Racial discrimination in the United States continues to adversely affect health outcomes to the detriment of African Americans. To assess the experiences of residents of a metropolitan community with high rates of racial health disparities in upstate New York, we conducted a survey to measure the primary reasons for discrimination and their experiences with daily and lifetime discrimination, reactions to these experiences, and coping mechanisms. Of the 739 individuals who completed the survey in 2012, 71.5% self-reported as Black or African American. This article focuses on the experiences of Blacks or African Americans, among whom 76.2% reported having experienced racial discrimination at some point in their life. Respondents with higher levels of education and higher income were more likely to report experiencing racial discrimination at work, while for those with a high school education or less it was on the street or public spaces. The burden of these experiences affected individuals by making life more difficult and interfering with a productive life. In light of the known impact of racial discrimination on individual and population health and well-being, it is crucial that efforts to address social and health disparities take into account the high rates of experiences of racism.

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自我报告的纽约北部非裔美国人种族歧视经历

美国的种族歧视继续对健康产生不利影响，损害了非裔美国人。为了评估纽约州北部种族健康差异高的大都市社区居民的经历，我们进行了一项调查，以衡量歧视的主要原因以及他们在日常和终生歧视中的经历，对这些经历的反应以及应对机制。在2012年完成调查的739个人中，有71.5％自我报告为黑人或非裔美国人。本文着重介绍黑人或非裔美国人的经历，其中76.2％的人报告说在他们的生活中曾经历过种族歧视。受过较高教育和收入的被调查者更有可能报告在工作中遭受种族歧视，而对于那些高中或以下学历的人则是在街头或公共场所。这些经历的负担通过使生活更加困难并干扰生产性生活而影响了个人。鉴于种族歧视对个人和人口健康与福祉的已知影响，解决社会和健康差距的努力必须考虑到种族主义的高发生率，这一点至关重要。