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Although perceived discrimination has been found to diminish self‐esteem, the mechanism of such effect and potential protective factors demands further study. Grit has been suggested to moderate the effect of risk factors affecting Chinese left‐behind children, but few studies have considered that being left behind might diminish the family and social conditions needed for nurturing grit, and therefore grit might mediate the effect of being left behind and perceived discrimination upon self‐esteem. With the questionnaire data collected from 974 Chinese rural children among whom 517 were left‐behind children, the present study shows that perseverance of effort mediates the effect of being left behind upon self‐esteem. Moreover, within the subsample of left‐behind children, perceived discrimination was found to mediate the effect of time length of being left behind on self‐esteem, while a chain mediation effect was found where perceived discrimination and consistency of interest mediated the effect of the time length of being left behind on self‐esteem. Findings suggest that for left‐behind children, while the adverse social conditions reflected by perceived discrimination affects self‐esteem by diminishing consistency of interest, the absence of adequate parental regulation more directly affects perseverance of effort and therefore affects self‐esteem. Further research directions about practices and interventions targeting at protecting self‐esteem through fostering grit are discussed. [ABSTRACT FROM AUTHOR]

This study aimed to investigate how migrant students' group permeability and parental involvement affect the relationship between perceived personal discrimination and social integration. A total of 755 migrant students at three schools in mainland China were investigated in the study. The results indicated that perceived personal discrimination negatively predicted migrant students' group permeability, whereas group permeability had a positive effect on social integration. Group permeability partially mediated the relationship between perceived personal discrimination and social integration. In addition, parental involvement played a significant moderating role between perceived personal discrimination and group permeability and mitigated the negative effect of perceived personal discrimination on group permeability. These findings suggest that we could reduce migrant students' perceived personal discrimination by improving their group permeability and parental involvement, thereby increasing their social integration. [ABSTRACT FROM AUTHOR]

Identifying with a minority group may protect one's psychological well‐being from the harm of group discrimination. This study tested this theory with lesbian, gay, or bisexual (LGB) individuals in a non‐Western cultural context. A total of 240 LGB individuals living in mainland China responded to an online survey. Roles of group identification and its three dimensions (i.e., behavioural engagement, cognitive clarity, and affective pride) were explored in the association between perceived discrimination and psychological outcomes (i.e., psychological well‐being and distress). Results of fitting mediation models and regression models with moderators indicated that group identification was neither a significant mediator nor a moderator in the association between perceived discrimination and psychological outcomes. Nevertheless, perceived discrimination was found to positively predict group identification, and group identification was found to positively predict psychological well‐being after controlling for perceived discrimination, sexual orientation, and gender. Additionally, the three dimensions of group identification had different implications: cognitive clarity, not behavioural engagement or affective pride, predicted psychological well‐being and distress. These findings drew attention to the multidimensionality of group identity and the potential impacts of the unique societal context on sexual‐minority group identity. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement. [ABSTRACT FROM AUTHOR]

To explore the relationship among parental involvement, intergenerational closure, perceived personal discrimination, and academic performance in migrant children, 755 migrant children from three primary and secondary schools in eastern China were sampled. The results indicated that both parental involvement and intergenerational closure positively correlated with the academic performance of migrant children. Parental involvement was a negative predictor of migrant children's perceived personal discrimination while intergenerational closure cannot significantly predict migrant children's perceived personal discrimination. Perceived personal discrimination can negatively predict migrant students' academic performance and had a mediating effect on the relationship between parental involvement and academic performance. However, the mediating effect of perceived personal discrimination on the relationship between intergenerational closure and academic performance was not significant. To promote the academic development of migrant children, suggestions are put forward concerning the enhancement of the parental involvement of migrant children and the alleviation of their perceived discrimination. Highlights: Parental involvement predicted migrant children's perceived personal discrimination (PPD). Intergenerational closure did not predict migrant children's PPD. PPD mediated the relationship between parental involvement and academic performance. PPD did not mediate the relation of intergenerational closure and academic performance. [ABSTRACT FROM AUTHOR]

The current study aimed to examine internalized stigma and its psychosocial factors among people with severe mental illness in China. A cross-sectional study was performed with 202 adults diagnosed with schizophrenia, bipolar disorder, or schizoaffective disorder in Beijing, China. Participants were evaluated using the Chinese version of the Internalized Stigma of Mental Illness (ISMI) scale, Perceived Devaluation and Discrimination scale, and the Medical Outcomes Study Social Support Survey. Correlation analysis and multiple linear regression analysis demonstrated that 19.8% of participants had moderate-to-high ISMI scores, whereas the sample as a whole indicated a mild level of internalized stigma. A higher level of internalized stigma was associated with greater perceived discrimination, lower social support, lower family income, older age, and distancing coping. These factors may be important to consider for developing tailored interventions in the future. [Journal of Psychosocial Nursing and Mental Health Services, 62(1), 37–44.] [ABSTRACT FROM AUTHOR]

Household income predicts early adolescents' cognitive development. However, the mechanism underlying this association and protective factors are unclear. This study assessed one-year longitudinal data to examine whether perceived discrimination mediated the association between household income and executive function and the moderating role of shift-and-persist. 344 early adolescents in rural China were included in the study (mean = 10.88 years, SD = 1.32 years, girls: 51.74%). The latent variable model revealed that household income predicted early adolescents' cognitive flexibility and working memory in the subsequent year through perceived discrimination. Shift-and-persist moderated the negative effects of perceived discrimination on cognitive flexibility: perceived discrimination impeded cognitive flexibility only among early adolescents with low shift-and-persist. The findings highlight perceived discrimination in the relation between household income and early adolescents' executive function and underscore the protective role of shift-and-persist. [ABSTRACT FROM AUTHOR]

A large body of research has explored various factors influencing volunteer participation, particularly revealing the association between religious beliefs and volunteer engagement. However, there was relatively limited research on volunteer participation among international immigrants in China, a newly emerging immigrant country. Further investigation was needed to identify the factors influencing the volunteer engagement of international immigrants in China and the underlying mechanisms. This study analyzed data from international immigrants in Yiwu, China and found that their volunteer behavior was significantly influenced by their religious beliefs. Additionally, social resources were closely related to their volunteer participation. Furthermore, although perceived discrimination among international immigrants in China was not directly associated with volunteer participation, it promoted their religious participation and frequency, consequently encouraging their volunteer engagement. Further analysis also revealed two mechanisms through which religion impacted volunteer participation. On the one hand, religious beliefs influenced volunteer participation through the mechanism of religious indoctrination. On the other hand, though perceived discrimination among international immigrants did not directly influence volunteer participation, it did encourage them to engage in religious meetings to establish social networks for support, thereby enriching their social resources and subsequently promoting volunteer engagement. We discussed the implications of our findings for encouraging volunteer participation and for promoting the social integration of international immigrants. [ABSTRACT FROM AUTHOR]

This study explores the associations between perceived discrimination and cross-cultural adaptation among 335 international students in China. Drawing on self-determination theory, we propose that autonomous orientation can weaken the relationship between perceived discrimination and cross-cultural adaptation. Integration strategy can be seen as a mechanism that encourages international students to embrace both their original and host culture when they feel be discriminated. Results indicate that perceived discrimination is negatively associated with sociocultural adaptation and psychological adaptation among international students in China. Our research identifies autonomous orientation as an important contingency that weakens the effects of perceived discrimination on cross-cultural adaptation, confirming the moderating role of integration strategy in the relationship between perceived discrimination and sociocultural adaptation. Integration strategy mediates the moderating effects of autonomous orientation on the relationship between perceived discrimination and sociocultural adaption. The findings provide valuable insight into the positive impact of autonomous orientation and integration strategy on the cross-cultural adaptation of international students when they feel be discriminated, which is beneficial to the education and management of international students at the theoretical and practical levels. [ABSTRACT FROM AUTHOR]

Perceived peer discrimination in the classroom reduces school performance. Considering the context of rural migrants in urban China, we find that migrant students' test scores are lower when local classmates report more antimigrant discrimination. Our empirical strategy relies on isolating exogenous variation in locals' discriminatory attitudes toward rural migrants across randomly assigned classrooms in the same school. We use whether locals had migrant friends outside school in their first year of middle school to instrument for discrimination in the classroom. The negative effects of perceived discrimination are largest for migrant students with less-educated parents, lower ability, and lower self-confidence. [ABSTRACT FROM AUTHOR]

Applying an integrated mode of labeling theory, this study conducted an empirical analysis of 427 probationers from 48 judicial offices in China. The results found that, after controlling for age, gender, educational background, marital status, and social support, perceived discrimination is positively correlated with social alienation; shame plays a partial positive mediating role in the relationship between perceived discrimination and social alienation. Additionally, Zhongyong thinking can moderate the direct effect of perceived discrimination on social alienation and the mediating effect of shame in a negative way. The results further empirically validated an integrated model of labeling theory. [ABSTRACT FROM AUTHOR]

Left-behind children face peer victimization, which leads to negative mental adaptation. Previous studies have shown that peer victimization profoundly influences left-behind children's nonsuicidal self-injury. However, the underlying mechanism of nonsuicidal self-injury remains unclear. A total of 832 junior high school students aged 11 − 16 in this investigation completed the Peer Victimization Scale, Perceived Discrimination Scale, Hardiness Scale and Nonsuicidal Self-Injury Scale. After left-behind children's sex and left-behind category were controlled, peer victimization significantly contributed to left-behind children's nonsuicidal self-injury; perceived discrimination played a mediating role in the relationship between peer victimization and left-behind children's nonsuicidal self-injury. Both the direct and indirect relations between peer victimization and left-behind children's nonsuicidal self-injury were moderated by hardiness, which is consistent with the stress-buffering model. The current study reveals how and when peer victimization affects left-behind children's nonsuicidal self-injury, which contributes to the prevention and intervention of nonsuicidal self-injury. [ABSTRACT FROM AUTHOR]

This study examined the mediating role of self-esteem in the relationship between perceived discrimination and subjective wellbeing and explored how resilience and belief in a just world interact to buffer the detrimental influences of perceived discrimination on subjective wellbeing. A questionnaire survey was conducted on 872 impoverished college students in China. The results indicated that: (1) Self-esteem mediated the relationship between perceived discrimination and subjective wellbeing. (2) Belief in a just world played a moderating role between perceived discrimination and subjective wellbeing, and the harmful impact of perceived discrimination on wellbeing was weaker for those who had higher (vs.lower) levels of belief in a just world. (3) Resilience moderated the relationship between perceived discrimination and self-esteem, and the harm of discrimination on self-esteem was weakened for those who had lower (vs.higher) levels of resilience. Poverty indeed has a non-negligible and vital impact on the mental health of college students. Among impoverished Chinse college students, resilience and belief in a just world play a protective role in the relationship between discrimination and subjective wellbeing. However, the current finding suggests that we should not exaggerate the protective effect of resilience. It is crucial to change unfavorable factors in the environment, such as discrimination against poverty. [ABSTRACT FROM AUTHOR]

Objectives Although a number of studies have documented cognitive health among older immigrants in the United States, little is known about how the life-course immigration experiences are associated with cognitive trajectories among older Chinese immigrants. We assess patterns of cognitive functioning and change over time and examine whether age at migration, reasons for migration, acculturation, perceived discrimination, and preferred dialects are related to cognitive trajectories. Methods The sample comprised 2,075 participants from the Population Study of Chinese Elderly (PINE), who completed a battery of cognitive tests at four time points (2011–2019). Latent class growth analysis and multinomial logistic regression were utilized. Results Three latent classes of cognitive trajectories were identified: the low functioning with the fastest decline (LCF, 12%), the moderate functioning with a medium decline rate (MCF, 39%), and the high functioning with the slowest decline (HCF, 48%). Perceiving more discrimination reduced, whereas speaking Taishanese increased the odds of being in the LCF and MCF. High acculturation only distinguished MCF from HCF after controlling for the known factors of cognitive health such as age, education, and social engagement. Discussion This study identifies a group of older Chinese immigrants who are especially vulnerable to cognitive impairment and indicates that the risk of cognitive decline appears to be elevated with lower levels of acculturation and unidentified racial discrimination. More research is needed to fully understand the underlying mechanisms that link the life-course immigration experiences to cognitive health outcomes in later life. [ABSTRACT FROM AUTHOR]

Coming out of the closet refers to the self‐disclosure of one's sexual orientation to other people. A majority of gay men in mainland China are hesitant about coming out. Considerable research in Western contexts has demonstrated that coming out can alleviate gay men's psychological distress. The current study thus aims to understand the psychological impacts of coming out for gay men in mainland China. We employed a serial mediation model to examine the relationship between overall outness and psychological distress, with internalized homonegativity as the first‐order mediator and perceived discrimination based on same‐sex sexual orientation (hereafter "perceived discrimination") as the second‐order mediator. An online sample of 251 Chinese adult gay men (Mage = 25.25 years, SD = 5.28 years) completed self‐report measures of outness, internalized homonegativity, perceived discrimination, and psychological distress. Results showed that the negative association between overall outness and psychological distress was partially mediated by internalized homonegativity (indirect effect = −0.057, bias‐corrected 95% confidence interval [−0.153, −0.011]), and serially mediated by internalized homonegativity and then perceived discrimination (indirect effect = −0.019, bias‐corrected 95% confidence interval [−0.048, −0.007]), controlling for age. Additionally, we did not find the simple mediating effect of perceived discrimination between overall outness and psychological distress, which may be because coming out reduced oversensitivity and perception bias but increased the probability of actual discriminatory experiences. These results contribute to our understanding of how coming out affects psychological distress among Chinese gay men. Furthermore, this study may illuminate the design of psychological crisis intervention focusing on this group in mainland China. [ABSTRACT FROM AUTHOR]

As society becomes increasingly diverse over time, the interaction among different cultural groups is an essential topic in intercultural research. Berry (2017) proposed three hypotheses of intercultural relations: multiculturalism, contact, and integration, in trying to answer the question, "How shall we all live together?". Since most studies on intercultural relations are conducted in the context of Western culture, less empirical evidence about the three hypotheses examination is drawn from the plural societies other than Western ones. Therefore, this study evaluates three hypotheses on intercultural relations with regards to Filipino immigrants in Macau, and expects to provide new empirical research support for testing relevant hypotheses on intercultural relations and enrich the existing literature. A total of 233 community samples (58.5 % females; M age = 28.24) were recruited and employed scales from the MIRIPS questionnaire to collect data on co-ethnic contact, host contact, perceived discrimination, acculturation strategies, self-esteem, and life satisfaction. Path analysis revealed that: (1) With respect to the multicultural hypothesis, perceived discrimination was positively related with integration and separation; (2) With respect to the contact hypothesis, co-ethnic contact was positively related with perceived discrimination; co-ethnic contact was positively related with integration and separation, and host contact was positively related with assimilation; (3) With respect to the integration hypothesis, integration was the most preferred strategy for the participants and was associated with better psychological adaptation (termed self-esteem and life satisfaction). These findings partially support the validity of the hypotheses. Finally, future research directions and empirical implications are discussed. [ABSTRACT FROM AUTHOR]

Ethnic minority groups usually face discrimination in the form of prejudice and stereotypes. The self-esteem and psychological well-being of ethnic minority groups are adversely impacted by the prejudice and discrimination behavior of others. The perceived discrimination unfavorably influences the attitude and behavior of ethnic minority groups, which in turn develops resistance to innovation among them. With the support of social exchange theory, this study hypothesized that perceived discrimination positively enhances resistance to innovation and job dissatisfaction for empirical investigation. The current study also proposes that job dissatisfaction positively correlates with resistance to innovation. This study further assumes the mediating role of job dissatisfaction and moderating role of psychological distress forfurther investigation. For empirical investigation, the present study collected the data from 328 Ethnic Minority Students of various Chinese universities through a structured questionnaire method using a convenient sampling technique. This study applied partial least square structural equation modeling (PLS-SEM) for empirical examination using Smart PLS software. The findings confirm that perceived discrimination positively correlates with resistance to innovation and job dissatisfaction, respectively. It is also verified that perceived discrimination positively impacts job dissatisfaction. The results further interpreted that job dissatisfaction mediates the relationship between perceived discrimination and resistance to innovation. Additionally, the findings revealed that psychological distress does not moderate the relationship between perceived discrimination and resistance to innovation; however, psychological distress moderates the relationship between job dissatisfaction and resistance to innovation. The findings serve the organizations by pointing out the role of perceived discrimination on job dissatisfaction. This study also provides valuable theoretical and practical implications. [ABSTRACT FROM AUTHOR]

This study tested the influence of Deaf identity (cognitive identification and affective identification) on the association between perceived deaf discrimination and subjective well-being among Chinese adolescents who are deaf and hard-of-hearing (DHH), based on the rejection-identification model. Questionnaires on perceived deaf discrimination, subjective well-being, Deaf identity, and demographic information were completed by 246 DHH students (15–23 years old) from special residential schools in China. The results indicated that: (1) higher level of perceived deaf discrimination was significantly associated with lower level of subjective well-being (direct effect = −0.24, 95% confidence interval [CI] = [−0.37, −0.12], p  < .001); (2) there was a significant indirect effect of perceived deaf discrimination on subjective well-being via cognitive identification (indirect effect = −0.07, 95% CI = [−0.12, −0.01], p  < .05); and (3) positive affective identification due to increased cognitive identification with Deaf community may help counteract the negative impact of perceived deaf discrimination on subjective well-being (indirect effect = 0.06, 95% CI = [0.03, 0.10], p  < .001). These findings further support the notion that the different components of group identification should be examined separately. [ABSTRACT FROM AUTHOR]

Mental health problems are prevalent among China's internal migrant workers. However, research on the relationship between socioeconomic status (SES) and mental health is insufficient. Therefore, this study, utilizing the China's National Dynamic Monitoring Survey data from a sample of 15,997 migrant workers aged 15–59 years to explore differences in the relationship between migrants' objective and subjective SES and mental health status in 2015. Both the mediating effect of perceived interpersonal discrimination and the moderating effect of age were examined through structural equation modeling. The results indicated that subjective SES has a stronger direct relationship with mental health than objective SES. Perceived interpersonal discrimination mediated the association between subjective SES and mental health. Furthermore, a much stronger relationship was found between subjective SES and perceived interpersonal discrimination among migrants older than 24 years of age than younger migrant groups. The results showed that, compared with traditional objective SES indicators, subjective SES could be a more sensitive index for identifying those migrant workers with a high risk of mental health problems. In addition, reducing interpersonal discrimination toward migrants can alleviate their mental health problems. And we should pay more attention to older migrant workers since they are more likely to prone to interpersonal discrimination and mental health issues. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of this study is to investigate the influence of perceived discrimination on children's depression and behavioral problems via the mediator of integration among Chinese migrant children. Rural‐urban differences in the proposed relationships are also examined. Methods: The sample included 484 migrant children (Mean age = 11.65 years; 52.9% girls), which was collected through multi‐stage cluster random sampling in Kunming, Southwest China. Structural equation modelling (SEM) was adopted for data analysis. Results: Results indicate that perceived discrimination reduces the integration of Chinese migrant children, which in turn, leads to their higher levels of depression and more behavioral problems. The multi‐group analysis on rural‐urban differences reveals that the effects of discrimination on depression and behavioral problems are significant among rural‐urban migrants but not among urban–urban ones. Conclusions: This study contributes to current knowledge by revealing the mechanisms among perceived discrimination, integration, depression and behavioral problems of Chinese migrant children. The migration pattern differences in terms of their depression and behavioral problems are also highlighted. [ABSTRACT FROM AUTHOR]

We took tourism as the research object and used structural equation modeling to examine the influence of perceived discrimination, loss of face, customer value, tourism intention, and sense of power on the consumption experience. Participants were 717 holidaymakers recruited from several major tourist attractions in China. The results were as follows: (a) Both loss of face and customer value had a mediating effect on the relationship between perceived discrimination and travel intention; (b) loss of face and customer value had a chain mediating effect on the relationship between perceived discrimination and travel intention; and (c) sense of power had a moderating effect on the relationships between perceived discrimination and loss of face, and between perceived discrimination and customer value. Suggestions are provided for practitioners to improve marketing performance. [ABSTRACT FROM AUTHOR]

Background: A large rural labor force has been attracted to urban areas with the acceleration of urbanization in China. This significant change in environment for migrant children from rural to urban may lead to psychological problems, such as decreased subjective wellbeing (WB) and increased perceived discrimination (PD). However, previous studies have focused on the influence of PD on WB by using a cross-sectional design, ignoring the causality and intrinsic mechanisms between WB and PD. The current study investigates the causal association and internal relations between migrant children's PD and WB. Methods: A total of 466 (222 females, 47.64%) migrant children (Mage = 11.78, SD = 1.80) were recruited from Beijing in China. The participants filled in the questionnaire twice, with an interval of 1 year, including a basic information questionnaire, wellbeing index scale, perceived discrimination questionnaire, and self-esteem scale. Results: Overall, cross-lagged regression analysis revealed that WB (T1) had a predictive effect on PD (T2) but that PD (T1) had no predictive effect on WB (T2). Mediation results indicated that self-esteem (SE) (T1) mediated the relation between WB (T1) and PD (T2). Moderated mediation results further proved that the link between WB (T1) on SE (T1) and the indirect effect between WB (T1) and PD (T2) were more robust for migrant children who attended public school than those in the migrant children's school. Conclusion: These findings implied that a decrease in WB may increase the perception of subjective discrimination and that SE could be an intrinsic factor between migrant children's WB and PD, especially in public schools. Therefore, educators and parents should also pay attention to mental health problems to improve the well-being and self-esteem of migrant children. [ABSTRACT FROM AUTHOR]

Research has documented how groups cope with perceived discrimination by enhancing their identification with their minority ingroup and reducing their identification with the majority outgroup. However, these patterns have not been consistent across contexts nor examined in relation to discrimination encountered online. Through a survey of PRC Chinese immigrants in Singapore, we examine how online perceived discrimination relates to attitudes toward the Singaporean host society via both ingroup and outgroup identification. We also test the role of intergroup mobility, the perceived level of opportunity ingroup members have to form relationships with dominant outgroup members, as a moderator of these relations. Results show that PRC Chinese immigrants who perceived more discrimination online identified more strongly with both their PRC Chinese ingroup and the Singaporean host society outgroup. In turn, greater PRC Chinese and Singaporean identification related to more positive attitudes toward Singaporeans. Moreover, intergroup mobility moderated these associations, such that the PRC Chinese who perceived greater mobility were more likely to strengthen their identification with Singaporeans as their online perceived discrimination increased. We argue that intergroup mobility beliefs may play a key role in shaping defensive responses to perceived discrimination. [ABSTRACT FROM AUTHOR]

Background: Associations between perceived discrimination and relative deprivation have been observed among both general and migrant populations. However, it is unclear how, and under what conditions, perceived discrimination relates to relative deprivation, a subjective cognition and affective experience in which individuals or groups perceive themselves as disadvantaged, compared to their peers. Therefore, this study aimed to construct a moderated mediation model to examine the roles of locus of control and duration since migration in the relationship between perceived discrimination and relative deprivation among Chinese rural-to-urban migrant adolescents. Methods: We conducted a cross-sectional study using a convenience sampling method in three coastal cities in southeast China. We recruited 625 Chinese rural-to-urban migrant adolescents, who completed a battery of questionnaires assessing perceived discrimination, relative deprivation, locus of control, and demographic variables. Regression-based statistical mediation and moderation were conducted using the PROCESS macro for SPSS. Results: After controlling for sex and age, perceived discrimination was positively associated with migrant adolescents' relative deprivation, and external locus of control partially mediated this connection. Furthermore, the mediating effect was moderated by the duration of the migration. In relatively recently migrated adolescents, perceived discrimination was significantly related to relative deprivation through a greater external locus of control; however, this indirect association was not significant for adolescents with long-term migratory duration. Conclusion: The results of our analysis expand our understanding of the link between perceived discrimination and relative deprivation. Moreover, these findings may provide practical guidance for interventions among Chinese rural-to-urban migrant adolescents to raise their social status and improve their mental health by addressing the macro-social psychological causes of relative deprivation. [ABSTRACT FROM AUTHOR]

Background: The prevalence of mental illness continues to increase in China, but research on stigma is still in its infancy, and there are even fewer studies on stigma among nurses. A comprehensive, effective and reliable tool is needed to assess stigma in nursing so that it can be reduced or eliminated to improve nursing quality. This study aimed to translate a 20-item scale for assessing the stigma of mental illness in nursing into Chinese and evaluate its reliability and validity. Methods: An improved Brislin translation model was used to translate the nursing mental illness stigma assessment scale into Chinese. Content and face validity were determined by a panel of experts. A convenience sample of 501 nursing students was chosen. Confirmatory factor analysis, concurrent validity and known group comparison were used to evaluate the scale's structural validity. The reliability was evaluated based on the internal consistency reliability and 2-week retest reliability. Results: The content validity index was 0.90. Confirmatory factor analysis showed that this study supported the three-factor model. The moderate correlation between the Chinese version of the Scale for Assessing the Stigma of Mental Illness in Nursing and the Perceived Devaluation Discrimination Scale suggested acceptable concurrent validity. Cronbach's α (0.863) and the retest coefficient (0.839) were indicative of internal consistency. Conclusion: The Chinese version of the Scale for Assessing the Stigma of Mental Illness in Nursing has acceptable concurrent validity, marginal factor validity, and satisfactory reliability in China. Therefore, the three-factor structure of the Chinese scale should be considered. Relevance to Clinical Practice: The Chinese version of the Scale for Assessing the Stigma of Mental Illness in Nursing can be used to understand the degree of mental illness stigma in nursing. [ABSTRACT FROM AUTHOR]

New migrants from Mainland China to Hong Kong have faced increased discrimination from local Hong Kongers, which may have negative impacts on their adjustment and mental health. Guided by the family systems theory, we tested the dyadic effects of perceived discrimination levels among migrant children and mothers on their psychological distress in a sample of 200 child–mother pairs who migrated from Mainland China to Hong Kong. Using polynomial regression and response surface analyses, we found that when children's and mothers' reports of perceived discrimination showed congruence, higher levels of perceived discrimination were positively associated with both children's and mothers' psychological distress. In addition, when children's and mothers' reports of perceived discrimination were discrepant, higher levels of perceived discrimination among children compared with mothers were associated with increased psychological distress for children, and higher levels of perceived discrimination among mothers compared with children were associated with increased psychological distress for mothers. By using a dyadic approach, our study advances the understanding of the degree to which child–mother congruence and the direction of discrepancies in perceived discrimination contributes to children's and mothers' psychological distress. These findings have implications for the design of psychological distress‐reduction intervention programs in the context of discrimination among migrant pairs. [ABSTRACT FROM AUTHOR]

This study aimed to determine how pathological Internet use and emotional intelligence affect the relationship between perceived personal discrimination and problem behavior of left behind children. Data were collected from 406 left-behind students from 6 rural primary and secondary schools in Mainland China. Results indicated that perceived personal discrimination could be a predictor of left-behind children's pathological Internet use, and further cause their problem behavior. Pathological Internet use had a partial mediating effect on the relation between perceived personal discrimination and problem behavior. In addition, emotional intelligence played a moderating role in the relationship between perceived personal discrimination and problem behavior, as well as between pathological Internet use and problem behavior. Emotional intelligence could alleviate the negative impact of perceived personal discrimination on problem behavior, as well as the negative impact of pathological Internet use on problem behavior. [ABSTRACT FROM AUTHOR]

With a research focus on the possible impact of perceived discrimination on physical symptoms, this study examined a moderated mediation model that depressive symptoms would mediate the association between perceived discrimination and physical symptoms, and family satisfaction would show moderating effects on both depressive and physical symptoms among immigrants. Immigrant women from Mainland China into Hong Kong (N = 966) completed a cross-sectional survey. Depressive symptoms mediated the association between perceived discrimination and physical symptoms. Family satisfaction moderated the association between perceived discrimination and depressive symptoms that participants with lower family satisfaction showed a stronger association. However, family satisfaction did not moderate with perceived discrimination or depressive symptoms to predict physical symptoms. Our findings demonstrated the health consequences of perceived discrimination. Development of resilience programs, particularly with a focus of strengthening family resources, may in tandem help immigrants manage their experiences with discrimination. [ABSTRACT FROM AUTHOR]

Perceived discrimination is significantly associated with mental health symptoms among persons living with HIV (PLWH). However, little is known about the factors mediating this relationship. We aimed to examine the mediating role of social isolation and loneliness in the association between perceived discrimination and mental health symptoms among PLWH. A multicenter (Shanghai, Kunming, Nanning, Hengyang, and Changning in China) cross-sectional study was conducted in 2017. Data from 883 PLWH were used for statistical analysis. Perceived discrimination, mental health symptoms, loneliness and social isolation were assessed through self-report questionnaires. Structural equation modeling (SEM) showed a satisfactory model fit (CMIN/DF = 2.676, GFI = 0.998, CFI = 0.997, NFI = 0.995, TLI = 0.985, RMSEA = 0.044 [0.000, 0.090]) and a significant total indirect effect (β = 0.058, SE = 0.009, Z = 6.444, p < 0.01). Both loneliness (β = 0.042, SE = 0.008, Z = −5.250, p < 0.01) and social isolation (β = 0.016, SE = 0.004, Z = −4.000, p < 0.01) were determined to be significant mediators of the association between perceived discrimination and mental health symptoms. Interventions that combat loneliness and social isolation may help ameliorate the adverse consequences of perceived discrimination on mental health. [ABSTRACT FROM AUTHOR]

Previous research has showed that Chinese rural-to-urban migrant adolescents are at high risk for discrimination, negative emotions, and aggression. However, little is known about how discrimination, negative emotions, and aggression are interrelated and whether social support addressing the emotional needs of the adolescents would moderate the relationship of discrimination to aggression. This study attempts to fill these gaps. Based on prior research, it is proposed that perceived discrimination relates to reactive aggression by increasing negative emotions that foster aggressive responses to stressful events. Considering the central role that negative emotions may play, it is also hypothesized that socioemotional support provided by family, friends, and community mitigates the impact of perceived discrimination on reactive aggression by reducing negative emotions. The results obtained from the analysis of two-wave survey data collected from a probability sample of 470 migrant students aged 11–17 (46.17% female; mean age = 13.49) in China supported these hypotheses. The findings indicate that perceived discrimination fosters negative emotions, which in turn increase reactive aggression. Additionally, socioemotional support reduces the adverse impact of perceived discrimination on reactive aggression by weakening the link between perceived discrimination and negative emotions. Practical and policy implications of these findings are discussed. [ABSTRACT FROM AUTHOR]

Chinese rural-to-urban migrant children frequently experience discrimination, which thereby often results in significant negative consequences. However, little is known about the contribution of perceived discrimination experiences to non-suicidal self-injury (NSSI). This study aimed to examine the relationship between perceived discrimination and NSSI, the mediating role of loneliness in this relationship, and the moderating roles of parent-child cohesion and gender. Six hundred fifty-seven migrant children completed a perceived discrimination scale, an NSSI questionnaire, a loneliness scale, and a parent-child cohesion inventory. Results showed that there was a significant positive association between perceived discrimination and NSSI among migrant children. Loneliness mediated the relationship between perceived discrimination and NSSI. Moreover, parent-child cohesion demonstrated a moderating effect on the mediation via loneliness; the indirect association between perceived discrimination and NSSI via loneliness was only significant in low parent-child cohesion condition, but not in the high condition. Additionally, there were differences by gender, with a significantly stronger mediating effect of loneliness among migrant girls compared with migrant boys. The findings from this study contribute to the understanding of the underlying mechanisms in the relationship between perceived discrimination and NSSI. Discussion also provides directions for future interventions and delineate how programs could be designed to target loneliness and parent-child cohesion among migrant children. [ABSTRACT FROM AUTHOR]

Background: In South Korea, Korean Chinese workers experience ethnic discrimination although they share physical similarities and ethnic heritage with native-born Koreans. This study aimed to examine whether perceived ethnic discrimination is associated with poor self-rated health and whether the association differs by gender among Korean Chinese waged workers in South Korea., Methods: We conducted a pooled cross-sectional analysis using data of 13,443 Korean Chinese waged workers from the Survey on Immigrants' Living Conditions and Labor Force conducted in 2018, 2020, and 2022. Based on perceived ethnic discrimination, asking for fair treatment, and subsequent situational improvement, respondents were classified into the following four groups: "Not experienced," "Experienced, not asked for fair treatment," "Experienced, asked for fair treatment, not improved," and "Experienced, asked for fair treatment, improved." Poor self-rated health was assessed using a single question "How is your current overall health?" We applied logistic regression to examine the association between perceived ethnic discrimination and poor self-rated health, with gender-stratified analyses., Results: We found an association between ethnic discrimination and poor self-rated health among Korean Chinese waged workers. In the gender-stratified analysis, the "Experienced, not asked for fair treatment" group was more likely to report poor self-rated health compared to the "Not experienced" group, regardless of gender. However, gender differences were observed in the group stratified by situational improvements. For male workers, no statistically significant association was found in the "Experienced, asked for fair treatment, improved" group with poor self-rated health (odd ratios: 0.87, 95% confidence intervals: 0.30-2.53). Conversely, among female workers, a statistically significant association was observed (odd ratios: 2.63, 95% confidence intervals: 1.29-5.38)., Conclusions: This study is the first to find an association between perceived ethnic discrimination and poor self-rated health, along with gender differences in the association between situational improvements after asking for fair treatment and poor self-rated health among Korean Chinese waged workers in South Korea., (© 2024. The Author(s).)

Background: The present study examined the associations among ethnic identity, perceived discrimination and multiple indicators of positive youth development (PYD; i.e., intrapersonal-oriented competence, interpersonal-oriented competence, confidence, caring, character, family connection, peer connection, school and community connection, positive attitudes towards diversity and cultural pride) that were specifically identified among second-generation Chinese-American youth., Methods: Participants were 196 second-generation Chinese-American youth (N girl  = 93; M age  = 14.56, SD age  = 1.75) primarily from the greater Boston area in MA, United States. Multivariate regression models were estimated to examine the associations between ethnic identity, perceived discrimination, and each potential indicator of PYD, as well as the moderating role of ethnic identity, controlling for key demographics., Results: (1) Ethnic identity was positively related to all PYD indicators, βs = .32 to .72, ps < .01; (2) perceived discrimination was negatively associated with all indicators of PYD (βs = -.15 to -.32, ps < .05), except for interpersonal-oriented competence and caring; and (3) ethnic identity significantly moderated the relationship between perceived discrimination and family connection (β = .23, p < .01)., Conclusions: Findings indicate that whereas discrimination has potential negative effects on the positive development of second-generation Chinese-American youth, ethnic identity may be a key strength that should be considered in PYD promotion practices for these youth., (© 2024 John Wiley & Sons Ltd.)

We examined the moderating role of hope in the relationship between perceived discrimination and life satisfaction among left-behind children in China. Participants were 588 left-behind pupils at three rural primary schools, who completed the Children's Hope Scale, the Perceived Discrimination Questionnaire of the Left-Behind Children, and the Students' Life Satisfaction Scale. Results show that there were significant correlations between the perceived discrimination, hope, and life satisfaction of our participants. In addition, hope significantly alleviated the negative effect of perceived discrimination on life satisfaction. We can conclude that perceived discrimination and hope both significantly predicted life satisfaction, and hope moderated the effect of perceived discrimination on life satisfaction among left-behind children in China. Our findings have implications for school teachers and social workers to help reduce left-behind children's hurt resulting from perceived discrimination. [ABSTRACT FROM AUTHOR]

The current research examines cross-cultural adaptation of sojourners by focusing on an understudied population -- international students in China – and how they coped with perceived discrimination. It had two overall aims: 1) to test whether secondary coping would be effective in reducing the negative effects of perceived discrimination, based on research on cultural fit and goodness of fit; 2) to further explore the moderating role of host culture orientation in the effectiveness of secondary coping. A 90-day longitudinal study was conducted on first- and second-year international students in China (N = 130) via questionnaires assessing perceived discrimination, coping strategies (primary and secondary coping), and adaptation outcomes (sociocultural adaptation, psychological adaptation, and perceived stress). As expected, for sociocultural adaptation over time, a three-way interaction was found (host orientation × perceived discrimination × secondary coping). Low levels of secondary coping and high host orientation exacerbated the negative effects of perceived discrimination. No three-way interaction was found regarding psychological adaptation or perceived stress over time; instead, there were significant two-way interactions between coping and perceived discrimination. High levels of secondary coping reduced the negative effects of perceived discrimination on perceived stress over time, whereas high levels of primary coping buffered the negative effects on psychological adaptation over time. As a whole, we found some evidence supportive of both cultural fit and goodness of fit as well as contradictory evidence. We provide possible explanations for the contradictory findings and discuss the limitations of this study and the complexity of effective coping during sojourner adaptation. [ABSTRACT FROM AUTHOR]

• Perceived discrimination had a significantly negative prediction on left-behind children's academic self-concept. • School belonging plays a mediating role between perceived discrimination and academic self-concept. • A higher proportion of left-behind children could predict lower levels of their academic self-concept. • The negative effect of perceived discrimination on academic self-concept was attenuated in classes with a higher classroom proportion of left-behind children. This study aims to investigate how perceived discrimination affects left-behind children's academic self-concept, and to examine the mediating role of school belonging on the relationship between them. Two prominent classroom compositional effects, the peer spillover effect and the big-fish-little-pond effect, also need to be confirmed. A total of 998 left-behind children participated in the two surveys. They reported perceived discrimination and individual basic information at time 1. After two months, the measurements of school belonging and academic self-concept were completed at time 2. These results suggested that perceived discrimination had a significantly negative prediction on left-behind children's academic self-concept, and school belonging plays a mediating role between these variables. In addition, in a given classroom, a higher proportion of left-behind children could predict lower levels of their academic self-concept. Furthermore, the negative effect of perceived discrimination on academic self-concept was attenuated in classes with a higher classroom proportion of left-behind children. These results have important practical implications for educators on how to enhance the left-behind children's academic self-concept and how to assign classes. [ABSTRACT FROM AUTHOR]

Objective: Perceived racial discrimination has been associated with elevated anxiety symptoms. Less is known about the mental health implications of another race-related stressor, model minority stereotyping, which is a salient experience for Chinese-heritage youth. In addition, despite theoretical considerations and indirect empirical evidence suggesting that greater autonomic nervous system (ANS) reactivity may index sensitivity to race-related stressors, ANS reactivity has not been examined as a moderator of links between race-related stressors and mental health. The present study investigated cross-sectional associations between self-reports of two salient race-related stressors (perceived discrimination and model minority stereotyping) and anxiety symptoms in Chinese-heritage youth, as well as whether ANS reactivity moderates these relationships., Method: Chinese-heritage U.S. college students ( N = 198, 55.6% female, 18-25 years, M age = 20.0 years) self-reported experiences with race-related stressors. ANS reactivity (respiratory sinus arrhythmia [RSA] and pre-ejection period [PEP]) to a video depicting discrimination was collected on a subsample of participants ( N = 103)., Results: Although both race-related stressors were positively correlated with anxiety symptoms, only perceived discrimination was uniquely associated with anxiety symptoms. Further, RSA (but not PEP) reactivity moderated the relationship between perceived discrimination and anxiety symptoms, such that associations were stronger for participants with greater RSA withdrawal., Conclusions: Our results replicate findings on the discrimination-anxiety link in Chinese-heritage college students, and show that model minority stereotyping is correlated with greater anxiety symptoms. Findings suggest that individuals with heightened RSA reactivity may be especially vulnerable to the adverse effect of discrimination. These findings have implications for mental health services for Chinese-heritage U.S. college students. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The current study examined the sociodemographic factors associated with perceived and experienced anti-Chinese discrimination and discrimination as a predictor of psychological distress and loneliness among Chinese Canadians. A cross-sectional online survey was conducted in early 2021 with a sample of 899 Chinese Canadians (i.e., immigrants, citizens, visitors, and international students) during the Wave 2 of the COVID-19 pandemic. Overall, anti-Chinese discrimination was generally associated with younger age and poor financial or health status. Christianity/Catholicism believers were less likely to report perceived discrimination, whereas being married/partnered and living with family reduced the incidences of experienced discrimination. Most importantly, hierarchical linear regression models showed that both perceived and experienced discrimination predicted higher psychological distress ( β s = 4.90-7.57, p s ≤ .001) and loneliness ( β s = .89-1.73, p s ≤ .003), before and after controlling for all related sociodemographic covariates. Additionally, older age, higher education, better financial or health status could all buffer psychological distress, whereas living with family or in a house and better financial or health status could mitigate feeling of loneliness. The results suggested that discrimination has a robust detrimental impact on mental health conditions among Chinese Canadians.

Background: Disabilities have a negative effect on mental health and individuals with such conditions are especially susceptible to mental disorders. Previous research has established that in normal population, social support is significantly correlated with subjective well-being (SWB) through mediating variables; however the internal mechanism underlying this in people with physical disability remains unclear. This study aims to examine whether self-esteem and perceived discrimination play a mediating role in the relationship between social support and SWB in a sample of people with physical disability in China. Methods: A total of 210 people with physical disability of Chinese ethnicity were recruited to complete a series of questionnaires. This included the Chinese Social Support Rating Scale (CSSRS), Rosenberg Self-esteem Scale (RSES), Disability Discrimination Perception Questionnaire (DDPQ), and the Chinese Happiness Inventory (CHI). Path analysis was implemented on the data. Results: The model showed excellent fit to data: χ 2 = 2.314, p > 0.05; root-mean-square error of approximation (RMSEA) = 0.079; standardized root-mean residual (SRMR) = 0.035; comparative fit index (CFI) = 0.989; and Tucker-Lewis index (TLI) = 0.936. The results showed that self-esteem significantly mediated the relationship between social support and SWB, and perceived discrimination in people with physical disability. However, there is no mediating effect of perceived discrimination between social support and SWB. Conclusion: These findings demonstrate that self-esteem may be a critical resource in mediating the relationships between social support, SWB, and perceived discrimination in people with physical disability. [ABSTRACT FROM AUTHOR]

This study investigated the effect of migrant children's perceived discrimination on their social adaptation and the moderating effect of their city identity. In addition, differences in the relationships among the aforementioned variables were compared across two school types in terms of public schools and privately operated migrant schools. A cluster sampling method was used to survey 410 junior high school students in China using the Social Adaptation Assessment Questionnaire, the Perceived Discrimination Questionnaire for Individuals, and the City Identity Questionnaire as measures. Results showed that perceived discrimination significantly and negatively affected the social adaptation of migrant children. The relationship between perceived discrimination and social adaptation was moderated by the city identity of migrant children in private schools but not by those in public schools. Under the condition of high or medium city identity, discrimination negatively predicts social adaptation; under the condition of low city identity, however, discrimination does not predict social adaptation. In conclusion, perceived discrimination is an important factor regarding the social adaptation of migrant children, and their relationships vary by different types of city identity and schools. [ABSTRACT FROM AUTHOR]

Background: Previous study has indicated that perceived discrimination affected the children’s behaviors, but whether belief in a just world moderates the relationship between perceived discrimination and problem behaviors among left-behind children and whether there are differences between boys and girls are still unknown. Aims: This study aims at exploring whether perceived discrimination influences the left-behind children’s behaviors and the moderating role of belief in a just world among both boys and girls. Methods: Using cross-sectional data on rural left-behind children in Henan Province of China, this study examined the relationships among perceived discrimination (personal and group), belief in a just world and problem behaviors for both boys and girls. The participants included 336 boys and 310 girls. Self-report questionnaires captured perceived discrimination, belief in a just world and problem behaviors. Results: The results demonstrated that Chinese left-behind boys who perceived a high amount of personal discrimination were prone to exhibit problem behaviors. Yet, neither perceived personal nor group discrimination was associated with problem behaviors among the left-behind girls. Moreover, the children’s belief in a just world moderated the association between perceived discrimination and problem behaviors among the boys; in those who reported higher levels of belief in a just world, the negative effect of perceived personal discrimination on problem behaviors appeared weaker, comparing to those who reported lower levels of belief in a just world. In addition, the negative effect of perceived group discrimination on problem behaviors appeared stronger among the left-behind boys who reported higher levels of belief in a just world. Conclusion: Belief in a just world provided a protect function for the left-behind children when facing perceived personal discrimination. More attention should be paid on belief in a just world, perceived discrimination and problem behaviors among left-behind children. [ABSTRACT FROM AUTHOR]

Background: Previous research has indicated that perceived discrimination has harmful effects on migrant children’s physical, mental and behavioral health. However, little is known as to whether these harmful effects cumulate to impact on migrant children’s personalities. Aims: This study examines the effect of perceived discrimination on personality, as well as the moderating role of parental support in the discrimination–personality linkage. Methods: A purposeful convenience sample of 215 migrant children in Beijing, China, completed a standardized questionnaire. Results: Migrant children experienced a moderate level of perceived discrimination, with Form 8 students experiencing greater discrimination than lower grades and those with lower family incomes also experiencing greater discrimination than those with higher family incomes. Perceived discrimination significantly predicted neuroticism; parental support significantly predicted extraversion, openness, agreeableness and conscientiousness, but the moderating effect of parental support was only marginally significant for the relation between discrimination and conscientiousness. Conclusion: This study underlines the need for researchers and policy makers to pay more attention to the impact of perceived discrimination on migrant children’s personality development. [ABSTRACT FROM AUTHOR]

The five-star hotel context highlights the differences in social identity between employees and guests as a factor that impacts how employees handle customer verbal aggression. Considering this point, the present study employs the social cognitive theory of social class to propose a social-class-based customer–employee interaction model to explain the relationship between customer verbal aggression and employee service sabotage. We examine whether the Eastern cultural tradition mitigates this effect by instilling different perceptions of traditional hierarchical systems. A two-level (employees, supervisors) data collection/analysis model is applied to treat data from 309 employee–supervisor dyads from nine five-star hotels in China. The results indicate that frontline service employees' perceived discrimination mediates the effect of customer verbal aggression on service sabotage. Thus, the Eastern cultural tradition, directly and indirectly, acts as a boundary condition for these effects. The theoretical and practical implications of this study are also discussed. • A social-class-based customer–employee interaction model was proposed. • The effect of customer verbal aggression on employee service sabotage was studied. • We examined whether the Eastern (Chinese) cultural tradition mitigates this effect. • Frontline service employees' perceived discrimination mediates this effect. • Social cognitive theory of social class provided the theoretical foundation. [ABSTRACT FROM AUTHOR]

With the acceleration of China's industrialization and urbanization, there is a large number of left-behind children in China who are reported with more challenges in development. The study aims to analyze the differences in family socioeconomic status (SES) and discrimination perception between left-behind children and non-left-behind children and further explore whether SES or discrimination perception has a greater impact on the problem behaviors of left-behind children. We found the family SES of left-behind children was significantly lower than that of non-left-behind children; left-behind children's perceived discrimination was significantly higher than that of non-left-behind children; perceived discrimination of left-behind children had a greater impact on their problem behavior than the family SES.

Background: Reducing the rate and impact of problematic smartphone use (PSU) among deaf and hard-of-hearing (DHH) students has become a social issue. Research has suggested that perceived discrimination is associated with PSU, although the underlying mechanism of this association for DHH students is not clear., Aims: This study explored the mediating roles of sense of security and social avoidance in the association between perceived discrimination and PSU among Chinese DHH students., Method: Five hundred and seventy DHH students, selected through simple random sampling, participated in an online survey, which included measurements of perceived discrimination, sense of security, social avoidance, and PSU. The results were analyzed with SPSS 25.0 and Mplus 7.0., Results: (1) Perceived discrimination, sense of security, and social avoidance were significantly associated with PSU among DHH students; (2) sense of security and social avoidance played mediating roles separately in the association between perceived discrimination and PSU; (3) sense of security and social avoidance played serial mediating roles in the relationship between perceived discrimination and PSU., Conclusions: The findings suggest that discriminatory experiences of DHH students are related to a relatively low sense of security and high social avoidance, which may lead to PSU. The results have important implications for the prevention of and intervention for PSU among DHH students., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Abstract: The association between age and mental health symptoms among persons with HIV (PWH) is inconsistent, and little is known about the mediators and moderators of this association. This study aimed to examine the association between age and mental health symptoms, as well as the mediators and moderators of perceived discrimination. Data were from 1,304 PWH who completed a cross-sectional survey in five areas of China. Multiple linear regressions showed that younger age was significantly associated with more severe mental health symptoms and that perceived discrimination moderated this relationship. The Sobel test showed that perceived discrimination also mediated the association between age and mental health symptoms. Our study indicates that perceived discrimination shapes the association between age and mental health symptoms among PWH and highlights the importance of designing age-tailored mental health intervention strategies for perceived discrimination among young PWH. Interventions addressing discrimination are necessary to help improve mental health, especially for young PWH., (Copyright © 2022 Association of Nurses in AIDS Care.)

This study described the prevalence of psychological distress and examined the moderating effect of self-esteem in the relationship between perceived discrimination and psychological distress among Chinese pulmonary tuberculosis (TB) patients. Seven hundred and twenty patients with TB from three cities of Shandong Province in eastern China participated in a cross-sectional survey. Patients were measured with the Kessler 10 (K10), the Rosenberg self-esteem scale, and a self-developed perceived discrimination questionnaire. A total of 58.6% of patients with TB scored above 16 on the K10, indicating moderate and serious psychological distress. Chi-square test revealed that female patients reported higher psychological distress than male patients. The structural equation modeling (SEM) analysis among the whole sample indicated that perceived discrimination was significantly related with psychological distress (β = .28,p ≤ .01). The multiple group analysis of SEM showed that perceived discrimination had a significantly substantial (β = .50,p ≤ .001), significantly moderate (β = .15,p ≤ .01), and insignificant effect (β = .05,p ≥ .05) on psychological distress among low self-esteem, moderate self-esteem, and high self-esteem patients with TB, respectively, which verified the moderating effect of self-esteem in the relationship between perceived discrimination and psychological distress. [ABSTRACT FROM PUBLISHER]

We explored the mediating effect of social support and loneliness in the relationships between perceived discrimination and suicidal ideation among impoverished Chinese college students. Using the convenience cluster sampling method, we chose a total of 964 impoverished college students from a central province of China. Students completed the cross-sectional survey using the Perceived Discrimination Questionnaire, the Social Support Rating Scale, the University of California at Los Angeles Loneliness Scale, and the Beck Scale for Suicidal Ideation. Correlation analysis and structural equation modeling analysis were conducted to clarify the relationships between study variables. Correlation analysis showed that perceived discrimination, loneliness, and suicidal ideation were positively correlated with each other; social support was negatively correlated with perceived discrimination, loneliness, and suicidal ideation. In addition, structural equation modeling analysis indicated that perceived discrimination had a direct positive effect on suicidal ideation; social support and loneliness partially mediated the relationship between perceived discrimination and suicidal ideation. Specifically, perceived discrimination was positively associated with suicidal ideation via social support and loneliness separately, and had a serial association through both social support and loneliness. Thus, perceived discrimination may have influenced suicidal ideation through both social support and loneliness.

The 2019 coronavirus disease pandemic has resulted in a significant increase in the incidence and prevalence of mental health problems such as anxiety and depression, posing a threat to peoples' lives and health safety all over the world. Research suggests some potential relationships among perceived risk, discrimination, security, and depression symptoms. However, little attention has been paid to the complex mechanisms of the associations between these variables. This study aimed to examine the mediating role of security and moderation role of perceived discrimination in the prediction of perceived epidemic risk on depression symptoms. Thus, we aimed to identify if perceived epidemic risk is a positive predictor of depression. A cross-sectional study was conducted through an anonymous online survey in China during the COVID-19 pandemic which measured perceived epidemic risk, discrimination, security, and depression symptoms. A total of 3443 valid questionnaires were obtained. The results indicated that depression symptoms were predicted by perceived epidemic risk through the mediating role of security, and this mediating role of security was moderated by perceived discrimination. Specifically, high levels of perceived discrimination may lead to a significant decrease in personal security, thus clustering depressive symptoms. These findings shed light on the influence of the perceived risk of the epidemic on depression symptoms in the context of the epidemic situation, which may help to develop targeted interventions.

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