What Mediates the Relationship Between Ethnic Discrimination and Stress? Coping Strategies and Perceived Social Support of Russian Immigrants in Germany

Damned if she does: The subordinate male target hypothesis and discrimination of social dominant female minority members

According to the subordinate male target hypothesis (SMTH), racism is based on an ethnicity-by-gender interaction, with a stronger link between experiencing racist discrimination and subordinate or dominant ethnic group status for men compared to women. This study reevaluates the SMTH, originally focused on objective discrimination, by applying it to self-reported active harm as a theoretically derived measure of racist discrimination and by exploring interindividual differences in female ethnic minority members' discriminatory experiences. We proposed that social dominance orientation (SDO) among female ethnic minorities would influence SMTH predictions. We tested this using multiple linear regression analyses among a sample of New Zealand Europeans as the majority in New Zealand and non-Europeans as the minority. As hypothesized, male non-Europeans reported disproportionally more active harm than female non-Europeans. Unexpectedly, not only female but also male, non-Europeans high in SDO reported more active harm than non-Europeans low in SDO. Therefore, applied to self-reported racist experiences, oppression of ethnic minorities is driven by interindividual differences rather than by gender. Together, these findings provide evidence that the SMTH cannot be unreservedly extended to reports of racist discrimination and that other processes may underlie these subjective experiences of discrimination that need to be considered in more detail.

Internalized stigma: Social support, coping, psychological distress, and mental well-being among older adults in Ghana

BACKGROUND

Older adults have been found to internalize stigma from society and this has been linked to several variables including social support, coping, psychological distress, and mental well-being. However, there is a dearth of research on how these variables interact with each other to impact the life of older adults.

AIMS

This study employed path analysis to explore social support and coping as boundary conditions and underlying mechanisms in the link between internalized stigma, psychological distress, and mental well-being, among older adults in Ghana.

METHOD

Using a cross-sectional design, the study recruited 167 older adults who responded to standardized questionnaires including The Internalized Stigma of Mental Illness scale, Multidimensional Perceived Social Support Scale, The Brief Coping Inventory, Kessler Distress Scale, and the Warwick-Edinburgh Mental Well-being Scale, to determine levels of internalized stigma, social support, coping strategies, psychological distress, and mental well-being, respectively.

RESULTS

The findings revealed that at low levels of social support, there is a significant and positive correlation between internalized stigma and mental well-being (β = -.36, SE = 0.17, p < .001). Path analysis showed that the relationship between internalized stigma and mental well-being was fully mediated by problem-focused coping (β = .11, p = . 001, 95% CI [0.04, 0.21]), but not psychological distress. Problem-focused coping was also found to have a significant positive correlation with mental well-being but no significant correlation with psychological distress. Conversely, avoidant-focused coping was found to have a significant positive correlation with psychological distress and a significant negative correlation with mental well-being.

CONCLUSIONS

This study revealed the importance of social support and coping to attaining mental well-being among older adults. This study provides insights into the development of tailored interventions aimed at improving social support and problem-focused coping among older Ghanaian adults facing internalized stigma, and it also establishes a base for future research.

Confirmatory factor analysis of latent constructs for measuring social well-being in African migrant samples

The present study contributes to psychology and well-being literature by investigating social well-being in minority contexts. The factor structure of the Keyes' long format 33-item social well-being measure was investigated among African migrant samples. A cross-sectional survey methodology was used to collect data from a total of 404 African migrants living in South Africa (n = 146), Uganda (n = 158) and Kenya (n = 100). They were 202 (50%) males, 195 (48.3%) females, and 7 (1.7%) of the samples did not disclose their gender. They were aged from 14 to 70 with a Mean age of 32.21 (standard deviation = 7.696). Data collected were analysed using CFA in AMOS (version 29). We found an unstable four-factor emic solution for African migrants in Sub-Sahara Africa. We could not replicate the theoretical social well-being model of Keyes (1998) among African migrant samples in Sub-Saharan Africa. Insights from the study will be critical to designing culturally appropriate indigenous measures that accurately reflect the social realities and well-being constructs of African migrants. Our findings will also help policymakers and service providers to identify areas of need, develop appropriate socio-cultural programmes, and allocate resources more effectively to support the integration and well-being of migrants within African societies.

Psychological Consequences of Chronic Ethnic Discrimination in Male Turkish Immigrants Living in Austria: A 30-Day Ambulatory Assessment Study

BACKGROUND

Chronic ethnic discrimination may be associated with negative psychological consequences in ethnic minority groups. However, little is known about the impact of acute discriminatory events on people who experience chronic ethnic discrimination.

PURPOSE

We examined the impact of chronic and acute ethnic discrimination on the daily lives of Turkish immigrants in Austria, a population often overlooked in discrimination research.

METHODS

Ninety male Turkish immigrants living in Austria (60 experiencing chronic and 30 infrequent ethnic discrimination) reported discriminatory events in real time for 30 days. Additionally, subjective stress, reactivity to daily hassles, affect, and maladaptive coping were assessed daily.

RESULTS

Participants experiencing chronic ethnic discrimination indicated higher daily values for stress, negative affect, reactivity to daily hassles, and anticipation and avoidance coping. Negative psychological states increased for all participants on days when discriminatory events occurred, but participants with chronic ethnic discrimination showed significantly stronger increases in maladaptive coping and reactivity to daily hassles, with the latter effect persisting until the next day.

CONCLUSIONS

Our study is the first to demonstrate interaction effects of chronic and acute ethnic discrimination on psychological factors in daily life. The results may advance the understanding of the mechanisms that lead to health disparities in ethnic minority populations and may inform the development of targeted interventions.

Perceived discrimination and mental health outcomes in college students: the mediating effect of preventive health behaviors and social support

Objective: To examine the role of social support and health behaviors in the association between discrimination and mental health (e.g., anxiety/depressive symptoms, suicidal ideation) among college students experiencing various forms of discrimination. Participants: Data were collected from 709 college students (42.8% White; 72.2% female) at a large urban university in Fall 2017. Methods: Students completed an online survey assessing perceived discrimination, anxiety/depressive symptoms, suicidal behavior, health behaviors, and social support. Moderation and parallel mediation analyses were conducted in PROCESS SPSS. Results: Results indicated that preventive health behaviors and social support partially mediated associations between discrimination and mental health outcomes. Conclusions: Findings highlight the need to increase awareness regarding engaging in preventive health behaviors on college campuses. For students experiencing discrimination, prevention, and social support might be key factors in improving mental health.

Investigating discrimination in the workplace. Translation and validation of the Everyday Discrimination Scale for nursing staff in Germany

BACKGROUND

The Everyday Discrimination Scale (EDS) is a frequently used questionnaire in the field of health and social psychology that aims to explore perceptions of discrimination, especially instances of injustice related to various diversity characteristics. No adaptation to health care staff exists. The present study translates and adapts the EDS to nursing staff in Germany and examines its reliability and factorial validity as well as its measurement equivalence between men and women and different age groups.

METHODS

The study was based on an online survey conducted among health care staff of two hospitals and two inpatient care facilities in Germany. The EDS was translated using a forward-backward translation approach. Direct maximum likelihood confirmatory factor analysis (CFA) was conducted to examine the factorial validity of the adapted EDS. Differential item functioning (DIF) related to age and sex was investigated by means of multiple indicators, multiple causes (MIMIC) models.

RESULTS

Data on 302 individuals was available, of whom 237 (78.5%) were women. The most commonly employed one-factor, 8-item baseline model of the adapted EDS showed a poor fit (RMSEA = 0.149; CFI = 0.812; TLI = 0.737; SRMR = 0.072). The model fit improved considerably after including three error covariances between items 1 and 2, items 4 and 5, and items 7 and 8 (RMSEA = 0.066; CFI = 0.969; TLI = 0.949; SRMR = 0.036). Item 4 showed DIF related to sex and age, item 6 showed DIF related to age. DIF was moderate in size and did not bias the comparison between men and women or between younger and older employees.

CONCLUSIONS

The EDS can be considered a valid instrument for the assessment of discrimination experiences among nursing staff. Given that the questionnaire, similar to other EDS adaptations, may be prone to DIF and also considering that some error covariances need to be parameterized, latent variable modelling should be used for the analysis of the questionnaire.

Microaggressions: Mega problems or micro issues? A meta-analysis

While research on microaggressions has accumulated in recent decades, doubts have arisen over their impact on individuals. Hence, the purpose of this study was to analyze the relations between microaggressions and psychological well-being, physical health, job outcomes, and positive and negative coping. Potential moderators (i.e., microaggression target, publication year, publication status, sample occupation, and inclusion of nonstigmatized group members) were also examined. A meta-analytic approach was chosen to summarize the findings in the microaggression literature. Several search terms and databases were used to identify articles for inclusion. After review, a total of 141 articles with 154 samples contributed effect sizes to our analyses. The results showed that microaggressions were negatively related to psychological well-being and physical health and positively related to coping. The pattern of results was generally the same regardless of the microaggression target, the year the study was conducted, the publication status of the paper, the occupation of the sample, and whether the sample included nonstigmatized groups members or not. This meta-analysis demonstrates the stable, harmful effects associated with experiencing microaggressions. Specifically, microaggressions predicted negative outcomes across individuals and contexts. Thus, actions should be taken to decrease their prevalence within educational and occupational settings.

The role of supervisor support for dealing with customer verbal aggression. Differences between ethnic minority and ethnic majority workers

Customer verbal aggression is a core social stressor among retail workers which impairs wellbeing via emotional dissonance. This study examined two moderators—supervisor support and ethnic minority status—in this well-established relationship. In addition, it tested a moderated moderated mediation model to explore whether the moderation effects of supervisor support on the indirect relationship between customer verbal aggression and wellbeing (measured as positive affect) via emotional dissonance vary between ethnic minority and ethnic majority workers. Retail workers of one retail chain ( N = 603) completed our paper-pencil survey at two measurement points. Path modeling showed that emotional dissonance mediates between customer verbal aggression and positive affect. Taken alone, neither supervisor support nor ethnic minority status moderated this relationship. However, their combination had a significant moderating effect; supervisor support moderated the indirect effect of customer verbal aggression on positive affect through emotional dissonance only among ethnic minority workers. Surprisingly, supervisor support amplified this mediation. We discuss our findings by considering the role of supervisor support and the status of ethnic minority workers.

The effects of perceived discrimination on immigrants' mental health: A pilot study from Germany

PURPOSE

This study aimed to reveal the effects of discrimination perceived by Turkish immigrants on their mental health.

DESIGN AND METHODS

The participants of this pilot study were 111 Turkish immigrant patients treated at the Neuro-Psychiatrisches Zentrum Riem.

FINDINGS

The preliminary findings illustrated that perceived individual discrimination was significantly correlated with three coping strategies, namely, substance use, friend support, and personal support.

PRACTICE IMPLICATIONS

This study contributes to the literature by highlighting the coping strategies and social support mechanisms of Turkish immigrants who perceived discrimination and employed strategies to combat it.

Mediating and moderating effects of perceived social support on the relationship between discrimination and well-being: A study of South Koreans living in Japan

We examined the relationship between discrimination and mental wellbeing among South Korean residents (N = 181) in Japan. The roles of need for belonging (NTB) as a mediator and identification with one’s group as a moderator of this relationship were examined. Perceived social support was also examined as both a potential moderator and mediator. We also included a measure of perceived in-group inclusion in the host society, the Circle of Ingroup Inclusion (CII), to examine its influence on the relationship between discrimination and wellbeing. Three types of coping styles-active constructive coping, passive constructive coping, and destructive coping-were controlled for in the analysis. Results showed that participants’ educational level, socioeconomic status, and different coping styles predicted wellbeing; however, discrimination was the strongest (negative) predictor of wellbeing. Social support was both a moderator and mediator of the relationship between discrimination and wellbeing, suggesting that perceived social support not only buffers the negative effect of discrimination on wellbeing, but also partially explains the negative association between discrimination and wellbeing. NTB was not a significant mediator. Identification with one’s ethnic group and perceived membership in one’s group also did not affect the relationship. The results suggest that it is important to consider social support based on interpersonal relationships among members of minority groups in Japanese society. The psychological factors involved in acculturation processes may be different in different ethnic groups. This study calls for greater consideration of group-specific characteristics in understanding acculturation processes and interactions between groups in society.

Aetiological research on the health of migrants living in Germany: a systematic literature review

BACKGROUND

Germany has become an important immigration country and health services need to adopt to meet the needs of an increasingly multicultural population. For public health planning, it is essential to understand the aetiology of health problems among migrant populations. The main objective was to systematically identify, evaluate and synthesise population-based studies that investigated exposure-outcome relationships among migrant groups in Germany.

METHODS

In November 2019, we searched PubMed and LIVIVO, and updated this search in November 2020, to identify peer-reviewed publications that fulfilled our eligibility criteria: English or German language; study on disease aetiology among major migrant groups in Germany, according to the latest microcensus; publication date from inception to 01 November 2020 and observational or experimental study designs. For quality appraisal, we used the Critical Appraisal Skills Programme checklists. Outcomes under investigation were categorised according to the WHO major disease groups, and their associations with risk factors were synthesised as a heat map.

RESULTS

Out of 2407 articles retrieved, we included 68 publications with a total number of 864 518 participants. These publications reported on cross-sectional data (n=56), cohort studies (n=11) and one intervention study. The population groups most frequently studied were from the Middle East (n=28), Turkey (n=24), sub-Saharan Africa (n=24), Eastern Europe (n=15) and the former Soviet Union (n=11). The outcomes under study were population group specific. There were consistent associations of demographic and socioeconomic factors with ill health among migrants in Germany.

DISCUSSION

In this systematic review, we observed low risk of bias in two-thirds of the studies. There is an increasing body of evidence for aetiological research on migrants' health in Germany. Still, the directions of associations between a wide range of risk factors and major disease groups seem only partially understood.

PROSPERO REGISTRATION NUMBER

CRD42018085074.

Racial and Gender Discrimination Predict Mental Health Outcomes among Healthcare Workers Beyond Pandemic-Related Stressors: Findings from a Cross-Sectional Survey

Racial and gender discrimination are risk factors for adverse mental health outcomes in the general population; however, the effects of discrimination on the mental health of healthcare workers needs to be further explored, especially in relation to competing stressors. Thus, we administered a survey to healthcare workers to investigate the associations between perceived racial and gender discrimination and symptoms of depression, anxiety, posttraumatic stress, and burnout during a period of substantial stressors related to the COVID-19 pandemic and a national racial reckoning. We used multivariable linear regression models, which controlled for demographics and pandemic-related stressors. Of the 997 participants (Mean Age = 38.22 years, SD = 11.77), 688 (69.01%) were White, 148 (14.84%) Asian, 86 (8.63%) Black, 73 (7.32%) Latinx, and 21 (2.11%) identified as another race. In multivariable models, racial discrimination predicted symptoms of depression (B = 0.04; SE: 0.02; p = .009), anxiety (B = 0.05; SE: 0.02; p = .004), and posttraumatic stress (B = 0.01; SE: 0.01; p = .006) and gender discrimination predicted posttraumatic stress (B = 0.11; SE: 0.05; p = .013) and burnout (B = 0.24; SE: 0.07; p = .001). Discrimination had indirect effects on mental health outcomes via inadequate social support. Hospital-wide diversity and inclusion initiatives are warranted to mitigate the adverse mental health effects of discrimination.