to discrimination among US radiology residents, including type and source, as well as the residents’ perception on lectures about discrimination and harassment. We also explored the barriers to reporting, and suggested strategies to overcome them. Material and MethodsFollowing Institutional Review Board (IRB) approval, an online survey was sent to program directors and coordinators across the US, who were asked to forward the link to their radiology residents. A reminder email was sent over a period of 4 months. The participants were reassured the survey was confidential and anonymous. ResultsAmong the respondents, the most reported types of discrimination were based in gender, race and nationality, the majority of which not being reported. The most common perpetrators were attending radiologists, co-residents, technologists, and patients. The main barriers for reporting were fear of retaliation, confidentiality concerns, and skepticism about a positive outcome. ConclusionOur study examines some experiences of discrimination shared by residents during their training, with gender and race being the most common causes. This sheds light into a hidden and unspoken issue and highlights the need for more active discussions in radiology on microaggressions and implicit bias. Our data can guide future studies as well as residency programs to build effective strategies to address discrimination, aiming for sustainable changes.

The Effect of Adolescents’ Discrimination Experiences on Suicidal Thoughts: Dual Mediating Effects of Self-Esteem and Depression

The Effect of Adolescents’ Discrimination Experiences on Suicidal Thoughts: Dual Mediating Effects of Self-Esteem and Depression

외국인 근로자의 건강정보 취득 어려움과 관련된 요인

Independent variables included sociodemographic characteristics such as country of origin, subjective health level, and health insurance subscription, length of stay in Korea, language difficulties when using medical care, experiences of discrimination, and social networks. Multivariate logistic regression analysis was performed to identify factors associated with difficulty in acquiring health information. As a result of the analysis, 49.5% of the sample experienced difficulty in acquiring health information. Factors associated with relatively high difficulty in obtaining health information include having a spouse, country of origin (Cambodia, Philippines, Myanmar, China), low subjective health level, short total length of stay in Korea, experiencing language difficulties when using medical care, experiencing discrimination, and a lack of interaction with Korean colleagues. Based on the results of this study, we proposed measures such as developing an intercultural communication competency education program for medical personnel, institutional changes in the employment permit system, and development of visual online information materials to increase foreign workers' acquisition of health information.