Ethnicity & Health最新文献

{"title":"The association between body mass index and perioperative outcomes by ethnicity and socioeconomic status: a systematic review of systematic reviews.","authors":"Olasunkanmi Oyolola, Amanda Daley, Joanna McLaughlin, Gavin Murphy, Katelynn Slade, Henrietta Graham, Tom Abbott, Andrew Issa, Claire Madigan","doi":"10.1080/13557858.2026.2733954","DOIUrl":"https://doi.org/10.1080/13557858.2026.2733954","url":null,"abstract":"<p><strong>Objectives: </strong>Body mass index (BMI) is associated with adverse perioperative outcomes. This study investigated the completeness of ethnicity and socioeconomic status (SES) reporting in perioperative research and the association between BMI and perioperative outcomes by ethnicity and SES.</p><p><strong>Design: </strong>We extended a previous systematic review of reviews that compared perioperative outcomes by BMI categories. For this review, we extracted primary studies published from 2004 onwards from included systematic reviews that focused on seven frequently performed surgeries with some evidence of ethnic disparities: total hip arthroplasty, total knee arthroplasty, coronary artery bypass grafting, caesarean section, prostatectomy, breast reconstruction postmastectomy, and gynaecological surgery. We calculated the number (%) of primary studies reporting ethnicity and/or SES and extracted data for perioperative outcomes up to 90 days postoperatively by ethnicity and SES. Outcomes were based on the Standardised Endpoints in Perioperative Medicine initiative. Effect measures and incidence (%) were qualitatively summarised due to heterogeneity in reporting.</p><p><strong>Results: </strong>From 49 systematic reviews, 332 primary studies investigated the seven surgical procedures and only 39 (11.7%) reported ethnicity (10.8%) or SES (2.4%) at baseline. Among these, only 10 studies (3%) stratified perioperative outcomes by ethnicity and/or SES, with most adjusting for BMI in regression models. Only one study clearly stratified outcomes across BMI categories within each ethnicity. There was some evidence of increasing risk of postoperative atrial fibrillation by ethnicity and BMI. Two studies found that Black patients had higher odds of pulmonary embolism than White patients after adjusting for BMI. Findings for other outcomes and SES were inconsistent.</p><p><strong>Conclusion: </strong>Poor reporting of ethnicity and SES data limits understanding of how these variables modify the association between BMI and perioperative outcomes. Deliberate inclusion of ethnicity and SES data in study design, analysis, and reporting is needed to address inequality in perioperative research.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep disorder and residential segregation in Cleveland, Ohio: analysis of the index of concentration at the extremes (ICE).","authors":"Abolade Oladimeji","doi":"10.1080/13557858.2026.2745827","DOIUrl":"https://doi.org/10.1080/13557858.2026.2745827","url":null,"abstract":"<p><p>Residential segregation is a fundamental structural determinant of health that generates social and spatial inequalities, yet its relationship with clinically diagnosed sleep disorders remains poorly understood. This study examined the association between neighborhood residential segregation and clinically diagnosed sleep disorders among 165,669 individuals residing in 265 census tracts in Cleveland, Ohio. Residential segregation was measured using the Index of Concentration at the Extremes (ICE), which captures racial segregation (ICE-Race), income segregation (ICE-Income), and racialized economic segregation (ICE-Race-Income). Logistic regression was used to estimate the odds of a sleep disorder diagnosis across quintiles of neighborhood advantage, comparing the most advantaged neighborhoods (Q5: predominantly White/highest income) with the most disadvantaged neighborhoods (Q1: predominantly Black/lowest income). In unadjusted models, residents of the most advantaged neighborhoods had significantly lower odds of a sleep disorder diagnosis than residents of the most disadvantaged neighborhoods. Specifically, individuals living in predominantly White neighborhoods had 25% lower odds of diagnosis (OR = 0.75, <i>p</i> < .001), those living in the highest-income neighborhoods also had 25% lower odds (OR = 0.75, <i>p</i> < .001), and those living in predominantly White, high-income neighborhoods had 24% lower odds (OR = 0.76, <i>p</i> < .001). After simultaneously adjusting for all ICE measures and individual demographic and health characteristics, only income segregation remained statistically significant, but the association reversed direction. Individuals living in the highest-income neighborhoods had 11% higher odds of a sleep disorder diagnosis than those in the lowest-income neighborhoods (OR = 1.11, <i>p</i> < .01). These findings suggest that the relationship between residential segregation and clinically diagnosed sleep disorders is complex and influenced by both neighborhood context and individual characteristics. The reversed association for income segregation may reflect greater healthcare access, higher screening and diagnostic rates, private insurance coverage, and potentially higher levels of social isolation in affluent neighborhoods.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial residential segregation and receipt of breast cancer screening in the United States: a national cross-sectional study, 2020.","authors":"Asos Mahmood, Hyunmin Kim, Cyril F Chang, Aimee Dike, Sushil Pawar","doi":"10.1080/13557858.2026.2731111","DOIUrl":"https://doi.org/10.1080/13557858.2026.2731111","url":null,"abstract":"<p><strong>Objectives: </strong>Breast cancer is the most common cancer among the U.S. women, with a lifetime risk that exceeds 13%. In 2026, it is projected that approximately 321,910 new cases of invasive breast cancer will be diagnosed. While there are many well-known barriers to breast cancer screening, the effect of residential segregation on access to screening services is not fully understood.</p><p><strong>Design: </strong>This study utilized data from the 2020 U.S. Health Information National Trends Survey Data Linkage Project (HDLP2020) for 1329 women aged 40-75 years. Fitting generalized linear models with the maximum likelihood estimation, we explored the relationship between residential segregation and mammography screening rates. Secondary analyses examined the role of race (White vs. non-White) and rural-urban status in these associations.</p><p><strong>Results: </strong>Women in higher residential segregation were less likely to have undergone mammography in the past year, relative to those in less segregated areas (adjusted odds ratio [OR] =  0.40; 95% CI: 0.16-0.97; <i>p</i>-value = 0.04). Non-White women in moderately segregated regions also exhibited lower screening rates than those in low-segregation areas. Additionally, women in highly segregated urban settings were less likely to report mammography screening than their counterparts in less segregated urban areas (adjusted OR =   0.39; 95% CI: 0.16-0.92; <i>p</i>-value = 0.03).</p><p><strong>Conclusion: </strong>The findings demonstrate that in more racially segregated communities, women are less likely to receive screening mammograms, particularly those who are non-White and live in urban settings. Efforts to improve breast cancer screening may account for the contextual and community determinants of health and address the specific needs of women in moderately to highly segregated areas to potentially reduce disparities and promote health equity.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A typology of acculturative stress among adult Latino/a immigrants: the role of demographic, social, and acculturation-related factors.","authors":"Gabriela A Nagy, Toriah Haanstad, Scott De Marchi, Allison M Stafford, Irene Felsman, Brian E Mccabe, Paulina Ruiz, Guadalupe Tarango-Garcia, Rosa Gonzalez-Guarda","doi":"10.1080/13557858.2026.2663551","DOIUrl":"10.1080/13557858.2026.2663551","url":null,"abstract":"<p><strong>Objectives: </strong>Latino/a immigrants evidence a relative health advantage compared to US-born counterparts, a trend that dissipates as they navigate a myriad of challenges tied to the immigration and adaptation process known as <i>acculturative stressors.</i> Recognizing the vast heterogeneity situated within the Latino/a immigrant population, experiences of acculturative stress differ among immigrant groups based on a range of demographic, social, and migration-related factors.</p><p><strong>Design: </strong>In a sample of adult immigrants (ages 18-44; <i>N</i> = 391) residing in an emerging immigrant community, we conducted a cluster analysis to identify classes of respondents (i.e. 'clusters of acculturative stressors') and evaluated differences among these clusters across demographic, social support, and acculturation level variables.</p><p><strong>Results: </strong>Results revealed that participants fell into one of three clusters: (a) high in family and systemic acculturative stress; (b) high in marital and parental stress; or (c) low in acculturative stress in general. Participants in the first group tended to be unauthorized immigrants, thereby facing more acculturative stress. Participants in the third group tended to have higher English proficiency, education, income, health insurance, and emotional and instrumental support, highlighting the buffering impact of residing within positive social contexts.</p><p><strong>Conclusion: </strong>These findings underscore the need for interventions that could be tailored to distinct subgroups of immigrants such as those which could increase familial and social connectedness and support, especially for those who are isolated and marginalized (cluster 1) as well as those experiencing familial and parenting stress (cluster 2). For those who endure comparatively less acculturative stress (cluster 3), low-touch interventions that maintain resilience may be important to maintain the wellbeing of this subset of immigrants. Together, these strategies have the potential to improve the health of this population and thereby reduce inequities.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"708-724"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social network typologies and aging anxiety among middle-aged and older immigrant women in South Korea.","authors":"Soondool Chung, Minseon Park, Eunjoo Chang, Sang Hee Lee","doi":"10.1080/13557858.2026.2655632","DOIUrl":"10.1080/13557858.2026.2655632","url":null,"abstract":"<p><strong>Objectives: </strong>Immigrant women often face compounded stressors as they age in a culturally unfamiliar environment, yet little is known about how their social networks influence aging anxiety in non-Western settings. Drawing on social capital and acculturation frameworks, this study adopts a person-centered approach to identify typologies of immigrant women's social networks and examines their association with aging anxiety among middle-aged and older immigrant women in South Korea.</p><p><strong>Design: </strong>Using data from the 2021 National Survey of Multicultural Families in Korea, 3,358 immigrant women aged 45 and older were analyzed. Latent Class Analysis (LCA) identified distinct social network types, and these types were utilized as an independent variable for assessing the relationship with aging anxiety.</p><p><strong>Results: </strong>LCA identified five classes: Integrated Support, Co-Ethnic-Dominant, Korean-Dominant, Mixed-Moderate Network, and Network-Limited. In multivariable regression models adjusting for demographic, socioeconomic, and health covariates (reference = Network-Limited), membership in each group was associated with significantly lower aging anxiety, with the Co-Ethnic-Dominant showing the largest association. An age × group interaction revealed that the Korean-Dominant exhibited only a stronger negative association between age and anxiety, indicating an age-graded pattern in which older members of that group reported comparatively lower anxiety.</p><p><strong>Conclusion: </strong>The results supported the important association between social connectedness and lower aging anxiety among immigrant women. Also, these findings offer an in-depth understanding of how specific network types, particularly how Korean-Dominant and Co-Ethnic-Dominant networks are associated with mental health outcomes within a culturally homogeneous society. The findings underline the need for policy and practical interventions that foster both bonding and bridging relationships among immigrants.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"690-707"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trust at the intersections: black women's strategies for navigating bias, identity, and self-advocacy in health care.","authors":"Toluwani E Adekunle, Tiwaladeoluwa B Adekunle, Ifeanyichukwu Anthony Ogueji, Uchechukwu Mercy Ejike, May Maloba","doi":"10.1080/13557858.2026.2663556","DOIUrl":"10.1080/13557858.2026.2663556","url":null,"abstract":"<p><strong>Background: </strong>Black women in the United States continue to experience inequitable preventive health care shaped by racism, gender discrimination, and medical mistrust. While prior research has examined historical foundations of mistrust or individual attitudes, less attention has focused on how Black women interpret and navigate bias as it unfolds in everyday clinical encounters.</p><p><strong>Objective: </strong>To examine how Black women understand their health care interactions, how they experience bias in preventive care, and the strategies they use to protect their well-being and sustain engagement in care.</p><p><strong>Methods: </strong>Seventeen self-identified Black women, including both U.S. born and immigrant participants aged 21-65 years, completed in-depth semi structured interviews between February and April 2023. Interviews explored participants' interpretations of clinical interactions, perceptions of being unheard or dismissed, and the responses they enacted to preserve their dignity and health. A thematic analytic approach guided the interpretation of the data.</p><p><strong>Results: </strong>Three major themes emerged: (1) participants described biased encounters ranging from subtle dismissive cues to overt discrimination connected to race, gender, class, immigration, and religion; (2) these experiences carried emotional and psychological demands, contributing to constant self-monitoring during care; and (3) women employed strategies such as modifying their behavior, selectively choosing providers, and self-advocacy, while acknowledging the personal limits and emotional toll of continually having to protect themselves in clinical spaces. These findings illustrate how mistrust is not only historically rooted but continually reinforced through routine interactions that communicate who is valued within health care systems.</p><p><strong>Conclusions: </strong>Black women's accounts demonstrate that mistrust emerges from lived experiences within health care, not only historical memory. Improving preventive care requires meaningful change in provider communication, institutional responsiveness to bias, and system level commitments that demonstrate trustworthiness. Strengthening trust will depend on whether health systems can consistently honor Black women's dignity, voice, and safety in care.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"725-743"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding food insecurity and its relationship with health, psychosocial, and behavioral variables among the Latine population in the North Carolina High Country.","authors":"Kelly Ann Renwick, Melinda Bogardus","doi":"10.1080/13557858.2026.2688761","DOIUrl":"10.1080/13557858.2026.2688761","url":null,"abstract":"<p><strong>Background: </strong>The Latine population is at least two times more likely to be food insecure compared to the non-Hispanic white population. Challenges in accessing sufficient, culturally preferred, and healthy foods, particularly for those in rural areas, include limited financial resources and transportation difficulties. Additionally, this population commonly has low enrollment in food assistance programs, an effective method in reducing food insecurity (FI). Obesity, diabetes, cardiovascular diseases (CVD), and depression are frequently associated with FI; the Latine population carries a disproportionately high burden or risk of these diseases.</p><p><strong>Objectives: </strong>We aimed to understand the prevalence of FI, FI as a predictor and outcome variable, and health conditions associated with FI among the Latine population in rural, western North Carolina.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey in community settings using purposive sampling. Data were analyzed using descriptive statistics, bivariate analysis, and multivariable binary logistic regressions.</p><p><strong>Results: </strong>Among 193 participants, 47% reported FI. Those identifying as food insecure were more likely to report a household income under $35,000 (OR 5.49, 95% CI: 1.37, 22.06), low educational attainment (OR 3.85, 95% CI: 1.23, 12.04), and being unmarried (OR 3.53, 95% CI: 1.01, 12.20). When modeled as a predictor, FI was associated with higher odds of reporting symptoms of CVD (OR 3.95, 95% CI: 1.43, 12.14) and depression (OR 5.01, 95% CI: 1.45, 21.52).</p><p><strong>Conclusion: </strong>Our study demonstrates a high prevalence of FI and significant relationships between FI and a myriad of variables in a region of rural, western NC and contributes to a dearth of literature about the experience of FI among the Latine population. Understanding the predictors of FI in this context can better support efforts to increase food security among this population.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"744-763"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culturally and linguistically diverse experiences of chronic pain in Australia: a qualitative synthesis.","authors":"Amanuiel Taddese, Leanne Bisset, David Chua, Joan Kelly, Brooke K Coombes, Kerrie Evans, Hayley Thomson, Joy Parkinson, Jamie Nuttall, Daniel Henderson, Tracey Johnson, Samantha Bunzli","doi":"10.1080/13557858.2026.2659124","DOIUrl":"10.1080/13557858.2026.2659124","url":null,"abstract":"<p><strong>Background: </strong>People from culturally and linguistically diverse (CALD) backgrounds are disproportionately impacted by chronic pain. To inform the design of culturally responsive pain care that can reduce health disparities and improve health outcomes, this scoping review examined the perspectives and experiences of pain and pain care of people from CALD backgrounds in Australia.</p><p><strong>Methods: </strong>Scoping review design based on Arksey and O'Malley's framework. Six databases (MEDLINE, EMBASE, APA PsychInfo, CINAHL, SCOPUS, Social Sciences Abstract - Proquest) were searched from inception to July 2023 and repeated in February 2024 using the keywords 'chronic pain', 'CALD' and 'Australia'. Inclusion criteria were qualitative or mixed-methods studies exploring the perceptions and experiences of adults aged ≥18 years with non-cancer pain of ≥3 months duration from CALD backgrounds (born in a non-English speaking country and/or speak a language other than English at home). Qualitative data were analysed using thematic analysis.</p><p><strong>Results: </strong>Of 546 studies screened, five met the inclusion criteria. These studies involved 167 participants from Assyrian (Iraq), Mandaean (Iraq), Vietnamese and Indian communities. Whilst perspectives and experiences unique to each community were observed, three major themes characterised the CALD communities' chronic pain experiences: holistic beliefs about pain including physical, mental, cultural and spiritual aspects; the importance of social support networks; and barriers to accessing the healthcare system such as cost and lack of trust.</p><p><strong>Conclusion: </strong>To improve access, uptake, and outcomes for people from CALD backgrounds, future research is needed to co-design a multidisciplinary pain programme that is widely accessible through primary care, adopts a strengths-based approach, and is delivered by trusted healthcare professionals with the support of the wider community. The findings of this study give rise to recommendations at the clinician, health service, and broader health system levels, including the hiring of culturally diverse staff who reflect the community.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"781-803"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between fatalism, diabetes self-management, and metabolic parameters in individuals with type 2 diabetes in Türkiye.","authors":"Nuriye Efe Ertürk, Neşe Bülbül","doi":"10.1080/13557858.2026.2731476","DOIUrl":"10.1080/13557858.2026.2731476","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the study was to determine the relationship between fatalism, diabetes self-management, and diabetes-related metabolic parameters in Turkish society.</p><p><strong>Method: </strong>This study is cross-sectional and correlational. The study was conducted with 244 adults with T2DM who presented to the endocrinology outpatient clinic at a public hospital between October 2024 and October 2025. Data were collected using a Participant Information Form, the Diabetes Fatalism Scale (DFS), and the Diabetes Self-Management Questionnaire (DSMQ).</p><p><strong>Results: </strong>The mean score of the DFS was 34.93 ± 4.65; the DSMQ was 5.80 ± 1.30. HbA1c showed a strong positive correlation with DFS (r = .70, <i>p</i> < .001, 95% CI [.63, .76]). DFS demonstrated a negative correlation with DSMQ total scores (r = -.25, <i>p</i> = .004, 95% CI [-.37, -.13]). Triglyceride levels were positively correlated with HbA1c (r = .17, <i>p</i> < .01), and negatively correlated with HDL (r = -.26, <i>p</i> < .001). Only 11.5% of participants had LDL levels below 55 mg/dL.</p><p><strong>Conclusion: </strong>The higher levels of fatalism are associated with lower self-management. There are significant relationships between fatalism, diabetes self-management, and metabolic parameters. To effectively manage diabetes in Turkish society, healthcare professionals must question beliefs such as fatalism.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"764-780"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial discrimination and life satisfaction in non-Western contexts: examining the moderating role of migration in Ghana, Indonesia, Kenya, and Ukraine.","authors":"Silvana D'Ottone, Brianna García, Eyal Peer","doi":"10.1080/13557858.2026.2663555","DOIUrl":"10.1080/13557858.2026.2663555","url":null,"abstract":"<p><strong>Objective: </strong>It has been well established that racial discrimination has detrimental consequences for well-being. However, less is known about this relationship in non-Western settings, and there is limited research examining factors that may moderate it. This study investigates the association between perceived racial discrimination and life satisfaction across four non-Western countries, as well as the role of migration as a potential moderator.</p><p><strong>Design: </strong>A total of 3,600 respondents living in Ghana, Indonesia, Kenya, and Ukraine participated in an online survey on racial discrimination and its association with life satisfaction. Participants also reported their migration status, including whether they had migrated and the duration of their residence outside their country of origin.</p><p><strong>Results: </strong>We found a negative association between perceived racial discrimination and life satisfaction across the four countries, although the strength of this relationship varied by context. Importantly, we found that years since migration attenuate the negative association between perceived racial discrimination and life satisfaction, potentially reflecting coping strategies and adaptation processes developed over time.</p><p><strong>Conclusion: </strong>While a negative association between perceived racial discrimination and life satisfaction is observed in these non-Western contexts, the strength of this relationship varies across countries and is moderated by individuals' migration experiences. These findings open new avenues for research on how discrimination and migration jointly shape well-being across diverse national and individual contexts.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"804-814"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}