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<front>
<journal-meta>
<journal-id journal-id-type="publisher">jmmh</journal-id>
<journal-title-group>
<journal-title>Journal of Muslim Mental Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1556-5009</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">133</article-id>
<article-id pub-id-type="manuscript">Bassioni_FINAL.docx</article-id>
<article-id pub-id-type="doi">10.3998/jmmh.133</article-id>
<title-group>
<article-title>Effects of Religious Discrimination and Fear for Safety on Life Satisfaction for Muslim Americans</article-title>
<alt-title alt-title-type="running-head">EFFECTS OF PERCEIVED DISCRIMINATION AND FEAR FOR SAFETY</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Bassioni</surname>
<given-names>Ramy</given-names>
</name>
<email>rbassioni@mail.umkc.edu</email>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Langrehr</surname>
<given-names>Kimberly</given-names>
</name>
<email>langrehrk@umkc.edu</email>
</contrib>
<aff id="aff1">University of Missouri &#x2013; Kansas City</aff>
</contrib-group>
<pub-date>
<day>31</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<issue>1</issue>
<permissions>
<license><license-p>CC BY-NC-ND 4.0</license-p></license>
</permissions>
<abstract>
<p>The purpose of the current study was to examine the relationship between two forms of religious discrimination (religious prejudice and environmental discrimination) and life satisfaction in a sample of Muslim Americans. Based on the framework of minority stress theory, we hypothesized that higher levels of religious prejudice (distal stressor) and environmental discrimination would significantly relate to higher fear for safety (proximal stressor) and, in turn, would relate to lower life satisfaction. A total of 192 Muslim American participants (Age <italic>M</italic> = 27.87) completed an online survey about their experiences. Women made up almost 75% of the sample. Findings revealed that higher religious prejudice as well as environmental discrimination were both significantly related to lower life satisfaction and that fear for safety partially mediated both of these relationships. Findings help illustrate that Muslim Americans are impacted by the social-political climate of Islamophobia and can experience religious discrimination in different ways. In addition, women and younger participants expressed higher fear for safety when compared to men and older participants. Professionals who work with individuals from the Muslim community are encouraged to consider the chronic and ongoing impact of stress that Muslim Americans face especially within some Islamophobic environments in the United States.</p>
</abstract>
<kwd-group>
<kwd>Muslim American</kwd>
<kwd>religious discrimination</kwd>
<kwd>hate crimes</kwd>
<kwd>life satisfaction</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
</counts>
</article-meta>
</front>
<body>
<p>Consisting of around 1.6 billion Muslims, Islam is considered the second largest religion in the world, following Christianity (<xref ref-type="bibr" rid="R6">Ali, Liu, &amp; Humedian, 2004</xref>; <xref ref-type="bibr" rid="R28">Lipka, 2017</xref>). In the United States, Muslims are estimated to range anywhere from three to seven million (<xref ref-type="bibr" rid="R36">Mohamed, 2016</xref>; <xref ref-type="bibr" rid="R45">Rosentiel, 2007</xref>), with a majority identifying as immigrants (<xref ref-type="bibr" rid="R41">Pew Research Center, 2018</xref>). Although the 1960s introduced a large wave of Muslim immigrants to the United States, Islam as an &#x201C;outsider&#x201D; religion, rarely garnered public attention until the Iran hostage crisis through the 1980s, through the 1990s and events of 9/11 which solidified the start of Islamophobic narratives in both mainstream and political atmospheres (<xref ref-type="bibr" rid="R4">Ahmad, 2009</xref>). For example, new words (e.g., anti-Muslim) and terminology (e.g., Islamophobia) have become commonplace to describe the fear and hatred toward Muslims (<xref ref-type="bibr" rid="R17">Every &amp; Perry, 2014</xref>) while various prejudiced efforts such as the &#x201C;Campaign for a Muslim Free America&#x201D; and &#x201C;Muslim Free Zones&#x201D; have also emerged (<xref ref-type="bibr" rid="R13">Council on American-Islamic Relations [CAIR], 2015</xref>). Furthermore, when reporting on Islam-related news stories, media outlets often use stigmatizing language (<xref ref-type="bibr" rid="R16">Dunn, Klocker, &amp; Salabay, 2007</xref>; <xref ref-type="bibr" rid="R23">Kalek, Mak, &amp; Khawaja, 2010</xref>) and pair images of Muslim women in hijabs when referring to &#x201C;terrorists&#x201D; (<xref ref-type="bibr" rid="R4">Ahmad, 2009</xref>).</p>
<p>Given this prejudiced climate, hate crimes against Muslims have increased substantially over the last 20 years (<xref ref-type="bibr" rid="R2">Abu-Ras &amp; Suarez, 2009</xref>; <xref ref-type="bibr" rid="R22">Ibish, 2008</xref>) particularly as Muslims began to be scrutinized as a threat to national security (<xref ref-type="bibr" rid="R9">Bakalian &amp; Bozorgmehr, 2011</xref>). In the second quarter of 2018 alone, CAIR received 1006 reports of bias incidents against Muslims and reported a 21% increase in hate crimes against Muslims (<xref ref-type="bibr" rid="R14">CAIR, 2018</xref>). Given the increase in Islamophobic sentiments within the United States, it is not overly surprising that Muslims tend to be highly misunderstood and often misidentified by the American public (<xref ref-type="bibr" rid="R21">Hood, 2009</xref>; <xref ref-type="bibr" rid="R53">Younis, 2015</xref>). For example, Islam is often depicted as a monolithic religion, yet Muslims are significantly diverse and represent a variety of sects, traditions, social class markers, and ethnic backgrounds (<xref ref-type="bibr" rid="R42">Platt, 2007</xref>; <xref ref-type="bibr" rid="R50">Wang, Raja, &amp; Azhar, 2019</xref>). Furthermore, racial considerations for many Muslim Americans can be complex and confusing given that the U.S. government classifies Arab Americans as &#x201C;White&#x201D; (<xref ref-type="bibr" rid="R9">Bakalian &amp; Bozorgmehr, 2011</xref>). Muslims with South Asian heritage (e.g., India, Pakistan, etc.) fall under the U.S. census definition of &#x201C;Asian&#x201D; (i.e., having origins in the Far East, Southeast Asia, or the Indian subcontinent) yet they often share more cultural traditions with Muslims from the Middle East than from East Asia (<xref ref-type="bibr" rid="R9">Bakalian &amp; Bozorgmehr, 2011</xref>).</p>
<p>Given these misperceptions, Muslim Americans face multiple forms of discrimination and harassment that are likely to have negative consequences on their mental health and functioning (<xref ref-type="bibr" rid="R8">Amer &amp; Bagasra, 2013</xref>; <xref ref-type="bibr" rid="R9">Bakalian &amp; Bozorgmehr, 2011</xref>). In particular, experiencing ongoing external expressions of individual prejudice (e.g., discrimination, harassment, violence) has been linked to a variety of adverse psychological and physical consequences among underrepresented groups (<xref ref-type="bibr" rid="R39">Pascoe &amp; Richman, 2009</xref>; <xref ref-type="bibr" rid="R47">Schmitt, Branscombe, Postmes, &amp; Garcia, 2014</xref>). Given the misperceptions of Islam as a threat to the values of many Americans (<xref ref-type="bibr" rid="R46">Rubenstein, 2004</xref>), we propose that it is particularly important to consider the impact that these misperceptions have on Muslims who are perceived and treated unfairly within Islamophobic environments of the United States. According to the tenets of minority stress theory (<xref ref-type="bibr" rid="R34">Meyer, 1995</xref>; <xref ref-type="bibr" rid="R35">2003</xref>), individuals who hold values considered to diverge from the dominant culture are likely to experience their social climate as hostile (e.g., Islamophobia), and are subject to ongoing forms of discrimination and injustice that have adverse consequences on their mental health. Therefore, the purpose of the current study is to explore the relationship between different forms of religious discrimination and life satisfaction and whether appraising threats to their safety helps explain this relationship.</p>
<sec id="S1">
<title>Discrimination and Minority Stress among Muslim Americans</title>
<p>Given the widespread nature of Islamophobia in the recent sociopolitical climate, it seems imperative to consider the influence of minority-related stress in understanding the discriminatory experiences faced by Muslim Americans. Minority stress theory is a framework that explains and accounts for marginalization, stress, and stigma faced by minority groups (<xref ref-type="bibr" rid="R35">Meyer 2003</xref>; <xref ref-type="bibr" rid="R38">Parent et al., 2018</xref>). In particular, minority stress can be characterized as the marginalization and stigmatization faced by minority groups when their values, beliefs, and practices are deemed to conflict with that of the mainstream culture (<xref ref-type="bibr" rid="R34">Meyer, 1995</xref>; <xref ref-type="bibr" rid="R40">Pearlin, 1989</xref>). According to minority stress theory, stigmatized individuals face stressors in the form of harassment and discrimination that lends to higher risk for negative mental health outcomes (<xref ref-type="bibr" rid="R27">Lehavot &amp; Simoni, 2011</xref>; <xref ref-type="bibr" rid="R51">Williams et al., 2005</xref>). Being perceived as a member of a marginalized group (e.g., racial, ethnic, religious, or sexual minorities) has been known to increase the likelihood of expecting rejection from the dominant society and interpreting events as discriminatory (Mendoza-Denton et al., 2012).</p>
<p>Although the narrative of religious freedom and the separation of church and state are foundational to this country, the United States has been referred to as a largely Christian nation (Curtis IV, 2009), such that approximately 65% to 70% of Americans identify with some form of Christianity (Pew Research Center, 2016). Throughout U.S. history, certain Christian identities can be linked to disproportionate amount of sociopolitical power, for example in that all but two of the 46 presidents have been Protestants (Pew Research Center, 2020). Furthermore, many Americans&#x2019; perceptions of religion have been historically viewed through a Christian lens, which has placed other religions in a position of being viewed as &#x201C;different&#x201D; and incompatible with American values (<xref ref-type="bibr" rid="R11">Cainkar, 2002</xref>; <xref ref-type="bibr" rid="R46">Rubenstein, 2004</xref>). In addition, Westernized media has often referred to terrorism when discussing Islam and Muslims, making the faith synonymous with most attacks in Western countries (Poynting et al., 2004).</p>
<p>Although minority stress theory was originally created to help explain the experiences of discrimination among sexual minorities (<xref ref-type="bibr" rid="R35">Meyer, 2003</xref>), the theoretical tenets can be used to understand and explain how other groups perceived to be different from the dominant society experience stress (<xref ref-type="bibr" rid="R12">Carr &amp; Friedman, 2005</xref>). Experiences faced by religious minorities can result in the same health risks as other marginalized groups presented through the minority stress model. The scrutiny placed on Muslims since 9/11 has undoubtedly contributed to the rise in overt forms of violence against Muslim communities based on depictions of Islam as a foreign belief system that contradicts American values (<xref ref-type="bibr" rid="R11">Cainkar, 2002</xref>; <xref ref-type="bibr" rid="R46">Rubenstein, 2004</xref>). In particular, Islamic values and practices are typically viewed as conflicting with American culture (<xref ref-type="bibr" rid="R4">Ahmad, 2009</xref>), and this perceived contention (with dominant values) can lend to greater stress and fewer resources for underrepresented communities (Williams, Neighbors, &amp; Jackson, 2003). Given the external stresses of facing discriminatory treatment and anti-Muslim attitudes, Muslim Americans are likely to experience a stress process that is likely to affect their overall wellbeing. Indeed, existing studies that have explored the impact of discrimination among Muslim Americans suggest that greater experiences with religious discrimination have been related to higher rates of depression (<xref ref-type="bibr" rid="R20">Hodge, Zidan, &amp; Husain, 2016</xref>) and PTSD symptoms (<xref ref-type="bibr" rid="R2">Abu-Ras &amp; Suarez, 2009</xref>; <xref ref-type="bibr" rid="R30">Lowe, Tineo, Bonumwezi, &amp; Bailey, 2019</xref>), lower self-esteem (<xref ref-type="bibr" rid="R18">Ghaffari &amp; &#x00C7;ift&#x00E7;i, 2010</xref>), and physical health problems (<xref ref-type="bibr" rid="R24">Kira et al., 2010</xref>; <xref ref-type="bibr" rid="R49">Sheridan, 2006</xref>). Most research in this area has examined discrimination from an interpersonal standpoint such that participants are asked about their experiences with microaggressions (<xref ref-type="bibr" rid="R37">Nadal et al., 2012</xref>) and being harassed or treated unfairly based on their Muslim identity (<xref ref-type="bibr" rid="R18">Ghaffari &amp; &#x00C7;ift&#x00E7;i, 2010</xref>; <xref ref-type="bibr" rid="R30">Lowe et al. 2019</xref>). In addition to facing ongoing interpersonal religious discrimination from people in society, Muslim Americans face prejudice and bias through repercussions of sensationalist news outlets and other publicized forums. For example, mainstream media tens to further perpetuate Islamophobic sentiments by framing Muslim Americans within the context of terrorism and violence (<xref ref-type="bibr" rid="R26">Laird, et al., 2013</xref>; <xref ref-type="bibr" rid="R33">Mercier, et al., 2018</xref>; <xref ref-type="bibr" rid="R48">Shaver, Sibley, Osborne, &amp; Bulbulia, 2017</xref>). While interpersonal discrimination can result in instances of harassment and hate crimes from individuals in society, prejudicial depictions in the media can lead to systemic discrimination and policies aimed at impacting Muslim Americans. These different types of discrimination impact and affect Muslim Americans differently.</p>
<p>Within the framework of minority stress, it is important to underscore that Muslim Americans are likely to experience different variations of minority-related stress that can be categorized as distal and proximal stressors. Distal stressors (e.g., discrimination, violence, Islamophobic attitudes in the media) are considered external influences that target an individual based on their identity whereas proximal stress is considered a byproduct of distal stress that relies on a person&#x2019;s internal and subjective appraisals of their experiences with discrimination (<xref ref-type="bibr" rid="R35">Meyer, 2003</xref>). In particular, by sensing ongoing threats to safety, victims of discrimination are likely to internalize their distress (<xref ref-type="bibr" rid="R31">Major, Kaiser, O&#x2019;Brien, &amp; McCoy, 2007</xref>). In one of the only studies on Muslim Americans that examined indicators of distress within a minority stress framework, the results revealed a positive and significant relationship between perceived discrimination and negative psychological symptoms (<xref ref-type="bibr" rid="R43">Rippy &amp; Newman, 2006</xref>). In addition, this study considered multiple forms of religious discrimination (i.e., interpersonal prejudice, environment, and bicultural identification) and found that higher forms of religious discrimination positively correlated with higher levels of suspicion, mistrust, and wariness. In their conclusions, the authors emphasized that when working with Muslim Americans, it is essential to consider the realities of their environmental context when interpreting any hypervigilant behaviors (<xref ref-type="bibr" rid="R43">Rippy &amp; Newman, 2006</xref>).</p>
</sec>
<sec id="S2">
<title>Fear for Safety</title>
<p>One of the unique and devastating aspects of Islamophobia compared to other forms of prejudice is its characterization of being an active threat to America&#x2019;s religious and national values and security (<xref ref-type="bibr" rid="R50">Wang et al., 2019</xref>). Within the framework of minority stress theory (<xref ref-type="bibr" rid="R34">Meyer, 1995</xref>; <xref ref-type="bibr" rid="R35">2003</xref>), developing concerns for personal safety would not be an out-of-proportion response for Muslims given the widespread stigma, violence, and loss linked to Islamophobia (<xref ref-type="bibr" rid="R2">Abu-Ras &amp; Suarez, 2009</xref>). Indeed, following 9/11, Muslim Americans have reported feeling less safe in society (<xref ref-type="bibr" rid="R1">Abu-Ras &amp; Abu-Bader, 2008</xref>; <xref ref-type="bibr" rid="R6">Ali et al., 2004</xref>). Furthermore, studies have found evidence that Muslim women indeed experience and are impacted by internal stressors causing them to have to choose whether or not to remove their hijab or conceal their religious identity due to feelings of hypervigilance and feeling unsafe (<xref ref-type="bibr" rid="R18">Ghaffari &amp; &#x00C7;ift&#x00E7;i, 2010</xref>).</p>
</sec>
<sec id="S3">
<title>Purpose of Study</title>
<p>Given the rise in hate crimes against Muslims combined with Islamophobic rhetoric in media outlets (<xref ref-type="bibr" rid="R16">Dunn et al., 2007</xref>; <xref ref-type="bibr" rid="R23">Kalek et al., 2010</xref>), the purpose of this study is to examine the relationship between religious discrimination and life satisfaction in a sample of Muslim Americans. Based on a minority stress framework, we considered both distal (religious discrimination) and proximal stressors (fear for safety) commonly experienced by Muslim Americans and first proposed that two different forms of religious discrimination (religious prejudice and environmental religious discrimination) would positively relate to fear for safety and negatively relate to life satisfaction among Muslim Americans. Second, we hypothesized that fear for safety would at least partially mediate the relationships between the two forms of religious discrimination and life satisfaction.</p>
</sec>
<sec id="S4">
<title>Methods</title>
<sec id="S5">
<title>Participants</title>
<p>All recruitment and data collection took place online. The sample consisted of 192 participants who were on average 27.87 years-old (<italic>SD</italic> = 10.34). Women made up 74.5% (143) of the study sample, men 24.5% (47), and 1.0% (2) chose not to identify. In terms of participants&#x2019; racial-ethnic background, 40.6% (78) identified as Middle Eastern/North African, 29.7% Asian (57), 10.4% Black/African American (20), 8.9% White/European (17), 6.8% Multiracial/Multiethnic (13), and 3.6% Hispanic (7). The majority of participants identified as heterosexual (91.7%, 176) whereas 3.1% (6) identified as bisexual, gay (1.6%, 3), lesbian (1.0%, 2), and 2.5% (5) chose not to report sexual orientation. Over half (57.8%, 111) of participants had undergraduate degrees or higher, 23.4% (45) were currently in school, 13.0% (25) had some post-secondary education but did not earn a degree, and 2.1% (4) had a high school diploma or equivalent. In this sample, the majority of participants (58.9%, 115) were born in the United States, and most (98) identified themselves as children of immigrants compared to a small number of participants (17) whose parents were also born in the United States. The remaining participants immigrated to the United States as an adult (20.3%, 39) or as an infant or child (19.8%, 38). At the time of the study, 33.9% of participants were located in the Northeast (65), 28.6% the Midwest (55), 22.4% the Southeast (43), 10.9% the West (21), and 4.2% in the Southwest (8). Sociodemographic characteristics are presented in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="anchor" orientation="portrait">
<label>Table 1</label>
<caption>
<p>Demographic Information (N = 192)</p>
</caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left" valign="top"/>
<col align="center" valign="top"/>
</colgroup>
<thead>
<tr>
<th align="left" valign="top">Variable</th>
<th align="left" valign="top"></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age M (SD)</td>
<td align="center" valign="top">27.87 (10.34)</td>
</tr>
<tr>
<td align="left" valign="top">Gender N (%)</td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Male</td>
<td align="center" valign="top">47 (24.5)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Female</td>
<td align="center" valign="top">143 (74.5)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Other</td>
<td align="center" valign="top">2 (1.0)</td>
</tr>
<tr>
<td align="left" valign="top">Race/Ethnicity N (%)</td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Middle Eastern/North African</td>
<td align="center" valign="top">78 (40.6)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Asian</td>
<td align="center" valign="top">57 (29.7)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Black/African American</td>
<td align="center" valign="top">20 (10.4)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;White/European</td>
<td align="center" valign="top">17 (8.9)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Multiracial/Multiethnic</td>
<td align="center" valign="top">13 (6.8)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Hispanic/Latinx</td>
<td align="center" valign="top">7 (3.6)</td>
</tr>
<tr>
<td align="left" valign="top">Sexual Orientation N (%)</td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Heterosexual</td>
<td align="center" valign="top">176 (91.7)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Gay/Lesbian</td>
<td align="center" valign="top">5 (2.6)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Bisexual</td>
<td align="center" valign="top">6 (3.1)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Did not report</td>
<td align="center" valign="top">5 (2.5)</td>
</tr>
<tr>
<td align="left" valign="top">Level of Education N (%)</td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;High school diploma or equivalent</td>
<td align="center" valign="top">4 (2.1)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Some post-secondary</td>
<td align="center" valign="top">25 (13.0)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Currently in school</td>
<td align="center" valign="top">45 (23.4)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Undergraduate degree or higher</td>
<td align="center" valign="top">111 (57.8)</td>
</tr>
<tr>
<td align="left" valign="top">Generation Status N (%)</td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Born outside of U.S., but moved as an adult</td>
<td align="center" valign="top">39 (20.3)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Born outside of U.S., but moved as infant/child</td>
<td align="center" valign="top">38 (19.8)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Born in U.S., but parents immigrated</td>
<td align="center" valign="top">98 (51.0)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Born in U.S., as well as parents</td>
<td align="center" valign="top">17 (8.9)</td>
</tr>
<tr>
<td align="left" valign="top">Region of Residence N (%)</td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Northeast</td>
<td align="center" valign="top">65 (33.9)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Midwest</td>
<td align="center" valign="top">55 (28.6)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Southeast</td>
<td align="center" valign="top">43 (22.4)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;West</td>
<td align="center" valign="top">21 (10.9)</td>
</tr>
<tr>
<td align="left" valign="top">&#8195;&#8195;Southwest</td>
<td align="center" valign="top">8 (4.2)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="S6">
<title>Procedure</title>
<p>Prior to collecting data, this study was approved by the University of Missouri-Kansas City&#x2019;s Institutional Review Board. Recruitment was conducted via email through listservs, such as APA Division 45 and 17, Muslim Student Associations, Facebook, and the Muslim Mental Health Conference. The email provided a general description of the study and indicated that in order to take part in the study, participants must be: (a) at least 18 years old, (b) a permanent resident or an American citizen, and (c) identify as a Muslim. Interested participants were directed to follow the hyperlink to the Qualtrics survey where they were presented with informed consent information, the purpose of the study, what the results would be used for, and the option (selecting yes) to continue on to the questionnaire portion of the study.</p>
</sec>
<sec id="S7">
<title>Measures</title>
<sec id="S8">
<title>Religious discrimination</title>
<p>A modified version of the Religious Discrimination Scale (<xref ref-type="bibr" rid="R44">Rippy &amp; Newman, 2008</xref>) was used to measure the distal stressor of religious discrimination. The Religious Discrimination scale was modeled off the Race-Related Stressor Scale (<xref ref-type="bibr" rid="R29">Loo et al., 2001</xref>) which assesses a multidimensional model of discriminatory stress (e.g., individual, institutional, and cultural) among Asian Americans. <xref ref-type="bibr" rid="R44">Rippy and Newman (2008)</xref> generated items for the Religious Discrimination Scale based on individual interviews, focus groups, and expert review. Overall, the Religious Discrimination Scale consists of 33 items across three subfactors: (a) Prejudice and Stigmatization, (b) Racist Environment, and (c) Bicultural Identification; however, Bicultural Identification was omitted in the current study given that this subscale included items that specifically targeted individuals who identify as Iraqi or Afghani rather than just their faith.</p>
<p>The Prejudice and Stigmatization subscale (hereinafter referred to as religious prejudice) consists of 21 items that measure the degree to which participants report experiencing discrimination based on their Muslim identity (e.g., <italic>&#x201C;Have fellow Americans ever kept their physical distance from you because of the fact you were Muslim?&#x201D;</italic>) whereas the Religious Discrimination-Racist Environment Subscale (hereinafter referred to as environmental religious discrimination) consists of six items and measures discrimination experienced from exposure to mainstream media (e.g., <italic>&#x201C;Have you ever heard Muslims referred to in a derogatory term in the media (newspaper, television, films, internet, or radio commentators?&#x201D;</italic>). Participants are asked to rate each item using a scale from 1 (<italic>disagree</italic>) to 4 (<italic>agree</italic>). Subscale scores are calculated by summing the items for each and can range from 21 to 84 for religious prejudice and from 6 to 24 for environmental religious discrimination. For the current sample, scores on both the religious prejudice and environmental religious discrimination subscales demonstrated adequate estimates of internal consistency (&#x03B1; = 0.91 and &#x03B1; = 0.87, respectively) which were comparable to values in the original study sample of Muslim Americans (<xref ref-type="bibr" rid="R44">Rippy &amp; Newman, 2008</xref>). In support of concurrent validity, <xref ref-type="bibr" rid="R44">Rippy and Newman (2008)</xref> found that the total score of religious discrimination significantly related to PTSD symptomology (<italic>r</italic> = .35) and self-reported acts of hate (<italic>r</italic> =.45). In the current study, the correlation between religious prejudice and environmental religious discrimination was <italic>r</italic> =.58 which was similar to that of the original study (<italic>r</italic> =.44).</p>
</sec>
<sec id="S9">
<title>Fear for safety</title>
<p>At the time of this study&#x2019;s creation, there were no published measures that assessed fear for safety among Muslim Americans or other racial-ethnic minority groups. Therefore, we developed a 15-item measure to assess fear for safety among Muslims within the context of American society. Items were developed based on an extensive review of empirical research on the discriminatory experiences of Muslim Americans (i.e., <xref ref-type="bibr" rid="R2">Abu-Ras &amp; Suarez, 2009</xref>; <xref ref-type="bibr" rid="R5">Al Wazni, 2015</xref>; Ghaffari &amp; &#x00C7;ift&#x00E7;i, 2012) as well as survey reports (<xref ref-type="bibr" rid="R13">CAIR, 2015</xref>; <xref ref-type="bibr" rid="R14">2018</xref>; <xref ref-type="bibr" rid="R22">Ibish, 2008</xref>; <xref ref-type="bibr" rid="R28">Lipka, 2017</xref>). Example sample items include: &#x201C;<italic>As a Muslim American, I am concerned about not being protected by police</italic>&#x201D; and &#x201C;<italic>As a Muslim American, I am concerned about being physical harassed</italic>&#x201D;. Participants were asked to rate each item using a six-point scale ranging from 1 (<italic>strongly disagree</italic>) to 6 (<italic>strongly agree</italic>). Scores were summed up to create a total fear for safety score which could range from 15 and 90. In the current sample, scores demonstrated an adequate estimate of internal consistency (&#x03B1; =.89). To establish initial evidence for concurrent validity, fear for safety scores were correlated with the two forms of religious discrimination. Specifically, participants who reported a higher fear for safety also reported more experiences with religious prejudice (<italic>r</italic> = .59) and environmental religious discrimination (<italic>r</italic> =.58).</p>
</sec>
<sec id="S10">
<title>Life satisfaction</title>
<p>The Satisfaction with Life Scale (SWLS; <xref ref-type="bibr" rid="R15">Diener, Emmons, Larsen, &amp; Griffin, 1985</xref>) was utilized to measure life satisfaction. The measure consists of five items (e.g., <italic>In most ways my life is close to my ideal</italic>) and participants are asked to rate each on a seven-point scale, ranging from 1 (<italic>strongly disagree) to</italic> 7 (<italic>strongly agree</italic>). Total scores can range from 5 to 35. <xref ref-type="bibr" rid="R3">Abu-Rayya, Almoty, White, and Abu-Rayya (2016)</xref> found that scores on the SWLS demonstrated an adequate estimate of reliability (&#x03B1; =.84) among a sample of Australian Muslims.</p>
</sec>
<sec id="S11">
<title>Demographic information</title>
<p>Participants were asked to provide basic demographic information about themselves, including age, gender, racial-ethnic background, sexual orientation, region of residence, annual household income, level of education, generational status, and whether they were born into a Muslim family. Participants were also asked to provide the number of years they have been practicing Islam.</p>
</sec>
</sec>
<sec id="S12">
<title>Data Analysis Plan</title>
<sec id="S13">
<title>Data screening and preliminary analysis</title>
<p>Before testing the hypothesized model, data was screened for missing data and other conditions for linear regression. Of the 255 participants who accessed the survey, 60 were removed for missing over 20% of data. Analysis of missing data revealed the percentage of missing data was deemed low (.03). Overall, the final sample included 192 participants. In addition, all scores were normally distributed. Standardized residuals for each calculated regression fell within acceptable ranges (&#x2013;3 to 3). Mahalanobis and Cook&#x2019;s distances and leverage values indicated no presence of outliers. Values for tolerance and inflation fell within acceptable ranges (tolerance = 0.57 to 0.86; VIF = 1.16 to 1.72) indicating that multicollinearity was not a concern.</p>
<p>Multivariate tests were also used to examine potential differences in group means based on participants&#x2019; racial-ethnic background, gender, and generational status. Results revealed no significant multivariate effects based on racial-ethnic background or generational status; however significant effects were found for gender (<italic>F</italic>(2, 181) = 3.06, <italic>p</italic> = .002, Pillai&#x2019;s Trace = .128, &#x03B7;p<sup>2</sup> = .064) that were specific to fear for safety, <italic>F</italic>(2, 181) = &#x2212;9.14, <italic>p</italic> &#x003C; .001. Bonferroni adjusted 95% confidence intervals revealed that women expressed higher concerns for safety (<italic>M</italic> = 48.46, <italic>SD</italic> = 9.91) compared to men (<italic>M</italic> = 39.31, <italic>SD</italic> = 13.43).</p>
</sec>
</sec>
</sec>
<sec id="S14">
<title>Results</title>
<p>Bivariate correlations were used to test Hypothesis 1, which proposed that scores on the dimensions of religious discrimination (religious prejudice and environmental religious discrimination) would significantly and positively relate to fear for safety and negatively relate to life satisfaction among Muslim Americans. Both religious prejudice and environmental religious discrimination significantly and positively related to fear for safety (<italic>r</italic> = .55, <italic>p</italic> &#x003C; .001; <italic>r</italic> = .56, <italic>p</italic> &#x003C; .001) respectively. Overall, the results of the correlational analysis indicated that all relationships between variables were significant and in the expected direction (<xref ref-type="table" rid="T2">Table 2</xref>). Given that participant age was significantly related to both religious discrimination variables, fear for safety, as well as life satisfaction, age was entered as a covariate in the remaining study analyses.</p>
<table-wrap id="T2" position="anchor" orientation="landscape">
<label>Table 2</label>
<caption>
<p>Correlations, Means, and Standard Deviations of Variables of Interest</p>
</caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left" valign="top"/>
<col align="center" valign="top"/>
<col align="center" valign="top"/>
<col align="center" valign="top"/>
<col align="center" valign="top"/>
<col align="center" valign="top"/>
<col align="center" valign="top"/>
<col align="center" valign="top"/>
</colgroup>
<thead>
<tr>
<th align="left" valign="top"></th>
<th align="center" valign="top">1</th>
<th align="center" valign="top">2</th>
<th align="center" valign="top">3</th>
<th align="center" valign="top">4</th>
<th align="center" valign="top">5</th>
<th align="center" valign="top"><italic>M</italic></th>
<th align="center" valign="top"><italic>SD</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">1. Religious prejudice</td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top">39.33</td>
<td align="center" valign="top">13.84</td>
</tr>
<tr>
<td align="left" valign="top">2. Environmental discrimination</td>
<td align="center" valign="top">.54<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top">19.47</td>
<td align="center" valign="top">4.57</td>
</tr>
<tr>
<td align="left" valign="top">3. Fear of safety</td>
<td align="center" valign="top">.55<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">.56<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top">50.82</td>
<td align="center" valign="top">12.41</td>
</tr>
<tr>
<td align="left" valign="top">4. Life satisfaction</td>
<td align="center" valign="top">&#x2212;.24<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">&#x2212;.19<xref ref-type="table-fn" rid="tfn2">**</xref></td>
<td align="center" valign="top">&#x2212;.39<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top">23.58</td>
<td align="center" valign="top">5.95</td>
</tr>
<tr>
<td align="left" valign="top">5. Religious identity</td>
<td align="center" valign="top">.51<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">.56<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">.49<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">.19<xref ref-type="table-fn" rid="tfn2">**</xref></td>
<td align="center" valign="top"></td>
<td align="center" valign="top">36.22</td>
<td align="center" valign="top">5.91</td>
</tr>
<tr>
<td align="left" valign="top">6. Age</td>
<td align="center" valign="top">&#x2212;.17<xref ref-type="table-fn" rid="tfn1">*</xref></td>
<td align="center" valign="top">&#x2212;.24<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">&#x2212;.20<xref ref-type="table-fn" rid="tfn2">**</xref></td>
<td align="center" valign="top">.25<xref ref-type="table-fn" rid="tfn3">***</xref></td>
<td align="center" valign="top">&#x2212;.19<xref ref-type="table-fn" rid="tfn1">*</xref></td>
<td align="center" valign="top">27.87</td>
<td align="center" valign="top">10.34</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn-group>
<fn id="tfn1"><label>*</label> <p><italic>p</italic> &#x003C; .05,</p></fn>
<fn id="tfn2"><label>**</label> <p><italic>p</italic> &#x003C; .01,</p></fn>
<fn id="tfn3"><label>***</label> <p><italic>p</italic> &#x003C; .001.</p></fn>
</fn-group>
</table-wrap-foot>
</table-wrap>
<p>To test hypothesis 2, we used PROCESS, an SPSS macro that enables testing of models that combine mediation and moderation, effect sizes for indirect effects, and probing for interaction effects (<xref ref-type="bibr" rid="R19">Hayes, 2013</xref>). Model 4 was used to test when controlling for participant age, fear for safety would at least partially mediate the relationships between the two forms of religious discrimination (religious prejudice and environmental religious discrimination) and life satisfaction. When fear for safety was entered as a mediator between religious prejudice and life satisfaction, the path between fear safety and life satisfaction was negative and significant (&#x03B2; = &#x2212;.35, <italic>p</italic> &#x003C;.001) and the direct path from religious prejudice to life satisfaction became non-significant (&#x03B2; = &#x2212;.04, <italic>p</italic> =.63), suggesting a partial mediation effect. To test the significance of the indirect effect (&#x03B2; = &#x2212;.18), 95% bias-corrected confidence intervals were estimated and revealed the absence of zero (CI: &#x2212;.27, &#x2212;.10), suggesting that the partial indirect effect of religious prejudice on life satisfaction through fear for safety was significant (see <xref ref-type="fig" rid="F1">Figure 1</xref>).</p>
<fig id="F1" position="anchor">
<label>Figure 1</label>
<caption>
<p>Direct and indirect effects of religious prejudice on life satisfaction</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jmmh-133-f0001.jpg"/>
<p>* <italic>p</italic> &#x003C; .05 ** <italic>p</italic> &#x003C; .01 *** <italic>p</italic> &#x003C; .001.</p>
</fig>
<p>The same model was used to test the effect of environmental religious discrimination on life satisfaction through fear for safety when controlling for participant age. When entered into the equation as a mediator, the path between fear for safety and life satisfaction was negative and significant (&#x03B2; = &#x2212;.38, <italic>p</italic> &#x003C; .001) and the direct path from environmental religious discrimination to life satisfaction became non-significant (&#x03B2; = .02, <italic>p</italic> = .835), suggesting a partial mediation effect. To test the significance of the indirect effect (&#x03B2; = &#x2212;.20), 95% bias-corrected confidence intervals were estimated and revealed the absence of zero (CI: &#x2212;.28, &#x2212;.12), suggesting that the partial indirect effect of environmental religious discrimination on life satisfaction through fear for safety was significant (see <xref ref-type="fig" rid="F2">Figure 2</xref>). Overall, hypothesis 2 was supported.</p>
<fig id="F2" position="anchor">
<label>Figure 2</label>
<caption>
<p>Direct and indirect effects of environmental discrimination on life satisfaction</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="jmmh-133-f0002.jpg"/>
<p>* <italic>p</italic> &#x003C; .05 ** <italic>p</italic> &#x003C; .01 *** <italic>p</italic> &#x003C; .001.</p>
</fig>
</sec>
<sec id="S15">
<title>Discussion</title>
<p>In an effort to help elucidate the discriminatory experiences of Muslim Americans particularly within the recent climate of heightened Islamophobia, the purpose of the current study was to examine the relationship between religious discrimination and wellbeing in a sample of adult Muslim Americans. Given the current sociopolitical context of Islamophobia that serves to stereotype Muslims as a singular and uniform group (<xref ref-type="bibr" rid="R50">Wang et al., 2019</xref>), we considered two distal stressors that included targeted experiences of prejudice (religious prejudice) as well as discriminatory messages through the media (environmental religious discrimination). Based on the framework of minority stress theory (<xref ref-type="bibr" rid="R34">Meyer, 1995</xref>; <xref ref-type="bibr" rid="R35">2003</xref>), we expected that Muslim Americans who experienced high levels of religious discrimination would contribute as a proximal stressor and appraise their experiences as threatening to their safety, which in turn would have negative consequences on their wellbeing.</p>
<p>Overall, participants who faced higher rates of environmental religious discrimination and prejudice also reported lower levels of life satisfaction. These findings are consistent with prior research indicating that Muslim Americans who face high rates of discrimination also tend to experience poor mental health outcomes as evidenced by higher rates of depression (<xref ref-type="bibr" rid="R20">Hodge et al., 2016</xref>), anxiety, and PTSD (<xref ref-type="bibr" rid="R2">Abu-Ras &amp; Suarez, 2009</xref>; <xref ref-type="bibr" rid="R30">Lowe et al., 2019</xref>; <xref ref-type="bibr" rid="R37">Nadal et al., 2012</xref>). Importantly, study results also help underscore the significance of media-based discrimination. Although studies suggest that Muslim communities are indeed affected by the political climate based on indicators of social engagement and national identity (<xref ref-type="bibr" rid="R25">Kunst et al., 2012</xref>), current study results speak to the ongoing prevalence and denigrating impact of anti-Muslim sentiments in mainstream media and other public outlets.</p>
<p>Although minority stress theory was originally created for sexual minorities, this study&#x2019;s results provide some evidence in support of minority stress theory&#x2019;s applicability with other groups, such that based on their experiences with both forms of discrimination (distal stressor), participants were more likely to express fear for their safety (proximal stressor) and in turn were more likely to report lower rates of life satisfaction. In particular, participants who experienced high levels of individualized prejudice as well as discrimination through the mainstream media appraised their sense of safety as being compromised and reported lower life satisfaction. Based on the results of the present study, minority stress theory has been shown to be generalizable to this Muslim population. Although prior studies have certainly documented that fear for safety is a significant concern among Muslim and Arab communities (<xref ref-type="bibr" rid="R1">Abu-Ras &amp; Abu-Bader, 2008</xref>; <xref ref-type="bibr" rid="R7">Ali et al., 2008</xref>), current study results suggest that fear for safety may help explain the link between experiencing discrimination and adverse outcomes among Muslim Americans. As a proximal stressor, fear for safety is considered to be more subjective and related to personal identity, which may vary depending on the individual (<xref ref-type="bibr" rid="R35">Meyer, 2003</xref>). Results suggest that participants in the current study expressed significant concern for their safety as Muslim Americans, which helped partially explained the link between both forms of religious discrimination and lower life satisfaction. It is important to note that in the current study, women made up 76% of the sample and also reported significantly higher concerns for safety compared to men (<italic>M</italic>=48.46 vs. <italic>M</italic>=39.31). These results are consistent with prior studies that suggest women, in general, feel less safe in public compared to men, as well as hijabi Muslim women feeling less safe due to their visible Muslim identity (<xref ref-type="bibr" rid="R5">Al Wazni, 2015</xref>; <xref ref-type="bibr" rid="R18">Ghaffari &amp; &#x00C7;ift&#x00E7;i, 2010</xref>; <xref ref-type="bibr" rid="R54">Zaal et al., 2007</xref>).</p>
<sec id="S16">
<title>Limitations and Implications for Future Research</title>
<p>The results of this study should be interpreted within the context of certain limitations that center on sampling restrictions and psychometric limitations. In particular, participants were recruited based on their connections with professional listservs and organizations that were specifically aimed at supporting Muslim students and professionals and Muslim mental health. As suggested by <xref ref-type="bibr" rid="R8">Amer and Bagasra (2013)</xref>, it is likely that studies on Muslim mental health are impacted by selective sampling given that some Muslims are drawn to such studies while others may avoid participating in research due to the stigma traditionally associated with the field of psychology (<xref ref-type="bibr" rid="R6">Ali et al., 2004</xref>; <xref ref-type="bibr" rid="R10">Brown et al., 2010</xref>). Based on their involvement, sample participants may have had ongoing exposure to information about mental health and Islamophobia and were therefore more motivated to answer questions about mental health. Similar to the general population of Muslim Americans, study participants were also racially and ethnically diverse, yet they were not specifically asked about their experiences with racial discrimination or their specific religious affiliations. Researchers are encouraged to account for intragroup religious diversity and include measures of racial discrimination given that participants&#x2019; experiences may have varied based on their racial-ethnic identity as well as their exact religious affiliation (e.g., Sunni, Shia, observant, secular, etc.). In addition to the psychometric limitations of the EIS, scores based on the fear for safety measure should be interpreted with caution given that these items were created for the specific purpose of the current study. As indicated by <xref ref-type="bibr" rid="R8">Amer and Bagasra (2013)</xref>, the conceptual validity of modifying existing Westernized measures for use among Muslim samples remains questionable without the use of sufficient theory and psychometric support.</p>
</sec>
<sec id="S17">
<title>Mental Health Implications</title>
<p>Overall, the results of the current study may provide some important implications for mental health practitioners who work with Muslim Americans. In particular, findings suggest that Muslim Americans are not immune to the social-political climate of increased Islamophobia and experience religious discrimination in different ways. Practitioners and other professionals who work with individuals from the Muslim community are encouraged to consider the chronic and ongoing impact of stress that Muslim Americans are facing especially within the context of the United States. In particular, given that mental health services are largely viewed as encapsulating Westernized values (<xref ref-type="bibr" rid="R8">Amer &amp; Bagasra, 2013</xref>), practitioners are encouraged to connect with community advocates to help identify innovative ways of connecting with the Muslim American community. Given that the Muslim American community is incredibly diverse based on specific religious affiliation, racial-ethnic background, and generational status (<xref ref-type="bibr" rid="R50">Wang et al., 2019</xref>), practitioners should look for opportunities to connect with Muslim individuals in non-clinical settings. In addition to learning more about the Muslim community and their needs, practitioners and community advocates could offer services to help validate their experiences with religious discrimination while also decreasing the stigma surrounding mental health. Furthermore, mental health practitioners may be able to help Muslim clients cope by addressing their fear for safety while also advocating for changes in their environment (i.e., signs, symbols, messaging, etc.) to help minimize the fear that many Muslims Americans may face in their daily lives.</p>
</sec>
</sec>
</body>
<back>
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