Nancy Krieger|Kevin Smith|Deepa Naishadham|Cathy Nelson Hartman|Elizabeth M. Barbeau
Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health
Harvard University|New England Research (United States)|New England Research (United States)|Dana-Farber Cancer Institute|Dana-Farber Cancer Institute
population health research racial discrimination hampered paucity psychometrically validated instruments feasibly used largescale studies therefore sought investigate validity reliability short selfreport instrument experiences discrimination eod measure based prior instrument used coronary artery risk development young adults cardia study study participants drawn cohort working class adults age 2564 based greater boston area massachusetts usa main study analytic sample included 159 black 249 latino 208 white participants validation study included 98 african american 110 latino participants completed retest survey two four weeks initial survey main validation survey instruments included eod several singleitem discrimination questions validation survey also included williams major everyday discrimination measures key findings indicated eod validly reliably employed scale reliability high demonstrated confirmatory factor analysis cronbachs alpha 074 greater testretest reliability coefficients 070 structural equation modeling demonstrated eod highest correlation r079 underlying discrimination construct compared selfreport discrimination measures employed significantly associated psychological distress tended associated cigarette smoking among blacks latinos associated social desirability either group contrast singleitem measures notably less reliable low correlations multiitem measures results underscore need using validated multiitem measures experiences racial discrimination suggest eod may one measure validly employed working class african americans latino americans