Racial discrimination causally damages mental and physical health.

Evidence

The majority of the literature examining the relationship between experiences of racism and health uses cross-sectional data, leading to concerns that the relationship might not be causal. It is possible that a third factor leads to an increased risk both of racism and of poor mental health – such as living in an ethnically isolated environment – or that the experience of poor mental health may lead to a greater perception of hostility and a consequent greater likelihood to report experiences of racism and discrimination. However, there is an increasing quantity of evidence from longitudinal studies and this uniformly indicates that experiences of racial discrimination predate poor health (Barnes et al. 2008, Gee and Walsemann 2009, Kwate and Goodman 2015, Wallace et al. 2016) and that changes in experience of racial discrimination are associated with changes in mental health (Rosenthal et al. 2015), suggesting the relationship is indeed causal. … Indeed, there is evidence that chronic exposure to everyday racial discrimination is associated with poor sleep (Lewis et al. 2013), coronary artery calcification (Lewis et al. 2006) and hormonal stress responses such as altered diurnal cortisol patterns and a higher cortisol awakening response (Adam et al. 2015). — A. Hussain, N. Meer, Framing Muslim Integration, 321

However, there is an increasing quantity of evidence from longitudinal studies and this uniformly indicates that experiences of racial discrimination predate poor health (Barnes et al. 2008, Gee and Walsemann 2009, Kwate and Goodman 2015, Wallace et al. 2016) and that changes in experience of racial discrimination are associated with changes in mental health (Rosenthal et al. 2015), suggesting the relationship is indeed causal. — Runnymede Trust (ed. Farah Elahi & Omar Khan), Islamophobia, 316

Categorization

  • XREF: Connects to broader ‘racism as a stressor’ literature and Hari’s work on stress-induced health harms; echoes the cortisol/brain-body linkages relevant to how discrimination becomes embodied. — connects to: Racism harms health through internalization, physiological stress, and direct violence. — A. Hussain, N. Meer, Framing Muslim Integration, 318; Physical racial attack sharply raises rates of depression and psychosis. — A. Hussain, N. Meer, Framing Muslim Integration, 318; Racism exposure independently raises risk of mental disorder and psychosis. — A. Hussain, N. Meer, Framing Muslim Integration, 319 (+13 more)
  • SHARE: The specific finding that racial discrimination alters diurnal cortisol patterns is a precise, citable detail for someone working on embodiment of discrimination.
  • corroborated: 2 independent passages support this claim — A. Hussain, N. Meer, Framing Muslim Integration, 321; Runnymede Trust (ed. Farah Elahi & Omar Khan), Islamophobia: Still a Challenge for Us…, 316

Broader Connections