Danhong Chen|Tse Chuan Yang
The pathways from perceived discrimination to self-rated health: An investigation of the roles of distrust, social capital, and health behaviors
Pennsylvania State University|University at Albany, State University of New York
although extensive research adverse impacts perceived discrimination health remains unclear perceived discrimination gets skin paper develops comprehensive structural equation model sem incorporating direct effects perceived discrimination selfrated health srh powerful predictor many health outcomes indirect effects perceived discrimination srh health care system distrust neighborhood social capital health behaviors health conditions applying sem 9880 adults aged 18 100 2008 southeastern pennsylvania household health survey confirmed positive direct association discrimination poor fair srh also verified two underlying mechanisms 1 perceived discrimination associated lower neighborhood social capital contributes poor fair srh 2 perceived discrimination related risky behaviors eg reduced physical activity sleep quality intensified smoking lead worse health conditions result poor fair srh moreover found perceived discrimination negatively associated health care system distrust find significant relationship distrust poor fair srh