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The Impact of Perceived Racial Discrimination on the Mental Health of Asian American and Latino College Students

American Psychological Association
Cultural Diversity & Ethnic Minority Psychology
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The authors examined the impact of perceived racial discrimination on various mental health outcomes for Asian American and Latino college students within an emic and etic framework. Results indicate that Asian American and Latino college students experienced similar exposure and reactions to various kinds of discrimination. However, Latino students were more likely than Asian American students to have been accused of doing something wrong, such as cheating and breaking the law, and more likely to appraise these experiences as stressful. Asian Americans evidenced higher risk for trait anxiety. Regardless of ethnicity, perceived racial discrimination was associated with several negative mental health outcomes, including higher psychological distress, suicidal ideation, state anxiety, trait anxiety, and depression. Findings highlight the need to address discrimination across multiple social and professional settings and to understand the broad array of mental health outcomes.
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The Impact of Perceived Racial Discrimination on the Mental Health of
Asian American and Latino College Students
Wei-Chin Hwang
Claremont McKenna College
Sharon Goto
Pomona College
The authors examined the impact of perceived racial discrimination on various mental health outcomes
for Asian American and Latino college students within an emic and etic framework. Results indicate that
Asian American and Latino college students experienced similar exposure and reactions to various kinds
of discrimination. However, Latino students were more likely than Asian American students to have been
accused of doing something wrong, such as cheating and breaking the law, and more likely to appraise
these experiences as stressful. Asian Americans evidenced higher risk for trait anxiety. Regardless of
ethnicity, perceived racial discrimination was associated with several negative mental health outcomes,
including higher psychological distress, suicidal ideation, state anxiety, trait anxiety, and depression.
Findings highlight the need to address discrimination across multiple social and professional settings and
to understand the broad array of mental health outcomes.
Keywords: discrimination, racism, Asian American, Latino, depression
Throughout history, ethnic and racial minorities have been the
victims of institutional and interpersonal discrimination (Harrell,
2000; Jones, 1997). Although some may argue that the United
States has become a more racially conscious society, it is fallacious
to believe that discrimination no longer exists (Smedley & Smed-
ley, 2005). Research has documented the widespread prevalence of
racial discrimination (unfair treatment due to race) and the nega-
tive health consequences it has for African Americans (e.g., Jones,
1997; Klonoff, Landrine, & Ullman, 1999; Utsey, 1998). How-
ever, there continues to be comparatively little research that ex-
amines the impact of racial discrimination on other ethnic minority
groups. The goals of this study were to (a) examine the impact of
perceived racial discrimination on various mental health outcomes
for Asian Americans and Latinos, and (b) expand the range of our
understanding of racial discrimination and its mental health asso-
ciations (psychological distress, suicidal ideation, state and trait
anxiety, and clinical depression).
There are compelling reasons to study Asian Americans and
Latinos with respect to racial discrimination and to study the
groups together. Sociopolitical concerns such as the recent outcries
against illegal Latino immigration and economic competition be-
tween the United States and Asian countries are likely to increase
the animosity toward these two fastest growing groups in the
United States (Larsen, 2004). Asian Americans and Latinos both
evidence within group heterogeneity because of geographic, his-
torical, and demographic differences. Yet, both groups share com-
monalities that make comparative study of their discrimination
experiences intriguing. Both groups are visible minorities; have
large numbers of immigrants that may be targets of discrimination
due to xenophobia; and both groups are collectivistic in cultural
orientation, which may lead to similar responses to discrimination
(Vandello & Cohen, 1999). At the heart of collectivism is inter-
dependence and group harmony (see Markus & Kitayama, 1991).
Asian Americans and Latinos might thus be particularly attuned
and affected by negative and discriminatory interpersonal and
intergroup interactions. Shorey, Cowan, and Sullivan (2002) found
collectivism to be positively related to attributions of discrimina-
tion in Latinos. Unfortunately, few studies have assessed the
relative experience of discrimination on Asian Americans and
Latinos. In one of the few comparative studies including these
groups, Landrine, Klonoff, Corral, Fernandez, and Roesch (2006)
found that Asian Americans and Latinos reported similar levels of
discrimination over the lifetime, but that Asian Americans reported
higher levels of recent discrimination.
We propose an emic and etic framework for conceptualizing and
understanding discrimination across groups. Etics are universal
phenomena that occur across cultures, whereas emics are culturally
based manifestations of universal phenomena in specific groups
(Berry, 1969; Triandis, 2007). This framework has been effec-
tively used to understand cultural differences without creating a
deficit model in which one group’s experience becomes the norm
or standard by which other groups “fall short” (for example, see
emics– etics applied to cross-cultural differences in parenting;
Chao, 1995). For guidance about etic experiences with discrimi-
nation and group-specific experiences or emics, we turn to the
extant literature on discrimination.
As in the broader literature on African American racial discrim-
ination (Klonoff et al., 1999), Latinos and Asian Americans are
negatively affected by discrimination. For Latinos, perceived dis-
crimination is linked to increased psychological distress (Moradi
& Risco, 2006) and depressive symptoms (Greene, Way, & Pahl,
Wei-Chin Hwang, Department of Psychology, Claremont McKenna
College; Sharon Goto, Department of Psychology, Pomona College.
This study was supported in part by National Institute of Mental Health
(NIMH) grant 1R34MH73545-01A2 and the Asian American Center on
Disparities Research (NIMH grant: 1P50MH073511-01A2).
Correspondence concerning this article should be addressed to Wei-Chin
Hwang, Department of Psychology, Claremont McKenna College, 850 Co-
lumbia Avenue, Claremont, CA 91711. E-mail: whwang@cmc.edu
Cultural Diversity and Ethnic Minority Psychology Copyright 2008 by the American Psychological Association
2008, Vol. 14, No. 4, 326–335 1099-9809/08/$12.00 DOI: 10.1037/1099-9809.14.4.326
326
2006; Szalach et al., 2003; see Araujo & Borrell, 2006, for general
review of psychological impact of discrimination in Latinos).
Discrimination experienced by Asian Americans is also associated
with negative psychological well-being and psychological distress
(e.g., Lee, 2003; Noh, Beiser, Kaspar, Hou, & Rummens, 1999;
Yoo & Lee, 2005).
Despite the limited literature on these two groups, general
patterns emerge that are similar to research findings on African
Americans. For example, when combined with the literature re-
porting the negative mental health association of discrimination on
African Americans, the pattern of detrimental effects that discrim-
ination has on all three groups can be construed as an etic or
universal negative response. Group differences, if any, on the types
of discrimination each group experiences and the strength of the
relationship between discrimination and mental health outcomes
could be taken as emics, or ethnic-specific responses.
To date, no study has examined the emics of discrimination on
Latinos and Asian Americans. Specifically, there is little research
that delineates the type of discrimination that different ethnic
groups face. Notable exceptions are two studies on the experiences
of discrimination among urban high school students that found that
Asian American students reported more harassment by peers,
whereas Black and Latino students reported being discriminated
against more by adults (such as the police, teachers, and shopkeep-
ers; Fisher, Wallace, & Fenton, 2000; Rosenbloom & Way, 2004).
Furthermore, according to research on the Stereotype Content
Model (Fiske, Cuddy, Glick, & Xu, 2002), outgroups are perceived
as either likable and disrespected (Latino) or envied but unlikable
(Asian American; see Lin, Kwan, Cheung, & Fiske, 2005). Ac-
knowledging that stereotypes differ from discrimination, the ste-
reotype research might suggest that the two groups experience
different types of discrimination.
Some of the group-specific discrimination literature has sug-
gested that there may be some differences in discriminatory expe-
riences. For example, Schneider, Hitlan, and Radhakrishnan
(2000) found that working Hispanic samples experienced mostly
verbal ethnic harassment and exclusionary practices, which had
negative effects. Another study on Latinos found color bias against
darker skin color (Hall, 2002). The growing literature on discrim-
ination experienced by Asian Americans also focuses on a few
group-specific phenomena (e.g., Barry & Grilo, 2003; Dion, Dion,
& Pappas, 1992; Gee, 2002) such as more subtle forms of dis-
crimination experienced by Asian Americans like microassaults,
microinsults, and microinvalidations (Sue, Bucceri, Lin, Nadal, &
Torino, 2007). Others have discussed the role of the model mi-
nority myth, resentment by other groups (Rosenbloom & Way,
2004), and general indifference of Asian Americans as targets of
discrimination (Delucchi & Do, 1996).
Unfortunately, there continues to be a dearth of comparative
research. This may be due in part to a reliance on measures of
overall or general discriminatory experiences, rather than specific
types or instances. Recently, Landrine and colleagues (2006) re-
viewed the extant literature on perceived discrimination and dis-
cussed limitations in the measurement of discrimination. For ex-
ample, they noted that the vast majority of studies assessed the
presence versus absence of global discriminatory events using one
to two dichotomous items (i.e., yes/no responses; Gee, 2002;
Jackson et al., 1996; Karlsen & Nazroo, 2002; Noh et al., 1999),
whereas others used several dichotomous items that did not pro-
vide a range of possible responses (Krieger, 1990; Krieger &
Sidney, 1996). Although these studies assessed the negative con-
sequences of perceived discrimination on multiple ethnic groups,
the use of only a few global items to assess discrimination limits
the ability to explore different types of discrimination experienced
and to tap into the underlying construct of discrimination. The use
of dichotomous items also reduces the variance in discrimination
measured, thereby potentially attenuating the strength of the
discrimination– health relationship (Landrine et al., 2006; Landrine
& Klonoff, 2000).
Landrine and colleagues (2006) developed a discrimination
scale to address these methodological limitations. The Schedule of
Racist Events assesses both the frequency and stress appraisal of
discriminatory events across multiple social and professional sit-
uations. Discrimination studies using this measure have found that
perceived discrimination is associated with increased risk for cig-
arette smoking and psychiatric symptoms (Landrine & Klonoff,
1996; Klonoff et al., 1999). This measure was designed for use
with African Americans, and was recently modified into the Gen-
eral Ethnic Discrimination Scale (GED) for use with multiple
ethnic groups (Landrine et al., 2006). One study using the GED
across multiple ethnic groups found that men experience more
discrimination than women, and that African Americans report
more discrimination than Asian Americans who report higher
levels than Latinos over the lifetime, with all groups reporting
more perceived discrimination than Caucasian Americans (Land-
rine et al., 2006).
Most studies, including those thus far reviewed, have focused on
the detrimental impact of perceived discrimination on a few spe-
cific mental health outcomes, namely psychological distress, anx-
iety, and depression (e.g., Kessler, Mickelson, & Williams, 1999;
Lee, 2003; Moradi & Risco, 2006; Mossakowski, 2003; Noh &
Kaspar, 2003). These studies have found that greater discrimina-
tory experiences are associated with negative health consequences.
Although the data are typically cross-sectional with very few if any
exceptions, the theoretical link is that discriminatory experiences
serve as a stressor and precipitant to multiple mental health prob-
lems. Lazarus and Folkman’s (1984) stress-coping model posits
that both the frequency of exposure and appraisal of the stressful-
ness of the event determine its impact on health outcomes. For
example, two people may be called racist names on a weekly basis;
one may find it extremely upsetting, whereas the other may dis-
miss the event, thereby reducing the negative impact it has on his
or her health. In addition, different people may also evidence
differential exposure to racist events. Although the stress-coping
model has been used to explain the discrimination– health relation-
ship (Brondolo et al., 2005; Clark, Anderson, Clark, & Williams,
1999; Contrada et al., 2001; Harrell, 2000), few studies have used
more rigorous, theoretically driven measurement methodology to
assess both the frequency and stress appraisal of discriminatory
events.
Given that theoretically the frequency and appraisal of discrim-
ination varies in strength on a continuum, so might the severity of
mental health outcomes. This compels the exploration of discrim-
ination as a stressor on a broad array of mental health outcomes
beyond psychological distress and depression. Some studies have
expanded our understanding of the effects of perceived discrimi-
nation across a variety of contexts such as family outcomes
(Murry, Brown, Brody, Cutrona, & Simons, 2001) and mastery
327
DISCRIMINATION AND ASIAN AMERICANS AND LATINOS
(Broman, Mavaddat, & Hsu, 2000). One goal of this study was to
understand the impact of discrimination on multiple problems. The
relation between discrimination and outcomes of differing severity
theoretically should be positive across the outcomes. For example,
to date, no studies have investigated the relationship between
discrimination and state anxiety (transient feelings of tension and
nervousness; Cattell, 1966). Discrimination might be related to
trait and state anxiety as discrimination likely serves as a stressor
to induce anxiety. In particular, however, because of common
method variance, cumulative discrimination might be more
strongly related to trait anxiety as both constructs tap into stable,
long-term constructs. Few studies have examined whether discrim-
ination leads to increased suicidal ideation (Beck, Kovacs, &
Weissman, 1979). The relation between these two variables is of
interest because discrimination, especially violent or blatant dis-
crimination or discrimination that is chronic and unavoidable, may
lead to severe stress and thus suicidal ideation. Again, the relation
between discrimination and suicidal ideaology is expected to be
positive as discrimination serves as a stressor. Heacock (1990),
using a case study approach, linked racial discrimination with
suicidal behaviors in African Americans and Latinos. In addition,
suicidal behaviors have been linked to discrimination related to
sexual orientation bias (Diaz, Ayala, Bein, Henne, & Marin, 2001).
We took advantage of the sensitivity of the GED (Landrine et al.,
2006) to investigate the relation between discrimination and a
range of psychological outcomes.
Finally, understanding the relation between perceived discrim-
ination and the well-being of Asian and Latino American college
students is particularly important given the growing body of liter-
ature indicating greater psychological distress and depression in
these two groups than in their European American counterparts
(Okazaki, 1997; Siegel, Aneshensel, Taub, Cantwell, & Driscoll,
1998). Although a college sample might reduce group differences
in discrimination experienced because self-selection of relatively
resilient and high-functioning individuals and context similarity,
investigating the relationship with mental health consequences is
important because evidence suggests that discrimination has in-
creased over the years on college campuses (McCormack, 1995,
1996). Furthermore, Landrine and colleagues, (2006) found that
college and community samples are exposed to similar discrimi-
natory experiences.
This study examined the impact of perceived discrimination on
multiple mental health outcomes for Asian and Latino American
college students. On the basis of previous research (Landrine et al.,
2006), we explored whether Asian Americans and Latinos would
experience similar amounts of recent discrimination and similar
appraisals of the stressfulness of these events. On the basis of a
qualitative review of the extant discrimination literature and the
nature of stereotypes (e.g., Lin et al., 2005), we explored whether
there were emic or etic differences in the type of discrimination
experienced. We also explored whether both groups would evi-
dence similar risk for psychological distress, trait and state anxiety,
depression, and suicidal ideation after controlling for the effects of
discrimination. Similarities in the experience and impact and ex-
perience of discrimination on mental health outcomes would sug-
gest an etic effect of discrimination, whereas differential exposure
and impact would suggest an emic effect.
Method
Data were collected from 186 Asian American (n!107) and
Latino (n!79) college students from a university located in the
Rocky Mountain region of the United States. The student sam-
ple consisted of 67 men (Asian American !36; Latino !31)
and 119 women (Asian American !71; Latina !48). Forty
percent of the students were foreign born (Asian American !
42; Latino !32), and students represented various years in
college (1st year !24%, 2nd year !15%, 3rd year !28%, 4th
year !17%, 5th year or more !16%). International student
status was determined by their resident status, and international
students were not included in this study. The five largest groups
of Asian Americans in the sample included Chinese Americans
(n!34), Vietnamese Americans (n!20), Japanese Americans
(n!15), Taiwanese Americans (n!12), and Korean Americans
(n!10). The four largest groups of Latinos in the sample
included Mexican Americans (n!44), Peruvian Americans
(n!8), Argentinian Americans (n!4), and Puerto Rican
Americans (n!3). The rest of the respondents were few in
number and came from a variety of ethnic backgrounds. Stu-
dents responded to IRB-approved advertisements sent through
e-mail inviting them to participate in an Internet-based research
study on student health. Informed consent was obtained. Stu-
dents were administered the survey via the Internet and were
paid $10 to complete the full battery of measures, which took
approximately 1 hr to finish. Descriptive statistics for the sam-
ple are provided in Table 1. Students were also asked to rate
their financial need on a scale ranging from 1 (no financial
need)to5(severely needy).
Measures
Discrimination. Lifetime exposure to discrimination and
stress associated with exposure were measured using the GED
Table 1
Characteristics of Independent and Dependent Variables
Variable
Asian Americans
(n !107)
Latinos
(n !79)
Gender, n(%)
Women 71 (66.40) 48 (60.80)
Men 36 (33.60) 31 (39.20)
Years in school, n(%) 2.92 (1.64) 2.94 (1.33)
Mean (SD) financial
stress
2.40 (1.03) 2.86 (0.94)
Mean (SD) exposure to
discrimination
37.06 (13.27) 37.62 (14.99)
Mean (SD) stressfulness
of discrimination
44.69 (21.42) 46.09 (22.80)
Mean (SD) discrimination
total score
"0.04 (1.81) 0.11 (1.98)
Mean (SD) psychological
distress
0.70 (0.54) 0.61 (0.56)
Mean (SD) suicidal
ideation
0.05 (0.17) 0.04 (0.16)
Mean (SD) state anxiety 38.67 (11.31) 37.59 (11.50)
Mean (SD) trait anxiety 42.92 (8.99) 40.47 (10.17)
Clinical depression, n(%)
Not depressed 92 (86.00) 69 (87.30)
Depressed 15 (14.00) 10 (12.70)
328 HWANG AND GOTO
(Landrine et al., 2006). The GED is a global measure of overall
discrimination experience and also provides details concerning the
specific types of discrimination one experiences and is affected by.
The 18 different types of discriminatory experiences (e.g., work,
public places, health care, and school) that individuals are exposed
to because of their race/ethnic group are assessed. In this study, we
used two of the subscales, perceived lifetime exposure to a variety
of discriminatory events and the appraised stress associated with
experiencing those events. The GED uses a 6-point Likert-type
scale for exposure to discrimination ranging from never to almost
all of the time and not at all stressful to extremely stressful for
stress associated with each type of discrimination. Correlation
between lifetime exposure to discrimination and appraised stress
associated with exposure was .77 ( p#.01). These subscales were
combined into one overall discrimination score. They were first
standardized and then summed such that both subscales carried
equal weighting in the discrimination total score. This method
seemed most reasonable given that there currently is no one
standard for determining how to weight the effects of discrimina-
tion exposure and stress associated with discriminatory experi-
ences. Previous research has indicated that the GED demonstrates
high internal consistency ($!.94 –.95), 1-month test–retest reli-
ability (r!.95–.96) and validity (Klonoff & Landrine, 1999, 2000;
Landrine & Klonoff, 1996, 2000; Landrine et al., 2006), and
adequately differentiates frequency of discriminatory events across
ethnic groups (Landrine et al., 2006). In this study, the GED
demonstrated strong internal consistency ($!.94 –.95). However,
one limitation of the GED is that it has not been normed for Asian
Americans or Latinos.
Psychological Distress. The Brief Symptom Inventory (BSI) is
a well-validated. 53-item, self-report measure of psychological dis-
tress (Derogatis & Melisaratos, 1983). Participants were asked to
indicate how much each of the symptoms described had bothered
them in the past 7 days, using a 5-point Likert scale ranging from not
at all to extremely. The present study used the Global Severity Index
because it is the most sensitive of the three global indices (Derogatis
& Melisaratos, 1983). This scale has been found to have high internal
consistency ($for subscales ranging from .71 to .85) and convergent
validity across groups (Derogatis & Melisaratos, 1983). However, no
specific ethnic norms have been developed. The mean BSI scores for
nonpatients adults are 0.30 (SD !0.31) and 0.83 (SD !0.59) for
nonpatient adolescents. Cochran and Hale (1985) attempted to estab-
lish norms on a sample of 347 students attending a 4-year private
college and found a mean score of 0.76 (SD !0.47). The mean BSI
scores for Asian American and Latino students in this public univer-
sity were 0.71 and 0.60, respectively. These scores are similar to those
of other college students and significantly lower than those of psy-
chiatric outpatients (M!1.32, SD !0.72). The BSI also demon-
strated high internal consistency for participants in the current study
($!.97). The BSI has been used extensively for research in Asian
and Asian American populations (Cheng, Leong, & Geist, 1993;
Hwang, Myers, & Takeuchi, 2000), as well as Latino populations
(Hemmings, Reimann, Madrigal, & Velasquez, 1998; Myers et al.,
2002).
Suicidal Ideation. A modified 5-item version of the Scale for
Suicidal Ideation (SSI) was used to assess current conscious
suicidal intent (Beck et al., 1979; Beck, Steer, & Ranieri, 1988).
Each item is scored on graded statements of intensity from 0 to
2. Five of the 19 original items were chosen because they
evidenced high item–total correlations and because they repre-
sented a range of suicidal types of ideation. An adjusted average
suicide ideation score was created from the 5 items that in-
cluded respondents’ wish to live, desire to kill oneself, fre-
quency of suicidal ideation, certainty that they will make a
suicide attempt, and extent to which they had developed a
specific plan. The original SSI demonstrates strong reliability
($!.89 –.96) and validity (Beck et al., 1979, 1988). However,
no specific norms or reliability or validity studies using the SSI
with Asian American or Latino college students have been
conducted. Internal consistency in this study was $!.71.
State and Trait Anxiety. The State-Trait Anxiety Inventory
(STAI) is a widely used anxiety scale consisting of 40 items
(Spielberger, 1983; Spielberger, Gorusch, & Lushene, 1970). The
notion of state anxiety, which is characterized by transient feelings
of worry, tension, nervousness and anxiety traits, and trait anxiety,
or individual differences in enduring anxiety and predisposition to
respond anxiously to stressful situations, was first introduced by
Cattell (1966) and further elaborated on by Spielberger et al.
(1970) and Spielberger (1983). The items are answered along a
4-point Likert-type scale ranging from 1 (not at all)to4(very
much so). Overall, the STAI demonstrates good reliability and
validity across multiple studies and populations, including multi-
ethnic adolescents and Asian American adolescents in Hawaii
(Hishinuma, Miyamoto, Nishimura, & Nahulu, 2000; Hishinuma,
Miyamoto, Nishimura, Nahulu, Andrade, et al., 2000; Hishinuma
et al., 2001; Spielberger, 1983; Spielberger et al., 1970). In this
study, the State and Trait subscales also evidenced strong internal
consistency of $!.93 and .90, respectively. The mean levels of
state and trait anxiety were similar to the norms on college students
that were developed from a sample of 855 college students at the
University of South Florida: M!37.89 (SD !11.22) and M!
39.60 (SD !9.78), respectively (Spielberger, 1983). Psychiatric
norms for state (M!47.74, SD !13.24) and trait (M!46.62,
SD !12.41) anxiety reported by Spielberger (1983) have been
previously established on the basis of 461 male neuropsychiatric
patients.
Clinical Depression. The Hamilton Depression Inventory
(HDI) is a 23-item, self-report inventory version of the Hamilton
Depression Rating Scale (HDRS; Hamilton, 1960, 1967; Reynolds
& Kobak, 1995). There is strong support for the reliability and
validity of the HDI in assessing the severity of depression in
multiethnic samples (Dozois, 2003; Reynolds & Kobak, 1995).
The HDI evidenced good internal consistency ($!.93), test–
retest reliability (r!.95), and validity (content, criterion, and
convergent) in its development study (Dozois, 2003; Reynolds &
Kobak, 1995). In this study, Cronbach’s alpha was .82. The HDI
uses clinical cutoff scores to indicate the severity of depression
over the past 2 weeks. A clinical cutoff score of 19 maximizes the
hit rate (98.2%), sensitivity (99.3%), and specificity (95.9%) in
differentiating between nonreferred community adults and psychi-
atric outpatients diagnosed with major depression (Reynolds &
Kobak, 1995). In this study, the clinical cutoff score of 19 was
used to differentiate between those who were clinically depressed
and those who were not. No specific reliability or validity studies
have been conducted with Asian American or Latino college
students.
329
DISCRIMINATION AND ASIAN AMERICANS AND LATINOS
Results
Descriptive Statistics
Because the relationship between frequency and stress appraisal
of discrimination was strong (r!.77), we merged these subscores
to create a composite score (see Method). Pearson correlation
coefficients were calculated to assess the interrelationships
between variables of interest. As shown in Table 2, results indicate
overall significant positive correlations between discrimination
and psychological distress, anxiety, and clinical depression.
Multivariate Analysis of Variance (MANOVA)
Two MANOVAs were used to determine whether Asian Amer-
icans and Latinos evidenced differential exposure to different
types of discrimination and the stresses associated with those
experiences. Power analyses (Cohen, 1988) suggested sufficient
power (1 – %!.80, p#.05) given the sample size to detect small
to medium effect sizes and larger (d!.42). As indicated in
Table 3, Latinos and Asian Americans reported no differences in
exposure to discrimination across a wide range of domains. Results
indicated that Latinos were significantly more likely to have been
accused or suspected of doing something wrong such as stealing,
cheating, not doing their share of the work, or breaking the law.
Moreover, they were more likely to perceive these accusations as
stressful. Both differences were small to moderate in effect size
(d!.43).
Regression Analyses
Hierarchical regression analyses were conducted to examine
the relationship between independent variables and mental
health outcomes (see Table 4). Demographic variables were
entered in the first block to control for their association with the
outcome variables (i.e., gender, years in school, and financial
stress). Ethnicity was dummy coded (Asian American !0,
Latinos !1) and entered in the second block to determine
whether Asian Americans and Latinos evidenced differential
risk for mental health problems, and the composite discrimina-
tion score was entered into the third block.
Psychological Distress. Results indicated that fewer years in
school were significantly associated with higher psychological dis-
tress (R
2
!.09). There were no ethnic differences in risk for psycho-
logical distress. Higher discrimination scores were significantly asso-
ciated with higher psychological distress (R
2
!.09). Cohen’s &
2
suggested small effect sizes for demographics (&
2
!.10) and ethnic-
ity (&
2
!.11) and a medium effect for discrimination (&
2
!.23).
Suicidal Ideation. Asian American and Latino students did not
evidence a significant difference in suicidal ideation. However,
higher discrimination was significantly associated with higher
suicidal ideation, accounting for 3% of the variance (R
2
!.03).
The effect sizes for demographics, ethnicity, and discrimination
were small (&
2
s!.03–.06).
State Anxiety. Financial stress was significantly associated
with state anxiety, for a small effect (&
2
!.04). Higher discrim-
ination scores were significantly associated with higher state anx-
iety (R
2
!.09), for a moderate effect (&
2
!.16).
Trait Anxiety. Compared with Latinos, Asian Americans evi-
denced higher risk for trait anxiety. In addition, higher discrimi-
nation scores were significantly associated with higher trait anxi-
ety (R
2
!.15). Again, demographics showed a small effect (&
2
!
.04), as did ethnicity (&
2
!.06), and discrimination showed a
medium effect, (&
2
!.18).
Clinical Depression. Hierarchical logistic regression analyses
were used to determine the relationship between variables and
clinical depression. Women evidenced a 3.35 times (confidence
interval [CI] !1.09, 10.32) higher likelihood of experiencing
clinical depression than men ( p#.05). Those exposed to discrim-
ination were 1.62 times (CI !1.24, 2.12) at greater risk for
depression ( p#.01).
Discussion
This study provides evidence that Asian American and Latino
American college students experience discrimination across a va-
riety of social and professional settings, and that together the
frequency of perceived discrimination and the appraisal of the
stressfulness of those incidents have serious consequences for
minority college students. Specifically, perceived discrimination
was associated with increased risk for psychological distress, sui-
cidal ideation, state and trait anxiety, and clinical depression. The
results also suggest that younger college students were at higher
risk for psychological distress.
The results from this study contribute to the discrimination–
health literature in a number of ways. First, this study used a
discrimination measure that assessed both frequency of exposure
Table 2
Intercorrelation Matrix for All Measured Variables Used in the Model: Asian Americans and Latinos
Variable 1 2 3 4 56789
1. Sex .06 .12 .12 ".01 ".18 ".12 ".08 ".15
2. Years in school ".16 .01 .02 ".15 ".03 .01 ".09 .02
3. Financial stress .03 ".02 — .34
!!
.24
!
".12 .32
!!
.25
!
.10
4. Discrimination .03 .03 .00 .43
!!
.10 .38
!
.47
!!
.23
!
5. Psychological distress ".10 ".29
!!
.10 .20
!
— .45
!!
.59
!!
.80
!!
.65
!!
6. Suicidal ideation ".10 ".13 .02 .18 .28
!!
— .29
!!
.46
!!
.60
!!
7. State anxiety .03 ".15 .09 .28
!!
.57
!!
.27
!!
— .81
!!
.36
!!
8. Trait anxiety ".02 ".14 .08 .19 .63
!!
.28
!!
.82
!!
— .56
!!
9. Clinical depression ".17
".06 ".08 .26
!!
.62
!!
.47
!!
.39
!!
.45
!!
Note. Variable correlations for Asian Americans and Latinos are on the bottom left half and top right, respectively.
!
p#.05, two-tailed.
!!
p#.01, two-tailed.
p#.10, one-tailed.
330 HWANG AND GOTO
to discrimination and appraised stressfulness of those experiences
(Landrine et al., 2006). This measurement method is consistent
with the stress coping and appraisal literature (Lazarus & Folkman,
1984) and may more accurately assess the impact of perceived
discrimination on health outcomes than dichotomous instruments
or those that use fewer items. Our results yielded a high correlation
between frequency and stress appraisals and justified the creation
of a composite score. Thus, we are confident that our composite
score represents a conceptually broad measure of discrimination. It
is important to note that for most types of discrimination, mean
exposure levels were somewhere between once in a while to
sometimes, indicating that discriminatory experiences are a reality
for Asian and Latino American college students. Furthermore, our
results suggest that perceived discrimination accounts for approx-
imately 10% of the variance across state and trait anxiety and
psychological distress. When considering the number of possible
experiential and dispositional factors that can influence mental
health, and the importance of coping strategies, the moderate effect
size of the relationship between racial discrimination and mental
health is impressive.
Table 3
Multivariate Analysis of Variance Results for Ethnic Differences in Exposure and Stress Associated with Discrimination
Asian
Americans Latinos Total
Type of discrimination M SD M SD M SD F
1
Treated unfairly by...because of your race/ethnic group?
1. Teachers and professors 1.98 0.93 1.97 0.95 1.98 0.94 .01
Stress appraisal 2.74 1.66 2.93 1.84 2.82 1.73 .35
2. Employers, bosses, and supervisors 1.77 0.94 1.87 1.10 1.81 1.01 .00
Stress appraisal 2.34 1.66 2.55 1.93 2.43 1.78 .03
3. Coworkers, students, and colleagues 2.17 0.93 2.23 1.06 2.20 0.93 .01
Stress appraisal 2.72 1.60 2.87 1.85 2.78 1.70 .07
4. People in service jobs (store clerks, waiters, bartenders, bank tellers,
and others)
2.42 1.11 2.44 1.21 2.43 1.15 .00
Stress appraisal 2.93 1.59 3.13 1.78 3.01 1.67 .32
5. Strangers 2.42 1.03 2.44 1.13 2.43 1.07 .10
stress appraisal 2.76 1.66 2.87 1.63 2.80 1.64 .10
6. People in helping jobs (doctors, nurses, psychiatrists, case workers,
dentists, school counselors, therapists, social workers, and others)
1.66 0.85 1.73 1.02 1.69 0.92 .00
Stress appraisal 2.08 1.48 2.16 1.57 2.11 1.52 .01
7. Neighbors 2.09 1.13 2.08 1.13 2.09 1.13 .18
Stress appraisal 2.38 1.61 2.54 1.61 2.44 1.60 .07
8. Institutions (schools, universities, law firms, police, courts, department
of social services, unemployment office, and others)
1.94 1.06 2.05 1.29 1.99 1.16 .04
Stress appraisal 2.64 1.82 2.59 1.84 2.62 1.83 .22
9. People you thought were your friends 1.83 0.99 1.64 0.93 1.75 0.97 2.77
Stress appraisal 2.33 1.65 2.25 1.68 2.29 1.66 .18
How often...because of your race/ethnic group?
10. Have you been accused of doing something wrong (e.g., stealing,
cheating, not doing share of work, or breaking the law)
1.50 0.97 1.95 1.10 1.68 1.05 5.71
!
Stress appraisal 1.97 1.67 2.84 2.08 2.33 1.90 6.42
!
11. Have people misunderstood your intentions and motives 2.09 0.99 2.16 1.17 2.12 1.07 .05
Stress appraisal 2.42 1.58 2.72 1.77 2.54 1.66 .65
12. Have you wanted to tell someone off for being racist but you didn’t
say anything
2.54 1.37 2.60 1.52 2.57 1.43 .03
Stress appraisal 3.11 1.76 3.07 1.88 3.10 1.80 .09
13. Have you been really angry about something racist done to you 2.36 1.26 2.49 1.60 2.41 1.41 .14
Stress appraisal 3.37 1.77 3.35 1.90 3.36 1.82 .00
14. Have you been forced to take drastic steps (file grievance, lawsuit,
quit job, move, and other actions) to deal with some racist thing
done to you
1.27 0.72 1.36 0.76 1.31 0.74 .36
Stress appraisal 1.72 1.55 1.94 1.81 1.81 1.66 .16
15. Have you been called a racist name 2.33 0.92 2.08 1.13 2.22 1.02 3.51
Stress appraisal 2.95 1.64 2.67 1.84 2.83 1.73 1.69
16. Have you gotten into argument or fight about something racist done to
you or another member of your race/ethnic group
1.98 1.09 2.09 1.18 2.03 1.13 .27
Stress appraisal 2.59 1.69 2.96 1.78 2.74 1.73 1.01
17. Have you been made fun of, picked on, pushed, shoved, hit, or
threatened with harm
2.17 1.01 1.95 1.18 2.08 1.09 1.91
Stress appraisal 3.11 1.84 2.62 1.89 2.91 1.87 3.56
18. How different would your life be now if you had not been treated in a
racist and unfair way?
2.53 1.27 2.36 1.49 2.46 1.36 .97
!
p#.05, two-tailed.
!!
p#.01, two-tailed.
p#.10, one-tailed.
331
DISCRIMINATION AND ASIAN AMERICANS AND LATINOS
For the most part, Asian Americans and Latinos experienced
similar types of perceived discrimination and also had similar
reactions to the stressfulness of those events. Contrary to other
studies, Asian Americans did not report more peer discrimination
than Latinos (Fisher et al., 2000; Rosenbloom & Way, 2004). This
is perhaps due to the use of different measures (both qualitative
and quantitative) in previous studies or different experiences
among primary school versus college youth. As found in other
studies, Latino did report feeling like they have been accused of
doing something wrong (e.g., stealing, cheating, not doing share of
work, or breaking the law) more than Asian Americans. This
seems to be the largest difference between these two college
samples and suggests the existence of emic or group-specific types
of discrimination experiences. The power analysis suggested
enough sensitivity to detect small to medium effect sizes, which is
reasonable given the exploratory nature of our study. We did not
correct for multiple comparisons given the exploratory nature
(Perneger, 1998), so our results should be interpreted with caution.
However, future studies might explore more subtle differences
across groups and use multi-item measures to assess the different
types of discrimination, particularly from peers and surrounding
accusations of wrongdoing.
The stress associated with perceived discriminatory experiences
also had broad impacts on the mental health status of minority
students. This study supported the extant literature suggesting that
discrimination negatively influences psychological distress, anxi-
ety, and depression in Asian Americans and Latinos (e.g., Con-
trada et al., 2001; Lee, 2003; Noh & Kaspar, 2003). Our primary
regression analyses speak to the etics or cross-group associations
of discrimination with mental health. That is, we controlled for the
effects of ethnicity- and socioeconomic status-related variables
before investigating the effects of discrimination. This is a com-
mon practice, but our etic framework provides a strong theoretical
rationale for this statistical practice. The emics or group-specific
relations were revealed in the correlation matrix by group and
suggest striking etics across groups, with the exception of stronger
relations between discrimination and depression and suicidal ide-
ation for Latinos. Again, these possible emic differences are ex-
ploratory in nature and should be further explored.
Beyond these oft-studied variables, the results suggest that per-
ceived discrimination also affects mental health outcomes in more
and less severe ways. This supports case study research (Heacock,
1990) linking racial discrimination with suicidal behaviors in
African Americans and Latinos. The relation between suicidal
ideation and discrimination was small, perhaps because of the
severity and low base rate of the outcome. Yet, the relation
strength was comparable to the relations of suicidal ideation with
demographics and ethnicity, and perhaps would not have been
detected with less sensitive measures. These results importantly
suggest that racial discrimination, like sexual orientation discrim-
ination (Diaz et al., 2001), has suicidal correlates. Furthermore, the
finding that retrospective measures of perceived discrimination are
related to state anxiety is provocative given that state anxiety is
thought to be transient in nature. Perhaps merely recalling past
negative events serves as a prompt or prime, stirring up current
anxiety levels. This model of state anxiety seems intuitively ap-
pealing and should be further explored. These findings importantly
suggest that the associations of perceived discrimination reach
beyond distress, trait anxiety, and depression in outcomes of
varying severity.
Results from this study have a number of practical implications.
For example, conducting workshops and support groups that ac-
knowledge the experience of discrimination across many settings
with some specific tailoring by group might aid in promoting the
value of diversity and cultural acceptance. Reducing discrimina-
tion toward minority students is important because they sometimes
feel that they are the targets of racial stereotypes and prejudice as
well as unfair treatment by faculty, staff, teaching assistants, and
other students (Ancis, Sedlacek, & Mohr, 2000).
A limitation of the discrimination literature is that it is difficult
to disaggregate perceived versus actual discrimination. However,
there is an abundance of literature indicating that the perception of
being discriminated against is sufficient to decrease the health and
mental health status of ethnic minorities (Jones, 1997; Landrine et
al., 2006; Smedley & Smedley, 2005; Utsey, 1998). Although
some may question whether minorities may be too sensitive and
overreport discriminatory experiences, there is sufficient research
to show that minority group members tend to minimize their
experiences with discrimination (Crosby, 1984; Ruggiero & Tay-
Table 4
Hierarchical Regression Model for Psychological Distress
Variable %t
2
R
2
'R
2
Psychological distress
Block 1 .09 .09
!!
Gender "0.10 "1.41
Years in school "0.25 "3.55
!!
Financial stress 0.13 1.78
Block 2 .10 .01
Ethnicity "0.10 "1.33
Block 3 .19 .09
!!
Discrimination 0.30 4.40
!!
Suicidal ideation
Block 1 .03 .03
Gender "0.13 "1.74
Years in school "0.13 "1.70
Financial stress "0.04 "0.55
Block 2 .03 .00
Ethnicity "0.24 "0.31
Block 3 .06 .03
!
Discrimination 0.17 2.28
!
State anxiety
Block 1 .04 .04
Gender "0.06 "0.82
Years in school "0.11 "1.51
Financial stress 0.16 2.19
!
Block 2 .05 .01
Ethnicity "0.08 "1.12
Block 3 .14 .09
!!
Discrimination 0.31 4.41
!!
Trait anxiety
Block 1 .04 .04
Gender "0.08 "1.05
Years in school "0.14 "1.89
Financial stress 0.11 1.53
Block 2 .06 .02
!
Ethnicity "0.15 "1.94
!
Block 3 .15 .10
!!
Discrimination 0.32 4.45
!!
!
p#.05, two-tailed.
!!
p#.01, two-tailed.
p#.10, one-tailed.
332 HWANG AND GOTO
lor, 1997). Because the pool of participants was likely collectivist,
our respondents may have been less likely to perceive racist
dispositions in individuals and across situations than would others
who tend to make more dispositional attributions and pay less
attention to the role of the situation in interpreting behavior (see
Choi, Nisbett, & Norenzayan, 1999).
Although the findings from this study add to the existing liter-
ature on discrimination and mental health outcomes, a number of
limitations deserve mention. First, data were collected on college
students who are a select and resilient group, able to overcome
barriers, and perhaps have particular coping strategies (see Sanders
Thompson, 2006). Although studies suggest no difference between
college samples and community samples with the GED (Landrine
et al., 2006), caution should be taken in generalizing our results, in
particular the mental health associations to nonstudent samples. In
addition, there are dozens of distinct Asian and Latino ethnic
groups with different backgrounds, generational status, and expe-
riences (Sue & Sue, 2003). Findings from any one study, including
this study, may not equally apply to these heterogeneous popula-
tions. The terms Latino and Asian American do not recognize this
hetereogeneity and may perpetuate stereotypes (Helms, Jernigan,
& Mascher, 2005). Third, like most discrimination studies, data
were cross-sectional and directionality of effects cannot be certain.
For example, it may be that those with poorer mental health may
be more prone to perceiving and reporting discrimination. In this
study, a composite score for discrimination exposure and stress
appraisal was used. Future studies should improve on measure-
ment and data analytic techniques to better ascertain the combined
effects of exposure and stress appraisal. Some may argue that
participants in an online study may differ qualitatively from non-
online participants. Prior research has supported the use of the
Internet as an effective means of obtaining data, and has provided
support that Internet and traditional methods produce similar find-
ings (Gosling, Vazire, Srivastava, & John, 2004).
Given the heightened sociopolitical pressures against Asian
Americans and Latinos, it becomes increasingly important to better
understand the discriminatory experience of these groups, outside
of the Black–White paradigm. We propose a cultural framework of
etics and emics (Triandis, 2007) to help illuminate cross-group
versus within-group differences. Our results suggest that the racial
discrimination experiences of Latinos and Asian Americans are
comparable. Yet, differences in the domain in which discrimina-
tion occurs do exist and should be further explored. Furthermore,
understanding the negative impact of discrimination on a broad
array of mental health outcomes sheds light on the far-reaching
implications of this social issue. This study takes a step toward
better understanding the complexities and impact of perceived
discrimination in Asian American and Latino college students.
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DISCRIMINATION AND ASIAN AMERICANS AND LATINOS
... Health issues like weight-related problems and sleep disturbances have been linked to STBs among AA college students [38]. Mental health factors include depression or depressive symptoms [19,20,26,30,34], anxiety [34], and mental health medication use [28]. However, some studies, such as Hirsch et al. [33], found no significant risk associated with depression in small samples (n = 21), and Wong et al. [28] suggested that medication use should be considered a proxy measure for mental health problems, rather than a risk factor directly related to suicide. ...
... Health issues like weight-related problems and sleep disturbances have been linked to STBs among AA college students [38]. Mental health factors include depression or depressive symptoms [19,20,26,30,34], anxiety [34], and mental health medication use [28]. However, some studies, such as Hirsch et al. [33], found no significant risk associated with depression in small samples (n = 21), and Wong et al. [28] suggested that medication use should be considered a proxy measure for mental health problems, rather than a risk factor directly related to suicide. ...
... Cultural/Language/Race/Ethnicity Level. Consistent with the CTMS [15], nine cultural risk factors for suicide outcomes among AAYAs have been identified: language-based acculturation stress [25], cultural conflict [29], familial acculturative stress [31], family shame [30], racial and ethnic discrimination [26,29,31,34], gender discrimination [29], gendered racial microaggressions [23], online racism [35], and internalized racism [23]. It is important to note that although these factors are derived from the CTMS, they have not been examined through cross-cultural studies and, therefore, only represent culture-related elements tied to race, ethnicity, gender, and acculturation. ...
Article
Full-text available
Background: Asian American (AA) young adults, including AA college students, may experience more suicidal thoughts and behaviors (STBs) compared to other racial and ethnic groups of the same age. To the best of our knowledge, this study is the first systematic review of the risk and protective factors for STBs with a focus on AA young adults. Methods: Informed by the social-ecological perspective and the cultural model and theory of suicide, this study systematically reviews the risk and protective factors for STBs among AA young adults. Based on 22 research articles published between 1998 and 2023, we analyzed and discussed the effects of 37 risk and 15 protective factors at the individual, relationship, community, societal, and cultural levels. Results: Most risk factors are at the individual level (e.g., depressive symptoms and hopelessness), followed by factors at the cultural level (e.g., acculturation and acculturative stress), the relationship level (e.g., family problems and romantic relationship problems), the community level (e.g., verbal threats on campus), and the societal level (e.g., public stigma about mental health). Also, most protective factors are at the individual level (e.g., self-reliance and fear of suicide), followed by the relationship level (e.g., social support and family responsibilities), the community level (e.g., religious affiliations), and the cultural level (desire not to burden others). Conclusions: This systematic review emphasizes the need for future research to explore cultural factors, subgroup differences, and longitudinal designs, while advocating for culturally specific prevention and intervention strategies to improve mental health outcomes for AAYAs.
... APIDA college students continue to experience increases in mental health needs because of stressors related to the COVID-19 pandemic, with Zhou et al. finding that around one in four APIDA college students reported experiencing pandemic-related racial discrimination or hostility [20]. Among APIDA young adults and college students, studies have shown that perceived discrimination was associated with mental health outcomes such as depression and anxiety [15,21,22]. However, it is unknown whether different subgroups of college-aged APIDAs were at risk for mental health problems specifically due to COVID-19-related racial discrimination, as other studies have examined experiences of discrimination and mental health outcomes before the pandemic, had smaller sample sizes, focused on APIDAs over the age of 30, analyzed data on APIDA participants as one combined group, or found that the relationship between pandemic-related racial discrimination and mental health outcomes did not vary among APIDA subgroups [9,11,20,23,24]. ...
... Ethnicity (0 = East Asian (e.g., Chinese, Japanese, Korean, Taiwanese), 1 = Southeast Asian (e.g., Cambodian, Vietnamese, Hmong), 2 = Desi/South Asian (e.g., Indian, Pakistani, Nepalese, Sri Lankan), 3 = Filipina/x/o, 4 = Native Hawaiian or Pacific Islander, 5 = Multi-ethnic. Age (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) was treated as a continuous variable. Gender identity (0 = man, 1 = woman), sexual orientation (0 = straight, 1 = lesbian, gay, bisexual, queer, or other), international student (0 = no, 1 = yes), and socioeconomic status (0 = parental education college and above, 1 = parental education less than college). ...
... Ethnic identity. Ethnic identity was measured using a six-item version of the Multi-group Ethnic Identity Measure (MEIM), which has been psychometrically tested with diverse populations, including different age groups, ethnic backgrounds, and locations [21,31,37,38]. In this study ethnic identity was conceptualized as a continuous variable, where low scores indicate lower interest, awareness, or clarity regarding one's ethnicity, while higher scores are indicative of increased efforts to learn more about one's background and greater commitment to understand the role of ethnicity for one's own identity [37]. ...
Article
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Background In 2020, the Coronavirus disease (COVID-19) triggered the latest wave of anti-Asian discrimination. During the first year of the pandemic, symptoms of depression and anxiety increased seven-fold within Asian Pacific Islander Desi American (APIDA) communities. Among this population, APIDA college students were at particularly high risk for mental health challenges due to COVID-19-related racial discrimination. This study examined the association between COVID-19-related racial discrimination and the mental health of APIDA college students, conceptualizing ethnic identity as a moderator in the association. Methods Secondary analysis was conducted on data from 2,559 APIDA college students aged 18 to 29 who participated in the Fall and Winter/Spring Cohorts of the 2020–2021 Healthy Minds Study (HMS), a non-probability web-based survey administered to students in higher education in the United States. Descriptive statistics, comparative analysis (e.g., Chi-square and t-test), and multivariable linear regression were conducted using STATA 17.1 (StataCorp LLC, College Station, TX). Survey weights were applied in all analyses. Results There were significant positive associations between COVID-19-related racial discrimination and symptoms of depression (b = 2.15, p < 0.001) and anxiety (b = 1.81, p < 0.001) among the overall sample. Furthermore, a greater sense of ethnic identity was associated with lower symptoms of depression (b = -0.15, p< 0.001) among the overall sample. Finally, ethnic identity buffered the association between COVID-19-related racial discrimination and symptoms of anxiety among East Asian students and symptoms of both depression and anxiety among Native Hawaiian and Pacific Islander students. In contrast, ethnic identity intensified the association between COVID-19-related racial discrimination and symptoms of depression among Filipino students. Conclusions The research found that COVID-19-related racial discrimination was associated with increased symptoms of depression and anxiety among the full sample of APIDA college students during the first year of the pandemic. Additionally, higher levels of ethnic identity were associated with decreased depression among the entire group. The striking results on the moderating role of ethnic identity among subgroups call for further research on the ethnic identity development of APIDA college students, to help mitigate the effects of racial discrimination within a variety of systemic, complex, and dynamic sociocultural contexts.
... Several studies (e.g., Museus & Park, 2015) revealed how Asian American college students are racially silenced in their curricular spaces. In a sample of Asian American college students in the Rocky Mountain region, Hwang and Goto (2008) found that perceived racial discrimination is associated with risk for psychological distress, suicide ideation, and anxiety. ...
Preprint
Asian American college students' reflections on the #StopAsianHate Movement The #StopAsianHate Movement is a collective effort to counter the anti-Asian racist rhetoric and violent acts that have resurged since the COVID-19 pandemic. This study explores the following question: How do Asian and Asian American college students relate to the movement? Specifically, the study focuses on how Asian and Asian American college students (N = 74) at predominantly White small liberal arts colleges made sense of the #StopAsianHate Movement, considering their identity and college racial environment. Based on a qualitative research design, the authors of the study conducted purposeful sampling, an online survey, and thematic analysis. The authors identified seven themes from the data: a) creating and contesting the meaning of Asian American, b) echoing concerns for Asian family, kin, friends, and elderly, c) emotional currents flowing amid the movement: fear, anger, sadness, and hope, d) increasing self-knowledge of anti-Asian history and events, e) standing in solidarity with other marginalized groups, f) seeking support amid limited college-level responses and resources, and g) voicing critiques and insights on the social movement. Implications for supporting Asian and Asian American college students' identity development and mental health as well as suggestions for future research are discussed.
... Discrimination has been recognized as a threat to academic performance in college students (Stevens et al., 2018) and an invalidation of identities (Museus et al., 2016), all of which contribute to disparities in academic outcomes. Work has also linked discrimination to a loss of self-esteem and worse mental health outcomes in college students (Hwang & Goto, 2008;Nadal et al., 2014). This connection is potentially exacerbated amongst STEM students, who invariably experience high levels of competition and stress within their major (Pester et al., 2023;"Postdocs in Crisis," 2020;Reidy & Wood, 2024;Strayhorn, 2010). ...
Article
Full-text available
Sociocultural factors and STEM identity have been previously shown to influence the success and mental health of students. Likewise, student identity influences persistence and can be protective of success and psychological distress in minoritized populations. This work sought to understand how sociocultural factors and mental health were related for STEM undergraduate students, with a specific focus on underrepresented minorities, and if elements of identity buffered these relationships. A survey of undergraduate students in STEM at two universities (N = 424) included measures of sociocultural factors (cultural congruity, everyday discrimination, and ethnic identity), psychological distress (anxiety, stress, and loneliness), and STEM identity. A bivariate correlation on all measures, a regression model for psychological distress and sociocultural factors, and a moderation analysis with identity as a moderating factor were presented. Results show that psychological distress in STEM students was adversely related to sociocultural factors, while elements of engineering and science identity were protective against certain aspects of psychological distress. Aspects of engineering identity also buffered the adverse effects of experiences of discrimination on anxiety for all students, while URM status adversely exacerbated these effects. The effect of sociocultural stressors on the psychological distress, namely anxiety, stress, and loneliness, of undergraduate students in STEM is presented. It is found that elements of engineering identity and underrepresented minority status can moderate the effects of discrimination and cultural congruity on psychological distress.
... While previous studies examined the impact of the COVID-19 pandemic on college students in general, little is known specifically about the pandemic-related experiences of Asian American college students [16,17]. The studies that have been performed on this issue found that perceived racial discrimination had a negative effect on Asian American college students including negative mental health outcomes [18]. These negative experiences of racial discrimination and their detrimental mental health impacts likely have been exacerbated during the COVID-19 pandemic in the United States. ...
Article
Full-text available
The purpose of this study is to examine experiences among Asian American college students during the COVID-19 pandemic. Six focus groups were held online via Zoom (Zoom Video Communications, Inc., San Jose, USA) with a total of 21 participants in October and November 2020. The focus group guide was built upon the socio-ecological model. Some participants expressed distress when having to leave their houses for pandemic safety and discrimination reasons. The impact of discriminatory events was addressed by participants’ families. Participants emphasized the importance of communities and local organizations during the COVID-19 pandemic. Participants indicated that showing support for the Asian American community through social media and public awareness campaigns could be useful in stopping the stigma associated with the COVID-19 pandemic. Understanding the experiences of Asian American college students during the COVID-19 pandemic provides insight on how to better support Asian American communities during the pandemic.
Article
The article focuses on ways Marriage and Family Therapists (MFTs) can create supportive therapeutic spaces for Asian American clients. Research and clinical practices in the field of MFT and counseling continue to center around White norms. To promote a clinical understanding of communities of color, pedagogical strategies need to encourage critical thinking and promote awareness of the systemic oppression of communities of color. The article will examine the current research and practices in supporting Asian American clients in therapy. Specifically, the article will explore Asian Critical Race Theory (Asian CRT), and Socioculturally Attuned Family Therapy (SAFT) frameworks to understand how racialized experiences impact clients' wellbeing and create liberatory practices that elevate client voices within the therapeutic process. Through case examples, Asian Critical Race Theory and Socioculturally Attuned Family Therapy will be applied to illustrate their practice with clients.
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Background Transgender, nonbinary, gender-expansive (TNGE) Black, Indigenous, and Other People of Color (BIPOC) have one of the highest rates of suicidal ideation and suicide attempts. As recommended by the cultural framework of suicide, examining culturally relevant lay beliefs and attitudes, such as community perspectives on where suicidal ideation originates, is integral for suicide prevention. Doing so may aide in identifying avenues of support for TNGE BIPOC with chronic suicidal ideation. Aims This study aimed to examine how TNGE BIPOC community members perceive the etiological foundation of suicidal ideation. Method Short-answer responses were collected from 110 participants in a national cross-sectional survey within the United States. Data were analyzed utilizing a directed content analysis approach to thematically categorize etiological factors. Result Participants described four major areas regarding perceived etiology of suicidal thoughts including: (1) chronic trauma and stress; (2) societal and cultural expectations; (3) biological factors; and (4) structural oppression. The most salient etiological factor was structural oppression which was endorsed by 60% of the sample. Conclusions Results suggest that experiences of structural oppression should be incorporated in assessing TNGE BIPOC clients’ beliefs about suicide and suicide prevention, given its relative saliency within this sample. Further research is needed to adequately understand how cumulative stress and social-cultural expectations impact the development of suicidal ideation among TNGE BIPOC.
Article
Early life trauma has been shown to facilitate habitual behavior, which may predispose individuals toward perpetuating maladaptive behaviors. However, previous investigations did not account for other traumatic childhood experiences like racial/ethnic discrimination exposure, nor have they examined the interaction of trauma and habits on real-world adverse outcomes. To examine these effects, we recruited 96 young adults (20.06 ± 1.89 years old) in a study probing early life racial/ethnic discrimination influences on habitual learning, and the conjunctive influences of early life discrimination and habit on disordered eating and substance use. To measure habit responses, participants completed a noise avoidance task during which they responded to abstract stimuli via associated keyboard presses to avoid an aversive screaming sound, after which they performed a devaluation test to measure avoidance habit responses. Participants then completed a series of questionnaires examining early life racial/ethnic discrimination exposure, disordered eating and substance use, and other psychological characteristics. Hierarchical regression results showed that certain early life discrimination subtypes, particularly threat/aggression experienced due to racial/ethnic background, significantly predicted habitual responding above and beyond the effects of psychological confounds. Additionally, overall early life discrimination exposure positively predicted binge eating, but no variables of interest predicted alcohol and drug use. These results expand on extant literature showing the negative impacts of childhood stressors on behavioral control and real-world outcomes.
Chapter
In this chapter, “Navigating the Intersection: Islāmic Spirituality and Psychotherapy” explores the convergence of spiritual and psychological realms, focusing on the integration of Islāmic spirituality within psychotherapy. The chapter begins by establishing the importance of this intersection in contemporary mental health discourse. It then examines the concepts of spirituality, psychology, and psychotherapy, highlighting their interrelationships and the potential benefits of their synthesis. The critique of modern psychology as “soulless” (1.3) emphasises the lack of spiritual consideration in conventional therapeutic practices, advocating for a more holistic approach. Spiritually integrative psychotherapy is presented as a solution, demonstrating how incorporating spiritual beliefs and practices can enhance therapeutic outcomes. The chapter further explores the intersection of spirituality and religiosity from an Islāmic perspective, offering insights into how Islāmic teachings and practices can be harmonised with psychotherapeutic techniques. The conclusion underlines the necessity of integrating spirituality into psychotherapy to address the complex needs of individuals holistically. Overall, this chapter lays the foundation for understanding and implementing spiritually integrated psychotherapy, particularly within the context of Islāmic spirituality.
Article
Background: First-generation college students struggle to navigate the college experience. Prior research suggests that social capital plays a critical role in college success such that students benefit from building networks of support within the university. Objective: We investigated whether social capital, in the form of engagement with university services, had positive implications for college students' mental health and academic performance, particularly for first-generation college students. Methods: We conducted semi-structured interviews with both first- and continuing-generation students attending a Hispanic Serving Institution to gain a qualitative, in-depth understanding of the extent to which students took advantage of university services, and whether such engagement promoted their mental health and academic success. Results: Narratives revealed that first-generation students felt uniquely overwhelmed and could benefit from building connections and seeking support. Students emphasized the positive impact of community connections. Conclusion: University-wide programming focused on community building may improve first-generation students' college experience.
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This study examined the association between anxiety and 5 predictor variables: ethnicity (Caucasian, Native Hawaiian/part Hawaiian, Japanese, other), gender, grade level (9–12th), main wage earners’ educational level, and State–Trait Anxiety Inventory (STAI; C. D. Spielberger, R. L. Gorsuch, & R. E. Lushene, 1970) factors for a diverse group of students. Hawaiian students were found to have significantly higher levels of anxiety than Japanese students; however, ethnicity was not a significant predictor when gender, grade level, and main wage earners’ education were statistically held constant. An interaction between ethnicity and STAI factor scores indicated an atypical pattern for Caucasians. Female students scored significantly higher than male students, and main wage earners’ education predicted amount of anxiety. In general, these 2 associations remained significant when ethnicity and grade level were held constant. An interaction between gender and STAI factor scores indicated that the difference between female and male students was relatively larger for positively (as opposed to negatively) worded State items and for negatively (as opposed to positively) worded Trait items. Overall, the findings suggested that apparent ethnic differences in anxiety levels may be due to causal variables related to other sociodemographic variables. Factor scores in the form of positively versus negatively worded items should be considered an important variable; using only a global STAI composite as a measure of anxiety will mask the differential effects of the STAI factor scores. Further research is needed to determine the generalizability of these findings to other groups and to provide knowledge on direct causal variables that may account for a greater percentage of variance.
Article
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Although many researchers have suggested that racial discrimination has a negative impact on Black mental health, there are few empirical investigations of that possibility. The authors examined the relative contributions of racial discrimination, status variables, and ordinary stressors to symptoms among 520 Black adults. Results revealed that racial discrimination contributed significantly to symptoms and accounted for 15% of the variance in total symptoms.
Article
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Stereotype research emphasizes systematic processes over seemingly arbitrary contents, but content also may prove systematic. On the basis of stereotypes' intergroup functions, the stereotype content model hypothesizes that (a) 2 primary dimensions are competence and warmth, (b) frequent mixed clusters combine high warmth with low competence (paternalistic) or high competence with low warmth (envious), and (c) distinct emotions (pity, envy, admiration, contempt) differentiate the 4 competence-warmth combinations. Stereotypically, (d) status predicts high competence, and competition predicts low warmth. Nine varied samples rated gender, ethnicity, race, class, age, and disability out-groups. Contrary to antipathy models, 2 dimensions mattered, and many stereotypes were mixed, either pitying (low competence, high warmth subordinates) or envying (high competence, low warmth competitors). Stereotypically, status predicted competence, and competition predicted low warmth.
Article
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Although the individualism–collectivism dimension is usually examined in a U.S. versus Asian context, there is variation within the United States. The authors created an eight-item index ranking states in terms of collectivist versus individualist tendencies. As predicted, collectivist tendencies were strongest in the Deep South, and individualist tendencies were strongest in the Mountain West and Great Plains. In Part 2, convergent validity for the index was obtained by showing that state collectivism scores predicted variation in individual attitudes, as measured by a national survey. In Part 3, the index was used to explore the relationship between individualism–collectivism and a variety of demographic, economic, cultural, and health-related variables. The index may be used to complement traditional measures of collectivism and individualism and may be of use to scholars seeking a construct to account for unique U.S. regional variation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Article
Various authors have noted that interethnic group and intraethnic group racism are significant stressors for many African Americans. As such, intergroup and intragroup racism may play a role in the high rates of morbidity and mortality in this population. Yet, although scientific examinations of the effects of stress have proliferated, few researchers have explored the psychological, social, and physiological effects of perceived racism among African Americans. The purpose of this article was to outline a biopsychosocial model for perceived racism as a guide for future research. The first section of this article provides a brief overview of how racism has been conceptualized in the scientific literature. The second section reviews research exploring the existence of intergroup and intragroup racism. A contextual model for systematic studies of the biopsychosocial effects of perceived racism is then presented, along with recommendations for future research.