The enduring effects of racism on health: understanding direct and indirect effects over time

Publication type

Journal Article

Authors

Publication date

September 15, 2022

Summary:

Experiences of racism and racial discrimination are associated with poorer mental and physical health outcomes for people from minoritised ethnic groups. One mechanism by which racism leads to poor health is through reduced socio-economic resources, but the evidence documenting the direct and indirect effects of racism on health via socio-economic inequality over time is under-developed. The central aims of this paper are to better understand how racism affects health over time, by age, and via the key mechanism of socio-economic inequality. This paper analyses large-scale, nationally representative data from the UK Household Longitudinal Study (Understanding Society) 2009–2019. Findings from longitudinal structural equation models clearly indicate the enduring effects of racism on health, which operate over time both directly and indirectly through lower income and poorer prior health. Repeated exposure to racism severely and negatively impacts the health of people from minoritised ethnic groups. These findings make an important contribution to the existing evidence base, demonstrating the enduring effects of racism on health over time and across age groups.

Published in

SSM - Population Health

Volume

Volume: 19:101217

DOI

https://doi.org/10.1016/j.ssmph.2022.101217

ISSN

23528273

Subjects

Notes

Open Access

Under a Creative Commons license


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