Date of Award

January 2020

Document Type

Open Access Thesis

Degree Name

Master of Public Health (MPH)

Department

School of Public Health

First Advisor

Sarah Lowe

Abstract

Latinxs experience high levels of discrimination with potential negative downstream health impacts and there is question as to what extent nativity status moderates the relationship between discrimination and health. I utilized the National Epidemiologic Survey on Alcohol and Related Conditions Wave III to characterize the impact of self-reported instances of racial discrimination on anxiety as well as engagement with emergency department services in the Latinx population. I found that for Latinxs, each additional reported experience of racial discrimination was associated with 1.23 times odds of reporting generalized anxiety (95% CI: 1.16-1.30). Stratified analyses suggested no difference in the relationship between racial discrimination and generalized anxiety based on nativity status. No significant relationship was found between racial discrimination and utilization of the emergency department specifically for generalized anxiety. However, I found a slight positive association between the number of instances of racial discrimination and the number of times participants utilized the emergency room for any reason. These results provide the groundwork for further investigations into the potentially different pathways discrimination impacts the lives of both US-born and foreign-born Latinxs and unique protective factors.

Comments

This is an Open Access Thesis.

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