Stigma, Discrimination, or Symptomatology Differences in Self-Reported Mental Health Between US-Born and Somalia-Born Black Americans

Bibliographic Data

ID11026394
AuthorsCarrie Henning‐smith (0000-0002-0273-0387, Carrie Henning-Smith, Tetyana P. Shippee, Donna McAlpine, and Rachel Hardeman are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis. Farhiya Farah is with the Division of Environmental Health Sciences, School of Public Health, University of Minnesota.), Carrie Henning-Smith, Tetyana Shippee (0000-0003-1804-2527, Minnesota Department of Health), Tetyana P Shippee (Carrie Henning-Smith, Tetyana P. Shippee, Donna McAlpine, and Rachel Hardeman are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis. Farhiya Farah is with the Division of Environmental Health Sciences, School of Public Health, University of Minnesota.), Donna Mcalpine (0000-0002-1855-6272, Carrie Henning-Smith, Tetyana P. Shippee, Donna McAlpine, and Rachel Hardeman are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis. Farhiya Farah is with the Division of Environmental Health Sciences, School of Public Health, University of Minnesota.), Rachel R Hardeman (0000-0003-3913-5933, Minnesota Department of Health), Rachel Hardeman (Carrie Henning-Smith, Tetyana P. Shippee, Donna McAlpine, and Rachel Hardeman are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis. Farhiya Farah is with the Division of Environmental Health Sciences, School of Public Health, University of Minnesota.), Farhiya Farah (Carrie Henning-Smith, Tetyana P. Shippee, Donna McAlpine, and Rachel Hardeman are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis. Farhiya Farah is with the Division of Environmental Health Sciences, School of Public Health, University of Minnesota.)
Year2013
Volume103
Issue5
Pages861-867
Publication date2013-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.301184
PMID23488506
PMCIDPMC3698822
OpenAlexW2124165495
LanguageEN
Citations received22
References cited45

Objectives. We examined differences in self-reported mental health (SRMH) between US-born and Somalia-born Black Americans compared with White Americans. We tested how SRMH was affected by stigma toward seeing a mental health provider, discrimination in the health care setting, or symptoms of depression. Methods. Data were from a 2008 survey of adults in Minnesota and were limited to US-born and Somalia-born Black and White Americans (n = 938). Results. Somalia-born adults were more likely to report better SRMH than either US-born Black or White Americans. They also reported lower levels of discrimination (18.6%) than US-born Black Americans (33.4%), higher levels of stigma (23.6% vs 4.7%), and lower levels of depressive symptoms (9.1% vs 31.6%). Controlling for stigma, discrimination, and symptomatology, Somalia-born Black Americans reported better SRMH than White and Black Americans (odds ratio = 4.76). Conclusions. Mental health programming and health care providers who focus on Black Americans’ mental health might be missing important sources of heterogeneity. It is essential to consider the role of race and ethnicity, but also of nativity, in mental health policy and programming

Ethnic group · Health equity · Logistic regression · Mental health · Odds · Odds ratio · Political science · Psychiatry · Public health · Racism · Stigma (botany) · White (mutation) · Demography · Gender Studies · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology · Racial and Ethnic Identity Research · Gerontology