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压力暴露中的状态差异:对种族、社会经济地位和性别的研究解读的启示

Status variations in stress exposure: implications for the interpretation of research on race, socioeconomic status, and gender.

作者信息

Turner R Jay, Avison William R

机构信息

Department of Sociology, Center for Demography and Population Health, Florida State University, Tallahassee, USA.

出版信息

J Health Soc Behav. 2003 Dec;44(4):488-505.

Abstract

Life events checklists have been the predominant method for estimating variations in stress exposure. It is unknown, however, whether such inventories are equally meaningful for estimating differences in exposure between men and women, African Americans and whites, and those in lower and higher socioeconomic categories. In this paper, we employ a wider range of measures of stress--recent life events, chronic stressors, lifetime major events, and discrimination stress--to examine the extent to which these dimensions collectively yield conclusions about status variations in stress exposure that are similar to or different from estimates based only on a life events checklist. Our analyses of data collected from 899 young men and women of African American and non-Hispanic white ancestry suggest that status differences in exposure to stress vary considerably by the measure of stress that is employed. Although women are more exposed to recent life events than men, males report more major events and discrimination stress than females. Our results also reveal that life event measures tend to substantially under-estimate differences between African Americans and non-Hispanic whites in exposure to stress. A similar pattern also holds for socioeconomic status. When stress is more comprehensively estimated, level of exposure profoundly affects ethnic differences in depressive symptomatology, accounting for almost half of the difference by socioeconomic status but contributing little to the explanation of the gender difference in distress. The implications of these findings for the debate over the relative mental health significance of exposure and vulnerability to stress are discussed.

摘要

生活事件清单一直是评估压力暴露差异的主要方法。然而,尚不清楚此类清单对于评估男性与女性、非裔美国人和白人以及社会经济地位较低和较高人群之间的暴露差异是否同样有意义。在本文中,我们采用了更广泛的压力测量方法——近期生活事件、慢性压力源、终身重大事件和歧视压力——来检验这些维度在多大程度上共同得出关于压力暴露状况差异的结论,这些结论与仅基于生活事件清单的估计相似或不同。我们对899名非裔美国人和非西班牙裔白人血统的年轻男女收集的数据进行分析,结果表明,所采用的压力测量方法不同,压力暴露的状况差异也有很大不同。虽然女性比男性更容易经历近期生活事件,但男性报告的重大事件和歧视压力比女性更多。我们的研究结果还表明,生活事件测量往往会大幅低估非裔美国人和非西班牙裔白人在压力暴露方面的差异。社会经济地位方面也存在类似模式。当对压力进行更全面的评估时,暴露水平会深刻影响抑郁症状的种族差异,占社会经济地位差异的近一半,但对解释痛苦的性别差异贡献不大。本文讨论了这些发现对于压力暴露和易感性相对心理健康意义辩论的启示。

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