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Perceived discrimination and quality of life for African American and Caucasian American cancer patients: a coping mediation analysis of subtle and overt microaggressions.

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Title: Perceived discrimination and quality of life for African American and Caucasian American cancer patients: a coping mediation analysis of subtle and overt microaggressions.
Authors: Merluzzi, Thomas V., Salamanca-Balen, Natalia, Philip, Errol J.
Source: Ethnicity & Health. May-Jul2024, Vol. 29 Issue 4/5, p484-504. 21p.
Subjects: Sexism, African Americans, Perceived discrimination, Research funding, Sickness Impact Profile, Socioeconomic factors, Questionnaires, White people, Psychological adaptation, Cancer patients, Body image, Descriptive statistics, Racism, Race, Psychological disengagement, Ageism, Quality of life, Personal beauty, Factor analysis, Confidence intervals, Microaggressions, Well-being
Geographic Terms: United States
Abstract: Perceived discrimination (PD; e.g. racism, agism, sexism, etc.) negatively impacts quality of life (QOL) among cancer patients. Prior research has established that for African American Cancer Patients (AACPs) only disengagement/denial coping mediated the PD-QOL relationship. In contrast, for Caucasian American Cancer Patients (CACPs), both agentic and disengagement/denial coping were mediators of the PD-QOL relationship. However, according to social constraint theory there may be a difference between subtle and overt PD in terms of the utility of certain coping mechanisms in relation to QOL, especially for AACPs. 217 AACPs and 121 CACPs completed measures of PD, coping (agentic, disengagement/denial, adaptive disengagement) and QOL. PD items were classified as subtle or overt microaggressions. PD was mainly attributed to race/ethnicity by AACPs and to income, age, and physical appearance for CACPs. : In both subtle and overt microaggression models with CACPs, agentic coping and disengagement/denial coping were significant mediators of PD-QOL. Like CACPs, for AACPs, agentic and disengagement/denial coping were significant in the context of subtle microaggressions. In contrast, for overt microaggression only disengagement/denial coping was a significant mediator of the PD-QOL relationship for AACPs. Adaptive disengagement was related to QOL only for AACPs. : Whereas more research is needed, it appears that overt microaggressions for AACPs, that consist mainly of racial and ethnic maltreatment, constitute a class of social contexts that may raise above the threshold for serious threat and harm, and, as a result, disengagement/constraint may reduce negative consequences. This additional burden for AACPs contributes to disparities in QOL. Future research is needed on the utility of adaptive disengagement for AACPs in relation to PD. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Perceived discrimination and quality of life for African American and Caucasian American cancer patients: a coping mediation analysis of subtle and overt microaggressions.
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  Data: <searchLink fieldCode="AR" term="%22Merluzzi%2C+Thomas+V%2E%22">Merluzzi, Thomas V.</searchLink><br /><searchLink fieldCode="AR" term="%22Salamanca-Balen%2C+Natalia%22">Salamanca-Balen, Natalia</searchLink><br /><searchLink fieldCode="AR" term="%22Philip%2C+Errol+J%2E%22">Philip, Errol J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Ethnicity+%26+Health%22">Ethnicity & Health</searchLink>. May-Jul2024, Vol. 29 Issue 4/5, p484-504. 21p.
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  Data: <searchLink fieldCode="DE" term="%22Sexism%22">Sexism</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Perceived+discrimination%22">Perceived discrimination</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sickness+Impact+Profile%22">Sickness Impact Profile</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Body+image%22">Body image</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Racism%22">Racism</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+disengagement%22">Psychological disengagement</searchLink><br /><searchLink fieldCode="DE" term="%22Ageism%22">Ageism</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Personal+beauty%22">Personal beauty</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Microaggressions%22">Microaggressions</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink>
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  Data: Perceived discrimination (PD; e.g. racism, agism, sexism, etc.) negatively impacts quality of life (QOL) among cancer patients. Prior research has established that for African American Cancer Patients (AACPs) only disengagement/denial coping mediated the PD-QOL relationship. In contrast, for Caucasian American Cancer Patients (CACPs), both agentic and disengagement/denial coping were mediators of the PD-QOL relationship. However, according to social constraint theory there may be a difference between subtle and overt PD in terms of the utility of certain coping mechanisms in relation to QOL, especially for AACPs. 217 AACPs and 121 CACPs completed measures of PD, coping (agentic, disengagement/denial, adaptive disengagement) and QOL. PD items were classified as subtle or overt microaggressions. PD was mainly attributed to race/ethnicity by AACPs and to income, age, and physical appearance for CACPs. : In both subtle and overt microaggression models with CACPs, agentic coping and disengagement/denial coping were significant mediators of PD-QOL. Like CACPs, for AACPs, agentic and disengagement/denial coping were significant in the context of subtle microaggressions. In contrast, for overt microaggression only disengagement/denial coping was a significant mediator of the PD-QOL relationship for AACPs. Adaptive disengagement was related to QOL only for AACPs. : Whereas more research is needed, it appears that overt microaggressions for AACPs, that consist mainly of racial and ethnic maltreatment, constitute a class of social contexts that may raise above the threshold for serious threat and harm, and, as a result, disengagement/constraint may reduce negative consequences. This additional burden for AACPs contributes to disparities in QOL. Future research is needed on the utility of adaptive disengagement for AACPs in relation to PD. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13557858.2024.2347569
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 21
        StartPage: 484
    Subjects:
      – SubjectFull: Sexism
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Perceived discrimination
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sickness Impact Profile
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Body image
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Racism
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Psychological disengagement
        Type: general
      – SubjectFull: Ageism
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Personal beauty
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Microaggressions
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Perceived discrimination and quality of life for African American and Caucasian American cancer patients: a coping mediation analysis of subtle and overt microaggressions.
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              M: 05
              Text: May-Jul2024
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              Y: 2024
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