Kwate Naa Oyo A, Valdimarsdottir Heiddis B, Guevarra Josephine S, Bovbjerg Dana H
Ruttenberg Cancer Center, Mount Sinai School of Medicine, One Gustave Levy Place, Box 1130, New York, NY 10029, USA.
J Natl Med Assoc. 2003 Jun;95(6):450-60.
This study investigated whether experiences of racist events were related to psychological distress, negative health behaviors, and health problems. Participants were 71 African American women (mean age 44.4) who were recruited from an urban cancer-screening clinic as part of a larger longitudinal study on familial risk of breast cancer. Participants completed three study assessments, approximately one month apart, and data were collected via self-report. Correlational analyses revealed that past year and lifetime racism were both related to psychological distress. Among smokers and drinkers, past year racism was positively correlated with number of cigarettes and drinks consumed. Lifetime racism was negatively related to perceived health, and positively related to lifetime history of physical disease and frequency of recent common colds. Analyses using a general linear model revealed that these relationships were largely unaccounted for by other variables. In addition, demographic variables such as income and education were not related to experiences of racism. The results suggest that racism can be detrimental to African American's well being and should be investigated in health disparities research.
本研究调查了种族主义事件的经历是否与心理困扰、负面健康行为及健康问题相关。参与者为71名非裔美国女性(平均年龄44.4岁),她们是从一家城市癌症筛查诊所招募而来,作为一项关于乳腺癌家族风险的大型纵向研究的一部分。参与者大约每隔一个月完成三项研究评估,并通过自我报告收集数据。相关分析表明,过去一年及一生中所经历的种族主义都与心理困扰有关。在吸烟者和饮酒者中,过去一年所经历的种族主义与香烟消费量及饮酒量呈正相关。一生中所经历的种族主义与自我感知的健康状况呈负相关,与身体疾病的终生病史及近期感冒频率呈正相关。使用一般线性模型的分析表明,这些关系在很大程度上无法由其他变量解释。此外,诸如收入和教育等人口统计学变量与种族主义经历无关。结果表明,种族主义可能对非裔美国人的幸福有害,应在健康差异研究中加以调查。