Can’t Catch Cab

A documentary about the impact of racial and ethnic discrimination on health

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Research

The literature summarized in this section has in some way informed and/or supported the documentary thesis, its script, and the various qualitative processes used to gather information from participants. Key word searches included “health” and one or more of the following words or terms: stress, discrimination, racism, race-related stressors, perceived discrimination, race, and ethnicity.

Recursive processes in self-affirmation: Intervening to close the minority achievement gap (2009)

by Geoffrey L. Cohen, Julio Garcia, Valerie Purdie-Vaughns, Nancy Apfel, and Patrcia Brzustoski

It seems too early to be talking about interventions. Maybe too early for the film’s sequence, but not for society.

Cohen et al. conducted a 2-year follow-up to their study of middle school students. The researchers implemented an intervention (Cohen et al. 2006), in an effort to bridge the achievement gap between African American and European American students. Their goal was to interrupt the negative psychological effects that stereotypes can ultimately have on the academic performance of African American students.

The researchers premised their study on work that shows stress as an inhibiting factor in academic performance. All students deal with stress, but only minority students deal with the stress related to racial stereotypes. This is an especially pertinent observation because of the wide achievement gap between African American and European American students.

Cohen et al. believed that by breaking this vicious cycle (stereotypes = stress = poorer performance = stereotypes) they could beneficially affect the academic outcomes and psychological states of middle school children.

The intervention consisted of self-affirmation writing exercises for 7th graders (2006). Through a series of assignments, students wrote about “the personal importance of a self-defining value,” “such as relationships with friends and family or musical interests…” The purpose was to reduce psychological threat and stress, otherwise freeing the students to perform better.

The results, compared with the control group and pre-intervention scores, showed an improvement in the grade point averages of the African American students. European American students were unaffected (2006).

This 2-year follow-up showed that an uncomplicated intervention can have long-term effects. African American students’ GPAs benefited from the intervention, as seen two years later. Declines in the GPA were also less steep for affirmed African American students than for non-affirmed (control group). Again, no effect was seen in European American students.

Another finding shows not only that the effect of intervention was strongest in African American students in the experimental condition, but especially in those who had poorer academic performances before the intervention. In other words, because the intervention interrupts a negative feedback loop, it’s effects are most fruitful in lower-performing students—more ground to make up.

Relevance to documentary: Although this study highlights the importance of early intervention, it also reminds me that discrimination occurs everywhere and at any time. The earlier the occurrence, the more detrimental the effects. Students who deal with the stress of discrimination and racism have poorer outcomes in school, which goes a long way in preventing income and racial equality and contributing to the negative feedback loop of racism in society.

Link (Google Scholar)

Self-reported racial discrimination and substance use in the Coronary Artery Risk Development in Adults study (2007)

by Luisa N. Borrell, David R. Jacobs, David R. Williams, Mark J. Pletcher, Thomas K. Houston, and Catarina I. Kiefe

To examine the relationship between discrimination and substance abuse, Borrell et al. looked at the self-reported data of 1,507 African Americans and 1,813 White Americans who participated in CARDIA, a fifteen-year cohort study.
Reports of discrimination experiences and lifetime substance use were collected at the seventh and/or fifteenth years of the study. The participants were asked [...]

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Understanding the link between discrimination, mental health, outcomes, and life chances among Latinos (2006)

by Beverly Y. Araújo and Luisa N. Borrell

The authors (Araújo and Borrell) look at the current (as of 2006) literature on the relationship between discrimination and health outcomes for Latinos. Throughout, they underscore how limited the available research is.
Because of the racial (phenotype: e.g. skin color) and ethnic (e.g., country of association, spoken language, etc.) diversity among Hispanics/Latinos(as), it’s difficult to generalize [...]

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Self-reported health, perceived racial discrimination, and skin color in African Americans in the CARDIA study (2006)

by Luisa N. Borrell, Catarina I. Kiefe, David R. Williams, Ana V. Diez-Rouxc, and Penny Gordon-Larsend

In order to test their hypotheses about the associations between skin color, racism, and mental and physical health, the researchers analyzed the data of 1,722 African Americans who had participated in the CARDIA cohort study. Borrell et al. believed that (1) racism and darker skin color would be associated with poorer health; (2) racism would [...]

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Race, ethnicity, and self-reported hypertension: Analysis of data from the National Health Interview Survey, 1997-2005 (2009)

by Luisa N. Borrell, DDS, PhD

In some public health circles, it’s believed that Hispanics, despite facing certain societal odds (e.g., lower education, lower income, precarious immigration status), have protective factors that cause them to be healthier than the average population, in a number of health indicators. This is known as the Hispanic paradox.
Dr. Borrell analyzed the survey responses of 271,339 [...]

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Racial discrimination and blood pressure: The CARDIA study of young Black and White adults (1996)

by Nancy Krieger, PhD, and Stephen Sidney, MD

The researchers in this study looked at the relationship between racial discrimination and unfair treatment and blood pressure. The sample (Black adults = 1638; White = 2112) was drawn from a larger, multi-site, community study. Over the course of 7 years, participants’ personal data were collected on four separate occasions. On the 4th point of [...]

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The relationships between race-related stress, racial identity, and mental health for Black Americans (2007)

by Deidre Franklin-Jackson, PhD and Robert T. Carter, PhD

The researchers studied the relationships between race-related stress, racial identity, mental health, and demographics in a sample of 255 Black American adults. The participants were culled from various sites, including community organizations in Maryland, Washington DC, and NYC, and through a national mail survey.
Race-related stressors come in different shapes and sizes. In this study, the [...]

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The relationship of racism to appraisals and coping in a community sample (2005)

by Elizabeth Brondolo, PhD; Shola Thompson; Nisha Brady; Risa Appel, PhD; Andrea Cassells, MPH; Jonathan N. Tobin, PhD; Monica Sweeney, MD

The researchers examined the responses of 420 Black and Latino New Yorkers in a community health care setting, in order to determine if lifetime experiences of racism influence future “appraisals of and coping responses to new episodes of maltreatment,” i.e., if one Black woman experiences more discrimination than another Black woman, is she more likely [...]

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Perceived racism and negative affect: Analyses of trait and state measures of affect in a community sample (2008)

by ELIZABETH BRONDOLO, NISHA BRADY, SHOLA THOMPSON, JONATHAN N. TOBIN, ANDREA CASSELLS, MONICA SWEENEY, DELANO MCFARLANE, and RICHARD J. CONTRADA

Brondolo et al. looked at the effects of racism on mood and disposition. By administering several questionnaires and asking respondents to keep track of their mood and feelings throughout their days (in diary format), the researchers were able to determine that a lifetime of perceived racism can predict both the trait affect (how someone typically [...]

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Examining the role of culture-specific coping as a predictor of resilient outcomes in African Americans from high-risk urban communities (2007)

by Shawn O. Utsey, Mark A. Bolden, Yzette Lanier, and Otis Williams III

Investigators analyzed the responses to questionnaires of 361 African Americans from two urban, northeast areas of the United States, in an effort to determine the role of culture-specific coping mechanisms on quality of life indicators (resilient outcomes). According to Utsey et al., previous research showed that African Americans fare worse in many health indicators, in comparison to Whites[...]

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