Examining the Reciprocity Between Perceived Discrimination and Health: A Longitudinal Perspective

Han Liu () and Tse-Chuan Yang ()
Additional contact information
Han Liu: University at Albany, SUNY
Tse-Chuan Yang: University of Texas Medical Branch

Population Research and Policy Review, 2022, vol. 41, issue 4, No 16, 1757-1777

Abstract: Abstract This study aims to fill two interrelated knowledge gaps in the extant literature on the association between perceived discrimination and health. First, potential selection bias associated with pre-existing health conditions has rarely been rigorously tested in empirical studies. Second, whether there is a reciprocal relationship between perceived discrimination and health has been underexplored. Using longitudinal data from the Americans’ Changing Lives data, waves 3 to 5 (N = 1058), we test the reciprocity between perceived discrimination and health with a formal mediation analysis technique. We also use the Heckman correction to adjust for the potential selection bias associated with attrition. Our analysis indicates that perceived discrimination is associated with poor self-rated health and depressive symptoms even when previous health conditions are considered. Furthermore, net of other confounders, there is a reciprocal relationship between perceived discrimination and depressive symptoms. However, this reciprocity does not hold for self-rated health. These findings indicate that there is a vicious circle between perceived discrimination and mental health. That is, poor mental health may lead to perceived discrimination, and heightened perceived discrimination may subsequently increase depressive symptoms. Sensitivity tests suggest that this reciprocity may vary by gender and race.

Keywords: Perceived discrimination; Self-rated health; Depression; KHB mediation analysis; Americans’ Changing Lives (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://link.springer.com/10.1007/s11113-022-09712-8 Abstract (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:kap:poprpr:v:41:y:2022:i:4:d:10.1007_s11113-022-09712-8

Ordering information: This journal article can be ordered from
http://www.springer. ... es/journal/11113/PS2

DOI: 10.1007/s11113-022-09712-8

Access Statistics for this article

Population Research and Policy Review is currently edited by D.A. Swanson

More articles in Population Research and Policy Review from Springer, Southern Demographic Association (SDA)
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().