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. 2012 Jun;9(2):127-136.
doi: 10.1016/j.jomh.2012.03.006. Epub 2012 Apr 26.

Are benefits conferred with greater socioeconomic position undermined by racial discrimination among African American men?

Darrell L Hudson, Kai M Bullard, Harold W Neighbors, Arline T Geronimus, Juan Yang, James S Jackson

Are benefits conferred with greater socioeconomic position undermined by racial discrimination among African American men?

Darrell L Hudson et al. J Mens Health. 2012 Jun.

Abstract

BACKGROUND: conventional wisdom suggests that increased socioeconomic resources should be related to better health. Considering the body of evidence demonstrating the significant association between racial discrimination and depression, we examined whether exposure to racial discrimination could attenuate the positive effects of increased levels of socioeconomic position (SEP) among African Americans. Specifically, this paper investigated the joint interactive effects of SEP and racial discrimination on the odds of depression among African Americans. METHODS: racial discrimination was measured using two measures, major and everyday discrimination. Study objectives were achieved using data from the National Survey of American Life, which included a nationally representative sample of African Americans (n =3570). Logistic regression models were used to estimate the effects of SEP and racial discrimination on the odds of depression. RESULTS: reports of racial discrimination were associated with increased risk of depression among American African men who possessed greater levels of education and income. Among African American men, significant, positive interactions were observed between education and experiences of major discrimination, which were associated with greater odds of depression (P = 0.02). Additionally, there were positive interactions between income and both measures of racial discrimination (income x everyday discrimination, P = 0.013; income x major discrimination, P = 0.02), which were associated with increased odds of depression (P = 0.02). CONCLUSIONS: it is possible that experiences of racial discrimination could, in part, diminish the effects of increased SEP among African American men.

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Figures

Figure 1
Figure 1
Interactions between SEP and major racial discrimination among African-American men. (A) Interactions between major discrimination score and education level (P-value = 0.0202). (B) Interactions between major discrimination score and income level (P-value = 0.0196)
Figure 2
Figure 2
Interactions between SEP and everyday racial discrimination among African American men. (A) Interactions between everyday discrimination score and education levels (P-value = 0.2231). (B) Interactions between everyday discrimination score and income levels (P-value = 0.0127).
See this image and copyright information in PMC

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