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01.08.2011 | Original Article

Dimensions of Perceived Racism and Self-Reported Health: Examination of Racial/Ethnic Differences and Potential Mediators

verfasst von: Elizabeth Brondolo, Ph.D., Leslie R. M. Hausmann, Ph.D., Juhee Jhalani, M.A., Melissa Pencille, B.S., Jennifer Atencio-Bacayon, Ph.D., Asha Kumar, M.A., Jasmin Kwok, Ph.D., Jahanara Ullah, M.A., Alan Roth, D.O., Daniel Chen, M.D., Robert Crupi, M.D., Joseph Schwartz, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 1/2011

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Abstract

Background

Many details of the negative relationship between perceived racial/ethnic discrimination and health are poorly understood.

Purpose

The purpose of this study was to examine racial/ethnic differences in the relationship between perceived discrimination and self-reported health, identify dimensions of discrimination that drive this relationship, and explore psychological mediators.

Methods

Asian, Black, and Latino(a) adults (N = 734) completed measures of perceived racial/ethnic discrimination, self-reported health, depression, anxiety, and cynical hostility.

Results

The association between perceived discrimination and poor self-reported health was significant and did not differ across racial/ethnic subgroups. Race-related social exclusion and threat/harassment uniquely contributed to poor health for all groups. Depression, anxiety, and cynical hostility fully mediated the effect of social exclusion on health, but did not fully explain the effect of threat.

Conclusions

Our results suggest that noxious effects of race-related exclusion and threat transcend between-group differences in discriminatory experiences. The effects of race-related exclusion and threat on health, however, may operate through different mechanisms.

Contrada RJ, Ashmore RD, Gary ML, et al.: Ethnicity-related sources of stress and their effects on well-being. Current Directions in Psychological Science 2000, 9:136-139.CrossRef

Contrada RJ, Ashmore RD, Gary ML, et al.: Measures of ethnicity-related stress: Psychometric properties, ethnic group differences, and associations with well-being. Journal of Applied Social Psychology. 2001, 31:1775-1820.CrossRef

Clark R, Anderson NB, Clark VR, Williams DR: Racism as a stressor for African Americans: A biopsychosocial model. American Psychologist. 1999, 54:805-816.PubMedCrossRef

Paradies Y: A systematic review of empirical research on self-reported racism and health. International Journal of Epidemiology. 2006, 35:888-901.PubMedCrossRef

Mays VM, Cochran SD, Barnes NW: Race, race-based discrimination, and health outcomes among African Americans. Annu Rev Psychol. 2007, 58:201-225.PubMedCrossRef

Williams DR, Mohammed SA: Discrimination and racial disparities in health: Evidence and needed research. Journal Of Behavioral Medicine. 2009, 32:20-47.PubMedCrossRef

Pascoe EA, Smart Richman L: Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009, 135:531-554.PubMedCrossRef

Pietz K, Petersen LA: Comparing self-reported health status and diagnosis-based risk adjustment to predict 1- and 2 to 5-year mortality. Health Serv Res. 2007, 42:629-643.PubMedCrossRef

Okura Y, Urban LH, Mahoney DW, Jacobsen SJ, Rodeheffer RJ: Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure. J Clin Epidemiol. 2004, 57:1096-1103.PubMedCrossRef

10.

Iversen L, Hannaford PC, Godden DJ, Price D: Do people self-reporting information about chronic respiratory disease have corroborative evidence in their general practice medical records? A study of intermethod reliability. Prim Care Respir J. 2007, 16:162-168.PubMedCrossRef

11.

Haapanen N, Miilunpalo S, Pasanen M, Oja P, Vuori I: Agreement between questionnaire data and medical records of chronic diseases in middle-aged and elderly Finnish men and women. Am J Epidemiol. 1997, 145:762-769.PubMedCrossRef

12.

Krieger N: Embodying inequality: A review of concepts, measures, and methods for studying health consequences of discrimination. International Journal of Health Services. 1999, 29:295-352.PubMedCrossRef

13.

Brondolo E, Kelly KP, Coakley V, et al.: The Perceived Ethnic Discrimination Questionnaire: Development and preliminary validation of a community version. Journal of Applied Social Psychology. 2005, 35:335-365.CrossRef

14.

Finch BK, Hummer RA, Kolody B, Vega WA: The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hispanic Journal of Behavioral Sciences. 2001, 23:399-429.CrossRef

15.

Kwate NOA, Valdimarsdottir HB, Guevarra JS, Bovbjerg DH: Experiences of racist events are associated with negative health consequences for African American women. Journal of the National Medical Association. 2003, 96:450-460.

16.

Asakura T, Gee GC, Nakayama K, Niwa S: Returning to the 'homeland': Work-related ethnic discrimination and the health of Japanese Brazilians in Japan. American Journal of Public Health. 2008, 98:743-750.PubMedCrossRef

17.

Bahm A, Forchuk C: Interlocking oppressions: The effect of a comorbid physical disability on percevied stigma and discrimination among mental health consumers in Canada. Health and Social Care in the Community. 2009, 17:63-70.PubMedCrossRef

18.

Becares L, Nazroo J, Stafford M: The buffering effects of ethnic density on experienced racism and health. Health & Place. 2009, 15:670-678.CrossRef

19.

Borrell LN, Kiefe CI, Williams DR, Diez-Roux AV, Gordon-Larsen P: Self-reported health, perceived racial discrimination, and skin color in African Americans in the CARDIA study. Soc Sci Med. 2006, 63:1415-1427.CrossRef

20.

Caputo RK: The effects of socioeconomic status, perceived discrimination and mastery on health status in a youth cohort. Social Work in Health Care. 2003, 37:17-42.PubMedCrossRef

21.

Chae DH, Walters KL: Racial discrimination and racial identity attitudes in relation to self-rated health and physical pain and impairment among two-spirit American Indians/Alaska Natives. American Journal of Public Health. 2009, 99:S144-S151.PubMedCrossRef

22.

Edwards RR: The association of perceived discrimination with low back pain. Journal of Behavioral Medicine. 2008, 31:379–389.PubMedCrossRef

23.

Flores E, Tschann JM, Dimas JM, et al.: Perceived discrimination, perceived stress, and mental and physical health among Mexican-origin adults. Hispanic Journal of Behavioral Sciences. 2008, 30:401-424.CrossRef

24.

Franzini L, Caughy M, Spears W, Fernandez-Esquer ME: Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhoods in Texas: A multilevel latent variables model. Social Science & Medicine. 2005, 61:1135-1150.CrossRef

25.

Franzini L, Fernandez-Esquer ME: Socioeconomic, cultural, and personal influences on health outcomes in low income Mexican-origin individuals in Texas. Social Science & Medicine. 2004, 59:1629-1646.CrossRef

26.

Fujishiro K: Is perceived racial privilege associated with health? Findings from the Behavioral Risk Factor Surveillance System. Soc Sci Med. 2009, 68:840-844.PubMedCrossRef

27.

Gee GC: A multilevel analysis of the relationship between institutional and individual racial discrimination and health status. Am J Public Health. 2002, 92:615-623.PubMedCrossRef

28.

Harris R, Tobias M, Jeffreys M, et al.: Racism and health: The relationship between experience of racial discrimination and health in New Zealand. Soc Sci Med. 2006, 63:1428-1441.CrossRef

29.

Hausmann LR, Jeong K, Bost JE, Ibrahim SA: Perceived discrimination in health care and health status in a racially diverse sample. Med Care. 2008, 46:905-914.PubMedCrossRef

30.

Hong TB, Oddone EZ, Weinfurt KP, et al.: The relationship between perceived barriers to healthcare and self-rated health. Psychology, Health & Medicine. 2004, 9:476-481.CrossRef

31.

Jasinskaja-Lahti I, Liebkind K, Perhoniemi R: Perceived discrimination and well-being: A victim study of different immigrant groups. Journal of Community & Applied Social Psychology. 2006, 16:267-284.CrossRef

32.

Jasinskaja-Lahti I, Liebkind K, Perhoniemi R: Perceived ethnic discrimination at work and well-being of immigrants in Finland: The moderating role of employment status and work-specific group-level control beliefs. International Journal of Intercultural Relations. 2007, 31:223-242.CrossRef

33.

Karlsen S, Nazroo J: Agency and structure: The impact of ethnic identity and racism on the health of ethnic minority people. Sociology of Health & Illness. 2002, 24:1-20.CrossRef

34.

Karlsen S, Nazroo JY: Fear of racism and health. J Epidemiol Community Health. 2004, 58:1017-1018.CrossRef

35.

Karlsen S, Nazroo JY: Relation between racial discrimination, social class, and health among ethnic minority groups. Am J Public Health. 2002, 92:624-631.PubMedCrossRef

36.

Larson A, Gillies M, Howard PJ, Coffin J: It's enough to make you sick: The impact of racism on the health of Aboriginal Australians. Australian and New Zealand Journal of Public Health. 2007, 31:322-329.PubMedCrossRef

37.

Laveist TA: Racial segregation and longevity among African Americans: An individual-level analysis. Health Services Research. 2003, 38:1719-1734.PubMedCrossRef

38.

Mohseni M, Lindstron M: Ethnic differences in anticipated discrimination, generalized trust in other people and self-rated health: A population-based study in Sweden. Ethnicity & Health. 2008, 13:417-434.CrossRef

39.

Moody-Ayers SY, Stewart AL, Covinsky KE, Inouye SK: Prevalence and correlates of perceived societal racism in older African-American adults with type 2 diabetes mellitus. Journal of the American Geriatric Society. 2005, 53:2202-2208.CrossRef

40.

Piette JD, Bibbins-Domingo K, Schillinger D: Health care discrimination, processes of care, and diabetes patients' health status. Patient Educ Couns. 2006, 60:41-48.PubMedCrossRef

41.

Ren XS, Amick BC, Williams DR: Racial/ethnic disparities in health: The interplay between discrimination and socioeconomic status. Ethn Dis. 1999, 9:151-165.

42.

Ryan AM, Gee GC, Laflamme DF: The association between self-reported discrimination, physical health and blood pressure: Findings from African Americans, Black immigrants, and Latino immigrants in New Hampshire. Journal of Health Care for the Poor and Underserved. 2006, 17:116-132.PubMed

43.

Schulz A, Israel B, Williams D, et al.: Social inequalities, stressors and self reported health status among African American and White women in the Detroit metropolitan area. Social Science & Medicine. 2000, 51:1639-1653.CrossRef

44.

Schulz AJ, Gravlee CC, Williams DR, et al.: Discrimination, symptoms of depression, and self-rated health among African American women in Detroit: Results from a longitudinal analysis. American Journal of Public Health. 2006, 96:1265-1270.PubMedCrossRef

45.

Sellers SL, Bonham V, Neighbors HW, Amell JW: Effects of racial discrimination and health behaviors on mental and physical health of middle-class African American men. Health Education & Behavior. 2009, 36:31-44.CrossRef

46.

Sohler N, Li X, Cunningham C: Perceived discrimination among severely disadvantaged people with HIV infection. Public Health Rep. 2007, 122:347-355.PubMed

47.

Sohn L, Harada ND: Effects of racial/ethnic discrimination on the health status of minority veterans. Military Medicine. 2008, 173:331-338.PubMed

48.

Stepanikova I, Cook KS: Effects of poverty and lack of insurance on perceptions of racial and ethnic bias in health care. Health Serv Res. 2008, 43:915-930.PubMedCrossRef

49.

Sujoldzic A, Peternel L, Kulenovic T, Terzic R: Social determinants of health: A comparative study of Bosnian adolescents in different cultural contexts. Collegium Antropologicum. 2006, 30:703-711.PubMed

50.

Taloyan M, Johansson LM, Johansson SE, Sundquist J, Kocturk TO: Poor self-reported health and sleeping difficulties among Kurdish immigrant men in Sweden. Transcultural Psychiatry. 2006, 43:445-461.PubMedCrossRef

51.

Trivedi AN, Ayanian JZ: Perceived discrimination and use of preventive health services. J Gen Intern Med. 2006, 21:553-558.PubMedCrossRef

52.

Watson JM, Logan HL, Tomar SL: The influence of active coping and perceived stress on health disparities in a multi-ethnic low income sample. BMC Public Health. 2008, 8:41.PubMedCrossRef

53.

Wiking E, Johansson SE, Sundquist J: Ethnicity, acculturation, and self reported health: A population based study among immigrants from Poland, Turkey, and Iran in Sweden. Journal of Epidemiology & Community Health. 2004, 58:574-582.CrossRef

54.

Williams DR, Gonzalez HM, Williams SL, et al.: Perceived discrimination, race and health in South Africa. Social Science & Medicine. 2008, 67:12p.

55.

Williams DR, Yu Y, Jackson JS, Anderson NB: Racial differences in physical and mental health: Socio-economic status, stress and discrimination. J Health Psychol. 1997, 2:335-351.CrossRef

56.

Bird ST, Bogart LM, Delahanty DL: Health-related correlates of perceived discrimination in HIV care. AIDS Patient Care and STDs. 2004, 18:19-26.PubMedCrossRef

57.

Ogbu JU: Cultural amplifiers of intelligence: IQ and minority status in cross-cultural perspective. In J. M. Fish (ed), Race and intelligence: Separating science from myth. Mahwah, NJ: Lawrence Erlbaum Associates, 2002, 241-278.

58.

Emerson MO, Yancey G, Chai KJ: Does race matter in residential segregation? Exploring the preferences of White Americans. American Social Review. 2001, 66:922-935.CrossRef

59.

Brezina T, Winder K: Economic disadvantage, status generalization and negative racial stereotyping by White Americans. Social Psychology Quarterly. 2003, 66:402-418.CrossRef

60.

Schlundt DG, Hargreaves MK, McClellan L: Geographic clustering of obesity, diabetes, and hypertension in Nashville, Tennessee. Journal of Ambulatory Care Management. 2006, 29:125-152.PubMed

61.

Williams DR, Jackson PB: Social sources of racial disparities in health. Health Affairs. 2005, 24:325-334.PubMedCrossRef

62.

Kwate NOA: Fried chicken and fresh apples: Racial segregation as a fundamental cause of fast food density in black neighborhoods. Health & Place. 2008, 14:32-44.CrossRef

63.

McDonald JT, Kennedy S: Insights into the ‘healthy immigrant effect’: Health status and health service use of immigrants to Canada. Social Science & Medicine. 2004, 59:1613-1627.CrossRef

64.

Gushulak B: Healthier on arrival? Further insight into the “healthy immigrant effect”. CMAJ: Canadian Medical Association Journal Supplement. 2007, 176:1439–1440.CrossRef

65.

Sanders AE: A Latino advantage in oral health-related quality of life is modified by nativity status. Social Science & Medicine. 2010, 71:205–211.CrossRef

66.

Alba R, Rumbaut RG, Marotz K: A distorted nation: Perceptions of racial/ethnic group sizes and attitudes toward immigrants and other minorities. Social Forces. 2005, 84:901–919.CrossRef

67.

Bureau USC: http://www.census.gov/population/www/projections/usinterimproj/. 2008

68.

Brondolo E, Brady N, Beatty DL, Pencille M, Contrada, R: Coping with racism: A selective review and theoretical and methodological critique. Journal of Behavioral Medicine. 2009, 32:64–88

69.

Brondolo E, Brady N, Thompson S, et al.: Perceived racism and negative affect: Analyses of trait and state measures of affect in a community sample. Journal of Social & Clinical Psychology. 2008, 27:150–173.CrossRef

70.

Brondolo E, Brady Ver Halen N, Pencille M, Beatty DL, Contrada RJ: Coping with racism: A selective review of the literature and a theoretical and methodological critique. Journal Of Behavioral Medicine. 2009, 32:64-88.PubMedCrossRef

71.

Brondolo E, Thompson S, Brady N, et al.: The relationship of racism to appraisals and coping in a community sample. Ethnicity & Disease. 2005, 15:S5-14-19.

72.

Karlsen S, Nazroo JY, Stephenson R: Ethnicity, environment and health: Putting ethnic inequalities in health in their place. Soc Sci Med. 2002, 55:1647-1661.CrossRef

73.

Broudy R, Brondolo E, Coakley V, et al.: Perceived ethnic discrimination in relation to daily moods and negative social interactions. J Behav Med. 2007, 30:31-43.PubMedCrossRef

74.

Finch BK, Kolody B, Vega WA: Perceived discrimination and depression among Mexican-origin adults in California. J Health Soc Behav. 2000, 41:295-313.PubMedCrossRef

75.

Banks KH, Kohn-Wood LP, Spencer M: An examination of the african american experience of everyday discrimination and symptoms of psychological distress. Community Ment Health J. 2006, 42:555-570.PubMedCrossRef

76.

Noh S, Kaspar V, Wickrama KA: Overt and subtle racial discrimination and mental health: Preliminary findings for Korean immigrants. Am J Public Health. 2007, 97:1269-1274.PubMedCrossRef

77.

Jackson JS, Brown TN, Williams DR, et al.: Racism and the physical and mental health status of African Americans: A thirteen year national panel study. Ethn Dis. 1996, 6:132-147.

78.

Hwang WC, Goto S: The impact of perceived racial discrimination on the mental health of Asian American and Latino college students. Cultur Divers Ethnic Minor Psychol. 2008, 14:326-335.PubMedCrossRef

79.

McGrady A, McGinnis R, Badenhop D, Bentle M, Rajput M: Effects of depression and anxiety on adherence to cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2009, 29:358-364.PubMed

80.

Kaup BA, Loreck D, Gruber-Baldini AL, et al.: Depression and its relationship to function and medical status, by dementia status, in nursing home admissions. Am J Geriatr Psychiatry. 2007, 15:438-442.PubMedCrossRef

81.

Larson C, Belue R, Schlundt DG, McClellan L: Relationship between symptoms of depression, functional health status, and chronic disease among a residential sample of African Americans. J Ambul Care Manage. 2006, 29:133-140.PubMed

82.

Husaini BA, Hull PC, Sherkat DE, et al.: Diabetes, depression, and healthcare utilization among African Americans in primary care. J Natl Med Assoc. 2004, 96:476-484.PubMed

83.

Bromberger JT, Kravitz HM, Wei HL, et al.: History of depression and women's current health and functioning during midlife. Gen Hosp Psychiatry. 2005, 27:200-208.PubMedCrossRef

84.

Miller TQ, Smith TW, Turner CW, et al.: A meta-analytic review of research on hostility and physical health. Psychological Bulletin. 1996, 119:322–348.PubMedCrossRef

85.

Smith TW, Ruiz JM: Psychosocial influences on the development and course of coronary hart disease: Current status and implications for research and practice. Journal of Consulting and Clinical Psychology. 2002, 70:548-568.PubMedCrossRef

86.

Taylor TR, Kamarck TW, Shiffman S: Validation of the Detroit Area Study Discrimination Scale in a community sample of older African American adults: The Pittsburgh healthy heart project. Int J Behav Med. 2004, 11:88-94.PubMedCrossRef

87.

Brondolo E, Libby DJ, Denton E, et al.: Racism and ambulatory blood pressure in a community sample. Psychosomatic Medicine. 2008, 70:49-56.PubMedCrossRef

88.

Nabi H, Singh-Manoux A, Ferrie JE, et al.: Hostility and depressive mood: Results from the Whitehall II prospective cohort study. Psychol Med. 2010, 40:405-413.PubMedCrossRef

89.

McHorney CA, Ware JE, Jr., Lu JF, Sherbourne CD: The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care. 1994, 32:40-66.PubMedCrossRef

90.

Ware JE, Jr., Sherbourne CD: The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Medical Care. 1992, 30:473-483.PubMedCrossRef

91.

Kwok J, Atencio J, Ullah J, et al.: The Perceived Ethnic Discrimination Questionnaire – Community Version: Validation in a Multi-Ethnic Asian Sample, 2008

92.

Kwok J, Kumar A, Jhalani J, et al.: Preliminary Validation of the Perceived Ethnic Discrimination Questionnaire in an Asian Sample. Annual Meeting of the Society for Behavioral Medicine, San Diego, CA, 2008, March

93.

Deragotis LR: Symptom Checklist-90-R: Administration, scoring and procedures manual. 3rd ed. Minneapolis, MN: National Computer Systems, Inc., 1994.

94.

Martinez S, Stillerman L, Waldo M: Reliability and validity of the SCL-90-R with Hispanic college students. Hispanic Journal of Behavioral Sciences. 2005, 27:254-264.CrossRef

95.

Noh S, Kasper V, Chen X: Measuring depression in Korean Immigrants: Assessing validity of the translated Korean version of the CES-D scale. Cross-Cultural Research: The Journal of Comparative Social Science. 1998, 32:358-377.CrossRef

96.

Barefoot JC, Dodge KA, Peterson BL, Dahlstrom WG: The Cook-Medley Hostility Scale: Item content and ability to predict survival. Psychosomatic Medicine. 1989, 51:46-57.PubMed

97.

Contrada RJ, Jussim L: What does the Cook-Medley hostility scale measure? In search of an adequate measurement model. Journal of Applied Social Psychology. 1992, 22:615-627.CrossRef

98.

Weidner G, Friend R, Ficarrotto TJ, Mendell NR: Hostility and cardiovascular reactivity to stress in women and men. Psychosomatic Medicine. 1989, 51:36-45.PubMed

99.

Preacher KJ, Hayes AF: Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods. 2008, 40:879-891.PubMedCrossRef

100.

Preacher KJ, Hayes AF: Available from: http://www.comm.ohio-state.edu/ahayes/spss%20programs/indirect.htm

101.

Preacher KJ, Rucker DD, Hayes AF: Assessing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research. 2007, 42:185-227.CrossRef

102.

Eisenberger NI, Inagaki TK, Mashal NM, Irwin MR: Inflammation and social experience: An inflammatory challenge induces feelings of social disconnection in addition to depressed mood. Brain, Behavior & Immunity. 2010, 24:558-563.CrossRef

103.

Lopez R: Black-white residential segregation and physical activity. Ethnicity & Disease. 2006, 16:495-502.

Titel: Dimensions of Perceived Racism and Self-Reported Health: Examination of Racial/Ethnic Differences and Potential Mediators
verfasst von: Elizabeth Brondolo, Ph.D.
Leslie R. M. Hausmann, Ph.D.
Juhee Jhalani, M.A.
Melissa Pencille, B.S.
Jennifer Atencio-Bacayon, Ph.D.
Asha Kumar, M.A.
Jasmin Kwok, Ph.D.
Jahanara Ullah, M.A.
Alan Roth, D.O.
Daniel Chen, M.D.
Robert Crupi, M.D.
Joseph Schwartz, Ph.D.
Publikationsdatum: 01.08.2011
Verlag: Springer-Verlag
Erschienen in: Annals of Behavioral Medicine / Ausgabe 1/2011
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI: https://doi.org/10.1007/s12160-011-9265-1

Neu in den Fachgebieten Neurologie und Psychiatrie

18.04.2024 | Arterielle Hypertonie | Nachrichten

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Dimensions of Perceived Racism and Self-Reported Health: Examination of Racial/Ethnic Differences and Potential Mediators

Abstract

Background

Purpose

Methods

Results

Conclusions

Neu in den Fachgebieten Neurologie und Psychiatrie

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Delir kann Demenz begünstigen

Manche Gestagene können das Risiko für Meningeome erhöhen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Background

Purpose

Methods

Results

Conclusions

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