title: Racism and health among urban Aboriginal young people.
abstract: BACKGROUND
  Racism has been identified as an important determinant of health but few studies have explored associations between racism and health outcomes for Australian Aboriginal young people in urban areas.
  
  
  METHODS
  Cross sectional data from participants aged 12-26 years in Wave 1 of the Victorian Aboriginal Health Service's Young People's Project were included in hierarchical logistic regression models. Overall mental health, depression and general health were all considered as outcomes with self-reported racism as the exposure, adjusting for a range of relevant confounders.
  
  
  RESULTS
  Racism was reported by a high proportion (52.3%) of participants in this study. Self-reported racism was significantly associated with poor overall mental health (OR 2.67, 95% CI 1.25-5.70, p = 0.01) and poor general health (OR 2.17, 95% CI 1.03-4.57, p = 0.04), and marginally associated with increased depression (OR 2.0; 95% CI 0.97-4.09, p = 0.06) in the multivariate models. Number of worries and number of friends were both found to be effect modifiers for the association between self-reported racism and overall mental health. Getting angry at racist remarks was found to mediate the relationship between self-reported racism and general health.
  
  
  CONCLUSIONS
  This study highlights the need to acknowledge and address racism as an important determinant of health and wellbeing for Aboriginal young people in urban areas of Australia.
authors.affiliation: McCaughey Centre and Onemda VicHealth Koori Health Unit, Melbourne School of Population Health, University of Melbourne, Melbourne, Australia. npriest@unimelb.edu.au
authors.forename: Naomi
authors.initials: N
authors.lastname: Priest
authors.forename: Yin
authors.initials: Y
authors.lastname: Paradies
authors.forename: Paul
authors.initials: P
authors.lastname: Stewart
authors.forename: Joanne
authors.initials: J
authors.lastname: Luke
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D016017:Odds Ratio; D011287:Prejudice; D014505:Urban Population; D014739:Victoria; D055815:Young Adult