Racial Discrimination during the COVID-19 Pandemic and Mental Health of Young Adults A Cross-Sectional Study of University Students from East Asian Backgrounds
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Abstract
With the COVID-19 pandemic, there has been an increase in mental health problems in the population worldwide. During the pandemic, individuals from East Asian backgrounds have been blamed for COVID-19 and faced xenophobic attacks, leading to increased incidents of racial discrimination. We administered an online survey to examine (a) associations between in-person and online racial discrimination and mental health (i.e., anxiety and depression) among East Asian university students (n=169) in Canada; and (b) the extent to which coping strategies and ethnic/cultural identity stage (e.g., exploration, resolution, affirmation) moderate the associations between discrimination and mental health. Results from hierarchical regressions indicated that experiencing online racial discrimination predicted more anxiety (b= .263, SE= .070, p< .001) and depression (b= .296, SE= .073, p< .001) symptoms. Using emotion-focused disengagement coping strategies predicted more anxiety (b= .705, SE= .129, p< .001) and depression (b= .763, SE= .127, p< .001). However, identity affirmation (i.e., positive feelings towards ethnic group) predicted less depression (b= -.533, SE= .245, p= .031). Results suggest that exposure to online racial discrimination during the pandemic has a negative effect on East Asian students’ well-being. However, positive feelings towards one’s ethnic identity may protect against mental health problems related to experiences of racial discrimination.
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References
Jenkins EK, McAuliffe C, Hirani S, Richardson C, Thomson KC, McGuinness L, et al. A portrait of the early and differential mental health impacts of the COVID-19 pandemic in Canada: Findings from the first wave of a nationally representative cross-sectional survey. Preventive Medicine. 2021 Apr;145:106333.
Miconi D, Li ZY, Frounfelker RL, Santavicca T, Cénat JM, Venkatesh V, et al. Ethno-cultural disparities in mental health during the COVID-19 pandemic: a cross-sectional study on the impact of exposure to the virus and COVID-19-related discrimination and stigma on mental health across ethno-cultural groups in Quebec (Canada). BJPsych open. 2021 Jan;7(1):e14.
Cost KT, Crosbie J, Anagnostou E, Birken CS, Charach A, Monga S, et al. Mostly worse, occasionally better: impact of COVID-19 pandemic on the mental health of Canadian children and adolescents. Eur Child Adolesc Psychiatry [Internet]. 2021 Feb 26 [cited 2021 May 19]; Available from: http://link.springer.com/10.1007/s00787-021-01744-3
Ellis WE, Dumas TM, Forbes LM. Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement. 2020 Jul;52(3):177–87.
Findlay L, Arim R. Canadians Report Lower Self-Perceived Mental Health during the COVID-19 Pandemic [Internet]. Statistics Canada; 2020 [cited 2021 Jul 29]. Available from: https://www150.statcan.gc.ca/n1/
Gadermann AC, Thomson KC, Richardson CG, Gagné M, McAuliffe C, Hirani S, et al. Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study. BMJ Open. 2021 Jan;11(1):e042871.
Burkova VN, Butovskaya ML, Randall AK, Fedenok JN, Ahmadi K, Alghraibeh AM, et al. Predictors of Anxiety in the COVID-19 Pandemic from a Global Perspective: Data from 23 Countries. Sustainability. 2021 Apr 4;13(7):4017.
Wilczewski M, Gorbaniuk O, Giuri P. The Psychological and Academic Effects of Studying From the Home and Host Country During the COVID-19 Pandemic. Front Psychol. 2021 Apr 9;12:644096.
Nwachukwu I, Nkire N, Shalaby R, Hrabok M, Vuong W, Gusnowski A, et al. COVID-19 Pandemic: Age-Related Differences in Measures of Stress, Anxiety and Depression in Canada. IJERPH. 2020 Sep 1;17(17):6366.
Dhanani LY, Franz B. Why public health framing matters: An experimental study of the effects of COVID-19 framing on prejudice and xenophobia in the United States. Social Science & Medicine. 2021 Jan;269:113572.
Gover AR, Harper SB, Langton L. Anti-Asian Hate Crime During the COVID-19 Pandemic: Exploring the Reproduction of Inequality. Am J Crim Just. 2020 Aug;45(4):647–67.
Wu C, Qian Y, Wilkes R. Anti-Asian discrimination and the Asian-white mental health gap during COVID-19. Ethnic and Racial Studies. 2021 Apr 9;44(5):819–35.
Haft SL, Zhou Q. An outbreak of xenophobia: Perceived discrimination and anxiety in Chinese American college students before and during the COVID‐19 pandemic. Int J Psychol. 2021 Jan 10;ijop.12740.
Tessler H, Choi M, Kao G. The Anxiety of Being Asian American: Hate Crimes and Negative Biases During the COVID-19 Pandemic. Am J Crim Just. 2020 Aug;45(4):636–46.
Lee S, Waters SF. Asians and Asian Americans’ experiences of racial discrimination during the COVID-19 pandemic: Impacts on health outcomes and the buffering role of social support. Stigma and Health. 2021 Feb;6(1):70–8.
Schmitt MT, Branscombe NR, Postmes T, Garcia A. The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin. 2014;140(4):921–48.
Priest N, Paradies Y, Trenerry B, Truong M, Karlsen S, Kelly Y. A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people. Social Science & Medicine. 2013 Oct;95:115–27.
Williams DR, Lawrence JA, Davis BA, Vu C. Understanding how discrimination can affect health. Health Serv Res. 2019 Dec;54(S2):1374–88.
Pascoe EA, Richman LS. Perceived discrimination and health: A meta-analytic review. Psychological Bulletin. 2009;135(4):531–54.
Huynh VW, Fuligni AJ. Discrimination Hurts: The Academic, Psychological, and Physical Well-Being of Adolescents: DISCRIMINATION HURTS. Journal of Research on Adolescence. 2010 Dec;20(4):916–41.
Hwang WC, Ting JY. Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans. Cultural Diversity and Ethnic Minority Psychology. 2008;14(2):147–54.
Sam DL, Berry JW, editors. The Cambridge handbook of acculturation psychology. Cambridge ; New York: Cambridge University Press; 2006. 551 p.
Rivas-Drake D, Seaton EK, Markstrom C, Quintana S, Syed M, Lee RM, et al. Ethnic and Racial Identity in Adolescence: Implications for Psychosocial, Academic, and Health Outcomes. Child Dev. 2014 Jan;85(1):40–57.
Kim E. An alternative theoretical model: examining psychosocial identity development of international students in the United States. College Student Journal. 2012;46(1):99–113.
Umaña-Taylor AJ, Yazedjian A, Bámaca-Gómez M. Developing the Ethnic Identity Scale Using Eriksonian and Social Identity Perspectives. Identity. 2004 Jan;4(1):9–38.
Douglass S, Umaña-Taylor AJ. A brief form of the Ethnic Identity Scale: Development and empirical validation. Identity. 2015;15(1):48–65.
Ghavami N, Fingerhut A, Peplau LA, Grant SK, Wittig MA. Testing a model of minority identity achievement, identity affirmation, and psychological well-being among ethnic minority and sexual minority individuals. Cultural Diversity and Ethnic Minority Psychology. 2011 Jan;17(1):79–88.
Tajfel H, Forgas JP. Social categorization: Cognitions, values and groups. Psychological Press. 2000;49–63.
Miconi D, Li ZY, Frounfelker RL, Venkatesh V, Rousseau C. Socio-cultural correlates of self-reported experiences of discrimination related to COVID-19 in a culturally diverse sample of Canadian adults. International Journal of Intercultural Relations. 2021 Mar;81:176–92.
Shigeto A, Laxman DJ, Landy JF, Scheier LM. Typologies of coping in young adults in the context of the COVID-19 pandemic. The Journal of General Psychology. 2021 Jul 3;148(3):272–304.
Noh S, Beiser M, Kaspar V, Hou F, Rummens J. Perceived Racial Discrimination, Depression, and Coping: A Study of Southeast Asian Refugees in Canada. Journal of Health and Social Behavior. 1999 Sep;40(3):193.
Kuo BCH. Coping, acculturation, and psychological adaptation among migrants: a theoretical and empirical review and synthesis of the literature. Health Psychology and Behavioral Medicine. 2014 Jan;2(1):16–33.
Addison C, Campbell-Jenkins B, Sarpong D, Kibler J, Singh M, Dubbert P, et al. Psychometric Evaluation of a Coping Strategies Inventory Short-Form (CSI-SF) in the Jackson Heart Study Cohort. IJERPH. 2007 Dec 31;4(4):289–95.
Frías MT, Shaver PR, Díaz-Loving R. Individualism and collectivism as moderators of the association between attachment insecurities, coping, and social support. Journal of Social and Personal Relationships. 2014 Feb;31(1):3–31.
Wei M, Heppner PP, Ku TY, Liao KYH. Racial discrimination stress, coping, and depressive symptoms among Asian Americans: A moderation analysis. Asian American Journal of Psychology. 2010;1(2):136–50.
Kawakami BK, Legaspi SG, Katz DA, Saturn SR. Exploring the Complexity of Coping Strategies Among People of Different Racial Identities. PsiChiJournal. 2020;25(4):327–38.
Ra YA, Trusty J. Coping Strategies for Managing Acculturative Stress Among Asian International Students. Int J Adv Counselling. 2015 Dec;37(4):319–29.
Statistics Canada. National Longitudinal Survey of Children & Youth. 1999 [cited 2021 Aug 5]; Available from: https://www150.statcan.gc.ca/n1/en/pub/89f0078x/4198664-eng.pdf?st=KASwTxpg
Vaillancourt T, Brittain H, Krygsman A, Farrell AH, Landon S, Pepler D. School bullying before and during COVID‐19: Results from a population‐based randomized design. Aggressive Behavior. 2021 Sep;47(5):557–69.
Williams DR, Yan Yu, Jackson JS, Anderson NB. Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination. J Health Psychol. 1997 Jul;2(3):335–51.
Keum BT. Development and validation of the Perceived Online Racism Scale short form (15 items) and very brief (six items). Computers in Human Behavior Reports. 2021 Jan;3:100082.
Beard C, Björgvinsson T. Beyond generalized anxiety disorder: Psychometric properties of the GAD-7 in a heterogeneous psychiatric sample. Journal of Anxiety Disorders. 2014 Aug;28(6):547–52.
Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D. American Journal of Preventive Medicine. 1994 Mar;10(2):77–84.
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007 May;39(2):175–91.
Lu Y, Wang C. Asian Americans’ racial discrimination experiences during COVID-19: Social support and locus of control as moderators. Asian American Journal of Psychology [Internet]. 2021 Oct 14 [cited 2021 Oct 22]; Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/aap0000247
Woo B, Jun J. COVID-19 Racial Discrimination and Depressive Symptoms among Asians Americans: Does Communication about the Incident Matter? J Immigrant Minority Health. 2022 Feb;24(1):78–85.
Bilodeau H, Kehler A, Minnema N. Internet use and COVID-19: How the pandemic increased the amount of time Canadians spend online. 2021 Jun 24;6.
Kuo WH. Coping with racial discrimination: The case of Asian Americans. Ethnic and Racial Studies. 1995 Jan;18(1):109–27.
Yip T, Gee GC, Takeuchi DT. Racial discrimination and psychological distress: The impact of ethnic identity and age among immigrant and United States-born Asian adults. Developmental Psychology. 2008 May;44(3):787–800.
Abouguendia M, Noels KA. General and acculturation-related daily hassles and psychological adjustment in first- and second-generation South Asian immigrants to Canada. International Journal of Psychology. 2001 Jun;36(3):163–73.
Cheng HL, Lin SP, Cha CH. Perceived discrimination, intergenerational family conflicts, and depressive symptoms in foreign-born and U.S.-born Asian American emerging adults. Asian American Journal of Psychology. 2015;6(2):107–16.
Choi L. The Popular Asian Social Media Networks [Internet]. Social Media Perth. 2020 [cited 2022 Apr 29]. Available from: https://www.smperth.com/resources/popular-asian-social-media-networks/
Lay C, Nguyen T. The role of acculturation-related and acculturation non-specific daily hassles: Vietnamese-Canadian students and psychological distress. Canadian Journal of Behavioral Science. 1998 Jul;30(3):172–81.
Smith TB, Silva L. Ethnic identity and personal well-being of people of color: A meta-analysis. Journal of Counseling Psychology. 2011;58(1):42–60.
Yip T. Ethnic/Racial Identity—A Double-Edged Sword? Associations With Discrimination and Psychological Outcomes. Curr Dir Psychol Sci. 2018 Jun;27(3):170–5.
Romero AJ, Edwards LM, Fryberg SA, Orduña M. Resilience to discrimination stress across ethnic identity stages of development: Resilience. J Appl Soc Psychol. 2014 Jan;44(1):1–11.
Umaña-Taylor AJ, Quintana SM, Lee RM, Cross WE, Rivas-Drake D, Schwartz SJ, et al. Ethnic and Racial Identity During Adolescence and Into Young Adulthood: An Integrated Conceptualization. Child Dev. 2014 Jan;85(1):21–39.
Dewa LH, Crandell C, Choong E, Jaques J, Bottle A, Kilkenny C, et al. CCopeY: A Mixed-Methods Coproduced Study on the Mental Health Status and Coping Strategies of Young People During COVID-19 UK Lockdown. Journal of Adolescent Health. 2021 Apr;68(4):666–75.
Yan X, Zhu Y, Hussain SA, Bresnahan M. Anti-Asian microaggressions in the time of COVID-19: Impact on coping, stress, and well-being. Asian American Journal of Psychology [Internet]. 2022 Apr 7 [cited 2022 Apr 22]; Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/aap0000281
Groves RM, Peytcheva E. The Impact of Nonresponse Rates on Nonresponse Bias: A Meta-Analysis. Public Opinion Quarterly. 2008 May 2;72(2):167–89.
Schouten B, Cobben F, Lundquist P, Wagner J. Does more balanced survey response imply less non-response bias? Journal of the Royal Statistical Society Series A (Statistics in Society). 2016;179(3):727–48.
Shamon H, Berning CC. Attention Check Items and Instructions in Online Surveys: Boon or Bane for Data Quality? Survey Research Methods. 2020 Apr 10;55-77 Pages.