Abstract
Objective
There is a lack of research tools in Portuguese to evaluate racial discrimination. The purpose of this study was to psychometrically assess the Portuguese version of the Schedule of Racist Events (SRE) in a sample of individuals enrolled in a research trial with antiretroviral medications in southern Brazil.
Methods
Sample of 147 individuals living with HIV and/or AIDS. Research participants completed the Schedule of Racist Events and the WHOQOL-HIV BREF questionnaires.
Results
The SRE scores of non-white participants were significantly higher than the scores of white-participants. The Crombach’s alpha coefficients, for the three subscales of the Portuguese version of the SRE, were high and significant. There were significant correlations between all subscales of the SRE and relevant domains of the WHOQOL-HIV BREF.
Conclusion
The original English version of the SRE was successfully adapted to Portuguese. The Portuguese version of SRE constitutes a valid research instrument for evaluating racial discrimination.
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References
Pagano A. Everyday narratives on race and health in Brazil. Med Anthropol Q. 2014;28:221–41.
Faerstein E, Chor D, Werneck GL, Lopes CS, Kaplan G. Race and perceived racism, education, and hypertension among Brazilian civil servants: the Pro-Saude Study. Rev Bras Epidemiol. 2014;17(Suppl 2):81–7.
Nyarko KA, Lopez-Camelo J, Castilla EE, Wehby GL. Explaining racial disparities in infant health in Brazil. Am J Public Health. 2015;105(Suppl 4):S575–84 S63-74.
Araujo EM, Costa Mda C, Hogan VK, Mota EL, Araujo TM, Oliveira NF. Race/skin color differentials in potential years of life lost due to external causes. Rev Saude Publica. 2009;43:405–12.
Lewis TT, Williams DR, Tamene M, Clark CR. Self-reported experiences of discrimination and cardiovascular disease. Curr Cardiovasc Risk Rep. 2014;8:365.
Cuffee YL, Hargraves JL, Allison J. Exploring the association between reported discrimination and hypertension among African Americans: a systematic review. Ethn Dis. 2012;22:422–31.
Schmitt MT, Branscombe NR, Postmes T, Garcia A. The consequences of perceived discrimination for psychological well-being: a meta-analytic review. Psychol Bull. 2014;140:921–48.
Pascoe EA, Smart RL. Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009;135:531–54.
Paradies Y, Ben J, Denson N, Elias A, Priest N, Pieterse A, et al. Racism as a determinant of health: a systematic review and meta-analysis. PLoS One. 2015;10:e0138511.
Landrine H, Klonoff EA, Corral I, Fernandez S, Roesch S. Conceptualizing and measuring ethnic discrimination in health research. J Behav Med. 2006;29:79–94.
Utsey S. Assessing the stressful effects of racism: a review of instru- mentation. J Black Psychol. 1998;24:269–88.
Bastos JL, Faerstein E, Celeste RK, Barros AJ. Explicit discrimination and health: development and psychometric properties of an assessment instrument. Rev Saude Publica. 2012;46:269–78.
Fattore GL, Teles CA, Santos DN, Santos LM, Reichenheim ME, Barreto ML. Validity of the experiences of discrimination scale in a Brazilian population. Cad Saude Publica. 2016;32:e00102415.
Bastos JL, Celeste RK, Faerstein E, Barros AJ. Racial discrimination and health: a systematic review of scales with a focus on their psychometric properties. Soc Sci Med. 2010;70:1091–9.
Klonoff EA, Landrine H. Acculturation and cigarette smoking among African American adults. J Behav Med. 1996;19:501–14.
Landrine H, Klonoff E. The schedule of racist events: a measure of racial discrimination and a study of its negative physical and mental health consequences. J Black Psychol. 1996;22:144–68.
Koller M, Aaronson NK, Blazeby J, Bottomley A, Dewolf L, Fayers P, et al. Translation procedures for standardised quality of life questionnaires: the European Organisation for Research and Treatment of Cancer (EORTC) approach. Eur J Cancer. 2007;43:1810–20.
Feinn R, Schumann KP, Tennen H, Wagner J. Differential item functioning on the Schedule of Racist Events: exploring a modified scale for samples with black and white participants. Ethn Dis. 2014;24:406–12.
World Health Organization. WHOQOL-HIV instrument - Users manual. Geneva: World Health Organisation; 2002.
Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref. Rev Saude Publica. 2000;34:178–83.
Zubaran C, Michelim L, Medeiros G, May W, Foresti K, Madi JM, et al. A randomized controlled trial of a protocol of interviews designed to improve adherence to antiretroviral medications in southern Brazil. Int J STD AIDS. 2012;23:429–34.
The Brazilian Institute of Geography and Statistics -IBGE. Ethno-racial characteristics of the population – a study of the 2008 classification categories of color or race. Rio de Janeiro: IBGE; 2011.
Aberson C, Healy M, Romero V. Ingroup bias and self-esteem: a meta-analysis. Pers Soc Psychol Rev. 2000;4:157–73.
Brewer M. In-group bias in the minimal intergroup situation: a cognitive-motivational analysis. Psychol Bull. 1979;86:307–24.
Ben J, Cormack D, Harris R, Paradies Y. Racism and health service utilisation: a systematic review and meta-analysis. PLoS One. 2017;12:e0189900.
Lopes F, Buchalla CM, Ayres JR. Black and non-Black women and vulnerability to HIV/AIDS in Sao Paulo, Brazil. Rev Saude Publica. 2007;41(Suppl 2):39–46.
Tancredi MV, Waldman EA. Predictors of progression to AIDS after HIV infection diagnosis in the pre- and post-HAART eras in a Brazilian AIDS-free cohort. Trans R Soc Trop Med Hyg. 2014;108:408–14.
Ford CL, Daniel M, Earp JA, Kaufman JS, Golin CE, Miller WC. Perceived everyday racism, residential segregation, and HIV testing among patients at a sexually transmitted disease clinic. Am J Public Health. 2009;99(Suppl 1):S137–43.
Boarts JM, Bogart LM, Tabak MA, Armelie AP, Delahanty DL. Relationship of race-, sexual orientation-, and HIV-related discrimination with adherence to HIV treatment: a pilot study. J Behav Med. 2008;31:445–51.
Zubaran C, Michelim L, Foresti K, Medeiros G, May W, Madi JM. Retention in medical care and antiretroviral treatment according to skin color in southern Brazil. J Int Assoc Provid AIDS Care. 2014;13:170–7.
Han CS, Ayala G, Paul JP, Boylan R, Gregorich SE, Choi KH. Stress and coping with racism and their role in sexual risk for HIV among African American, Asian/Pacific Islander, and Latino men who have sex with men. Arch Sex Behav. 2015;44:411–20.
Funding
This study was funded by Grant CSV 302/06 of the National Program on Sexually Transmitted Diseases and AIDS (Brazil).
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Zubaran, C., Balbinotti, M., Cappelletti, K. et al. The Portuguese Version of the Schedule of Racist Events. J. Racial and Ethnic Health Disparities 7, 162–168 (2020). https://doi.org/10.1007/s40615-019-00645-1
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DOI: https://doi.org/10.1007/s40615-019-00645-1