Articlegreen2011

Racism as a determinant of social and emotional wellbeing for Aboriginal Australian youth

Naomi Priest · Yin Paradies · Wendy Gunthorpe · Sheree J. Cairney · S.M. Sayers

147 citations0/0 files storedThe Medical Journal of Australia

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Indigenous Health, Education, and Rights Health disparities and outcomes Racial and Ethnic Identity Research

Abstract

OBJECTIVE: To explore the associations between self-reported racism and health and wellbeing outcomes for young Aboriginal Australian people. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional study of 345 Aboriginal Australians aged 16-20 years who, as participants in the prospective Aboriginal Birth Cohort Study, were recruited at birth between 1987 and 1990 and followed up between 2006 and 2008. MAIN OUTCOME MEASURES: Self-reported social and emotional wellbeing using a questionnaire validated as culturally appropriate for the study's participants; recorded body mass index and waist-to-hip ratio. RESULTS: Self-reported racism was reported by 32% of study participants. Racism was significantly associated with anxiety (odds ratio [OR], 2.18 [95% CI, 1.37-3.46]); depression (OR, 2.16 [95% CI, 1.33-3.53]); suicide risk (OR, 2.32 [95% CI, 1.25-4.00]); and poor overall mental health (OR, 3.35 [95% CI, 2.04-5.51]). No significant associations were found between self-reported racism and resilience or any anthropometric measures. CONCLUSIONS: Self-reported racism was associated with poor social and emotional wellbeing outcomes, including anxiety, depression, suicide risk and poor overall mental health.

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References

2009Perceived discrimination and health: A meta-analytic review.2008Discrimination and racial disparities in health: evidence and needed research 2005Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health 2006A systematic review of empirical research on self-reported racism and health 1999The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples 1999 2009Mental health, resilience and inequalities 2007It's enough to make you sick: the impact of racism on the health of Aboriginal Australians 2008The impact of racism on indigenous health in Australia and Aotearoa: towards a research agenda

Cited by

2014Boarding School, Academic Motivation and Engagement, and Psychological Well-Being 2014Experiencing racism in health care: the mental health impacts for Victorian Aboriginal communities 2012The Intersection of Trauma, Racism, and Cultural Competence in Effective Work with Aboriginal People: Waiting for Trust 2021Impact of racism and discrimination on physical and mental health among Aboriginal and Torres Strait islander peoples living in Australia: a systematic scoping review

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