Perceived Discrimination and Mental Well-being in Arab Americans from Southeast Michigan: a Cross-Sectional Study

J Racial Ethn Health Disparities. 2020 Jun;7(3):436-445. doi: 10.1007/s40615-019-00672-y. Epub 2019 Dec 12.

Abstract

There is growing evidence for the adverse health effects of structural and individual forms of discrimination in multiple religious, ethnic, and racial groups. Since the September 11, 2001 terrorist attacks, Arab Americans have experienced increasingly more frequent and visible forms of discrimination. However, the impact of these experiences on their mental well-being requires further investigation. This study examines the association between perceived discrimination and several markers of mental health and well-being, using cross-sectional data from a convenience sample of 279 Arab American adults from southeast Michigan. After adjustment for a series of relevant confounders, perceived discrimination was significantly associated with depressive symptoms (estimate 0.93, 95% CI 0.53, 1.34, p < 0.01), anxiety symptoms (estimate 0.48, 95% CI 0.19, 0.77, p < 0.01), and poor self-rated health (OR 1.31, 95% CI 1.08, 1.58, p < 0.01). The study highlights the need to address and mitigate health disparities among individuals of Arab descent and improves awareness of the potential health effects of ongoing structural and interpersonal discrimination toward this population.

Keywords: Arab Americans; Arab health; Discrimination; Health status; Mental health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arabs / psychology*
  • Arabs / statistics & numerical data
  • Cross-Sectional Studies
  • Emigrants and Immigrants / psychology*
  • Emigrants and Immigrants / statistics & numerical data
  • Ethnicity / psychology*
  • Ethnicity / statistics & numerical data
  • Female
  • Humans
  • Male
  • Mental Disorders / ethnology
  • Mental Disorders / etiology*
  • Michigan / ethnology
  • Middle Aged
  • Racism / psychology*
  • Racism / statistics & numerical data
  • Refugees / psychology*
  • Refugees / statistics & numerical data
  • United States