The Resource Race, Racism, Stress and Indigenous Health, Yin Carl Paradies, (electronic resource)

Race, Racism, Stress and Indigenous Health, Yin Carl Paradies, (electronic resource)

Label
Race, Racism, Stress and Indigenous Health
Title
Race, Racism, Stress and Indigenous Health
Statement of responsibility
Yin Carl Paradies
Creator
Subject
Language
eng
Summary
"This thesis is a transdisciplinary study aimed at exploring the role of race, racism and stress as determinants of health for Indigenous populations and other oppressed ethno-racial groups. Commencing with an analysis of continuing racialisation in health research, it is shown that there is no consistent evidence that oppressed ethno-racial groups, who suffer disproportionately from type 2 diabetes, are especially genetically susceptible to this disease. Continued attribution of ethno-racial differences in health to genetics highlights the need to be attentive to both environmental and genetic risk factors operating within and between ethno-racial groups. This exploration of racialisation is followed by a theoretical examination of racism as a health risk factor. This includes a comprehensive definition of racism, a diagrammatic representation of the aetiological relationship between racism and health and an examination of the dimensions across which perceived racism can be operationalised. An empirical review of 138 quantitative population-based studies of self-reported racism as a determinant of health reveals that self-reported racism is related to ill-health (particularly mental health) for oppressed ethnoracial groups after adjustment for a range of confounders. This review also highlights a number of limitations in this nascent field of research. This thesis then attempts to clarify the plethora of conceptual approaches used in the study of stress and health as a first step towards comprehending how stress interacts with both racism and health. A review of the empirical association between stress and chronic disease for fourth world indigenous populations and African Americans was also conducted. This review, which located 65 studies, found that a range of chronic diseases (especially chronic mental conditions) were associated with psychosocial stress. Utilising the conceptual work on operationalising racism discussed above, an instrument was developed to measure racism and its correlates as experienced by Indigenous Australians. This instrument demonstrated good face, content, psychometric and convergent validity in a pilot study involving 312 Indigenous Australians. The majority of participants in this study (70%) reported some experience of inter-personal racism, with this exposure most commonly reported in employment and public settings, from iv service providers and from other Indigenous people. Strong and consistent associations were found between racism and chronic stress as well as between racism and depression (CES-D), poor/fair self-assessed health status/poor general mental health (SF-12) and a marker of CVD risk (homocysteine), respectively. There was also evidence that the association between inter-personal racism and poor mental health outcomes was mediated by somatic and inner-directed disempowered reactions to racism as well as by chronic stress and a range of psychosocial characteristics. To conclude this thesis, an examination of approaches to addressing racism for Indigenous Australians is undertaken. The theoretical issues pertinent to the study of anti-racism are discussed along with empirical findings from social psychology on effective approaches to anti-racism. Recommendations for implementing these approaches through institutional and legal policies are also presented. Strategies for engendering political will to combat racism in the current neo-liberal capitalist climate are also briefly considered." [taken from abstract]
http://library.link/vocab/creatorName
Paradies, Yin C
Dissertation note
Thesis (Ph.D.)--University of Melbourne, Dept. of Public Health, 2006.
http://library.link/vocab/subjectName
  • Australia.
  • Aboriginal Australians
  • Aboriginal Australians
  • Discrimination in medical care
  • Aboriginal Australians
  • Stress (Psychology)
Label
Race, Racism, Stress and Indigenous Health, Yin Carl Paradies, (electronic resource)
Link
http://dtl.unimelb.edu.au/R/5ACXI2VJD9758FXIEVGKYPDDI736K26YFABBXLTVY1L7HMQIKN-00559?func=dbin-jump-full&object_id=66976&pds_handle=GUEST
Instantiates
Publication
Note
Title from title page of electronic document (viewed 28/11/11)
Contents
Introduction; Defining, conceptualising and characterising racism in health research; A systematic review of empirical research on self-reported racism and health; Psychosocial stress and health: an overview of conceptual approaches; A review of psychosocial stress and chronic disease for fourth world Indigenous peoples and African Americans; Development of and validation of the measure of Indigenous racism experiences (MIRE); Prevalence and correlates of ethno-racial identity, racism and stress in the DRUID study; Associations between ethno-racial identity, racism, stress and health-related measures in the DRUID study; Anti-racism and Indigenous Australians; Concluding remarks; References and appendices
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Type of computer file
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Label
Race, Racism, Stress and Indigenous Health, Yin Carl Paradies, (electronic resource)
Link
http://dtl.unimelb.edu.au/R/5ACXI2VJD9758FXIEVGKYPDDI736K26YFABBXLTVY1L7HMQIKN-00559?func=dbin-jump-full&object_id=66976&pds_handle=GUEST
Publication
Note
Title from title page of electronic document (viewed 28/11/11)
Contents
Introduction; Defining, conceptualising and characterising racism in health research; A systematic review of empirical research on self-reported racism and health; Psychosocial stress and health: an overview of conceptual approaches; A review of psychosocial stress and chronic disease for fourth world Indigenous peoples and African Americans; Development of and validation of the measure of Indigenous racism experiences (MIRE); Prevalence and correlates of ethno-racial identity, racism and stress in the DRUID study; Associations between ethno-racial identity, racism, stress and health-related measures in the DRUID study; Anti-racism and Indigenous Australians; Concluding remarks; References and appendices
System details
System requirements: reader required to view pdf document
Type of computer file
Text

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