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Many studies have reported racial conflict, negative attitudes, and discriminatory behavior among ethnic groups on college campuses. This study examined the prevalence of both positive and negative interracial experiences and their impact on students' health. One hundred fifteen undergraduates (22 African Americans, 25 Asian Americans, 29 Caucasians, 17 Hispanic/Latino Americans, and 22 Bi–multiracial Americans; 46 males and 69 females) completed an Interracial Experiences Survey (IES) and measures of physical and mental health, perceived racial bias, ethnic identity, and just world belief. Hierarchical regression analyses revealed that symptoms of psychological distress and mental health outcome were best predicted by perceived racial bias, male gender, and low belief in a just world. In contrast, improved general health and decreased somatic complaints were associated with positive interracial contact, female gender, lower perceived racial bias, higher just world beliefs, and higher ethnic identity. These analyses revealed that positive interracial experiences had specific effects on physical health outcome, whereas perceived racial bias, a measure of racial mistrust, was a strong predictor of all measures of physical and mental health....