Perceived discrimination and mental health disorders: the South African Stress and Health study

Simple item page
dc.contributor.authorMoomal, Hashim
dc.contributor.authorJackson, Pamela B
dc.contributor.authorStein, Dan J
dc.contributor.authorHerman, Allen
dc.contributor.authorMyer, Landon
dc.contributor.authorSeedat, Soraya
dc.contributor.authorMadela-Mntla, Edith
dc.contributor.authorWilliams, D R
dc.date.accessioned2017-05-11T07:55:28Z
dc.date.available2017-05-11T07:55:28Z
dc.date.issued2009
dc.date.updated2016-01-08T08:04:32Z
dc.description.abstractObjectives. To describe the demographic correlates of perceived discrimination and explore the association between perceived discrimination and psychiatric disorders. Design. A national household survey was conducted between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses of psychiatric disorders. Additional instruments provided data on perceived discrimination and related variables. Setting. A nationally representative sample of adults in South Africa. Subjects. 4 351 individuals aged 18 years and older. Outcomes. 12-month and lifetime mood, anxiety and substance use disorders. Results. In the multivariate analyses, acute and chronic racial discrimination were associated with an elevated risk of any 12-month DSM-IV disorder when adjusted for socio-demographic factors, but this association was no longer statistically significant when adjusted for other sources of social stress. In fully adjusted models, acute racial discrimination was associated with an elevated risk of lifetime substance use disorders. Acute and chronic nonracial discrimination were associated with an elevated risk of 12-month and lifetime rates of any disorder, even after adjustment for other stressors and potentially confounding psychological factors. The association of chronic non-racial discrimination and 12-month and lifetime disorder was evident across mood, anxiety, and substance use disorders in the fully adjusted models. Conclusion. The risk of psychiatric disorders is elevated among persons who report experiences of discrimination. These associations are more robust for chronic than for acute discrimination and for non-racial than for racial discrimination. Perceived discrimination constitutes an important stressor that should be taken into account in the aetiology of psychiatric disorders.
dc.identifier.apacitationMoomal, H., Jackson, P. B., Stein, D. J., Herman, A., Myer, L., Seedat, S., ... Williams, D. R. (2009). Perceived discrimination and mental health disorders: the South African Stress and Health study. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24268en_ZA
dc.identifier.chicagocitationMoomal, Hashim, Pamela B Jackson, Dan J Stein, Allen Herman, Landon Myer, Soraya Seedat, Edith Madela-Mntla, and D R Williams "Perceived discrimination and mental health disorders: the South African Stress and Health study." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24268en_ZA
dc.identifier.citationMoomal, H., Jackson, P. B., Stein, D. J., Herman, A., Myer, L., Seedat, S., Madela-Mntla, A., & Williams, D. R. (2009). Perceived discrimination and mental health disorders: The South African stress and health study : Mental health. South African Medical Journal, 99(5), 383-389.
dc.identifier.ris TY - Journal Article AU - Moomal, Hashim AU - Jackson, Pamela B AU - Stein, Dan J AU - Herman, Allen AU - Myer, Landon AU - Seedat, Soraya AU - Madela-Mntla, Edith AU - Williams, D R AB - Objectives. To describe the demographic correlates of perceived discrimination and explore the association between perceived discrimination and psychiatric disorders. Design. A national household survey was conducted between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses of psychiatric disorders. Additional instruments provided data on perceived discrimination and related variables. Setting. A nationally representative sample of adults in South Africa. Subjects. 4 351 individuals aged 18 years and older. Outcomes. 12-month and lifetime mood, anxiety and substance use disorders. Results. In the multivariate analyses, acute and chronic racial discrimination were associated with an elevated risk of any 12-month DSM-IV disorder when adjusted for socio-demographic factors, but this association was no longer statistically significant when adjusted for other sources of social stress. In fully adjusted models, acute racial discrimination was associated with an elevated risk of lifetime substance use disorders. Acute and chronic nonracial discrimination were associated with an elevated risk of 12-month and lifetime rates of any disorder, even after adjustment for other stressors and potentially confounding psychological factors. The association of chronic non-racial discrimination and 12-month and lifetime disorder was evident across mood, anxiety, and substance use disorders in the fully adjusted models. Conclusion. The risk of psychiatric disorders is elevated among persons who report experiences of discrimination. These associations are more robust for chronic than for acute discrimination and for non-racial than for racial discrimination. Perceived discrimination constitutes an important stressor that should be taken into account in the aetiology of psychiatric disorders. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Perceived discrimination and mental health disorders: the South African Stress and Health study TI - Perceived discrimination and mental health disorders: the South African Stress and Health study UR - http://hdl.handle.net/11427/24268 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24268
dc.identifier.vancouvercitationMoomal H, Jackson PB, Stein DJ, Herman A, Myer L, Seedat S, et al. Perceived discrimination and mental health disorders: the South African Stress and Health study. South African Medical Journal. 2009; http://hdl.handle.net/11427/24268.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titlePerceived discrimination and mental health disorders: the South African Stress and Health study
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Moomal_Article_2009.pdf
Size:
246.54 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles