St. John’s Professor, Students, Earn International Recognition with New Study on Racism and Health

March 06, 2007

St. John’s Psychology Professor Elizabeth N. Brondolo, Ph.D., has garnered academic esteem during the past five years with her cutting-edge system of measuring the effects of racism on the health and well-being of African- and Latino-Americans. Now, with the help of a team of St. John’s graduate students, she is applying her methodologies to Asian populations and discovering significant results.

According to her research — and contrary to widely accepted societal beliefs — Asian-Americans are closely related to African- and Latino-Americans in their day-to-day experiences of discrimination. Consequently, their health is threatened in similar ways.

“Discrimination and its influence on health are problems for everyone,” says Brondolo, citing hypertension, cardiovascular disease, depression and anxiety as common health effects of racism.

With the assistance of St. John’s graduate students Jennifer Atencio, Jasmin Kwok and Jahanara Ullah, Brondolo currently is examining the racism/health relationship among Americans of South-Asian (Indian/Pakistani/Bangladeshi) and East-Asian (Filipino/Chinese/Japanese) descent. During the past year, the St. John’s research team has been working with Asian outpatients at Jamaica Hospital Medical Center and will soon begin testing at Flushing Hospital Medical Center, both in Queens.

“Dr. Brondolo is engaged in some excellent projects here looking at the effects of racism on blood pressure, says Dr. Alan Roth, Chairman of the Department of Family Medicine at Jamaica Hospital. “But on a more general scale, she has added a cultural component to our residency training program that has been very effective. She is opening the minds of an entire field of young educators to racism and medicine, showing them how personal stereotyping and bias can affect their health care delivery.”

From New York to Bangkok
Recently, Brondolo’s research has been stirring interest abroad. Last November, Atencio, a fourth-year doctoral fellow from Queens, attended the International Congress of Behavioral Medicine in Bangkok, Thailand, to present the team’s current findings on the effects of racism on Asian-Americans.

“There’s a myth out there that says all Asians are healthy and doing well,” says Atencio, suggesting that the false claim is perpetuated by past epidemiological research that focused solely on Japanese- and Chinese-Americans — subgroups that emigrated to the United States earlier than any other Asian minority group and have benefited from a longer adjustment period. “We can’t just clump all Asians together,” advises Atencio, whose Bangkok presentation made quite an impression on many conference attendees now eager to form partnerships with the St. John’s research team.

“Jenni's presentation was insightful,” says Emily Williams, who works for the British Department of Epidemiology and Public Health’s Psychology Group. “I would consider including her methodologies in my own work in the assessment of psychosocial influence on coronary heart disease risk in U.K. South Asians, and I look forward to reading more about this research from her and her colleagues.”

Atencio currently is working on her dissertation examining the effects of racism on health among multiple Asian-American subgroups.

The Vincentian Way
According Brondolo and her team, the study of racism and its health implications supports the St. John’s Vincentian mission of reaching out to underrepresented members of American society.

“We just want to increase the awareness that discrimination affects everyone, including members of the Asian community,” says Atencio, adding that their research like theirs would be extremely difficult to conduct in universities outside the New York City melting pot, which has the highest U.S. populations of Filipino-, Chinese- and Korean-Americans.

“If you have been targeted by racism, you know that it is depressing and difficult to deal with, and that it may affect your health,” adds Brondolo, whose studies suggest that day-to-day racism is more common than most people believe. “We hope that by explaining the way racism works, we can help people think more carefully about the way we interact with others and be more open to conversations about the topic.”

Throughout her career, Brondolo’s research has been buoyed by her self-created “Perceived Ethnic Discriminatory Questionnaire” (PEDQ). Designed for use with any ethnic or racial group, the PEDQ includes scales that assess people’s lifetime experiences of ethnic discrimination. Brondolo developed her measure in collaboration with one of her mentors from Rutgers University, Dr. Richard Contrada, and fine-tuned it while working alongside the medical director at Bedford- Stuyvesant Family Health Center in Brooklyn in 2000.

Brondolo says she has administered the PEDQ to more than 2,000 subjects recruited from hospitals, community/migrant health centers and colleges and universities such as St. John’s. She has used the results to write eight articles, four of which have been published. (The remaining four articles should be published soon.) The sophistication of the PEDQ has helped Brondolo secure nearly $2 million in grant money from the National Institute of Mental Health and the National Heart, Lung and Blood Institute during her St. John’s tenure. (She also has secured an additional $1 million in grants unrelated to the PEDQ.)

Brondolo says her next academic endeavor is to develop strategies that minorities can use to combat the health effects of racism.