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全美亚裔美国人中自我报告的种族歧视与12个月内的《精神疾病诊断与统计手册》第四版(DSM-IV)精神障碍之间的关联。

The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide.

作者信息

Gee Gilbert C, Spencer Michael, Chen Juan, Yip Tiffany, Takeuchi David T

机构信息

University of Michigan, Ann Arbor, MI, USA.

出版信息

Soc Sci Med. 2007 May;64(10):1984-96. doi: 10.1016/j.socscimed.2007.02.013. Epub 2007 Mar 19.

Abstract

Growing research finds that reports of discrimination are associated with mental health. However, many US studies are focused on regional samples and do not control for important confounders such as other stressors and response factors. The present study examines the association between self-reported racial discrimination and DSM-IV defined mental disorders among Asian respondents to the 2002-2003 US National Latino and Asian American Study (n=2047). Logistic regression analyses indicated that self-reported racial discrimination was associated with greater odds of having any DSM-IV disorder, depressive disorder, or anxiety disorder within the past 12 months-controlling for sociodemographic characteristics, acculturative stress, family cohesion, poverty, self-rated health, chronic physical conditions, and social desirability. Further, multinomial logistic regression found that individuals who reported discrimination were at a twofold greater risk of having one disorder within the past 12 months, and a threefold greater risk of having two or more disorders. Thus, self-reported discrimination was associated with increased risk of mental disorders among Asian Americans across the United States and this relationship was not explained by social desirability, physical health, other stressors, and sociodemographic factors. Should these associations ultimately be shown enduring and causal, they suggest that policies designed to reduce discrimination may help improve mental health.

摘要

越来越多的研究发现,关于歧视的报告与心理健康有关。然而,许多美国研究聚焦于区域样本,且未对其他压力源和反应因素等重要混杂因素进行控制。本研究考察了在参与2002 - 2003年美国拉丁裔和亚裔美国人研究的亚裔受访者(n = 2047)中,自我报告的种族歧视与《精神疾病诊断与统计手册》第四版(DSM - IV)定义的精神障碍之间的关联。逻辑回归分析表明,在控制了社会人口学特征、文化适应压力、家庭凝聚力、贫困、自评健康状况、慢性身体疾病和社会期望性之后,自我报告的种族歧视与过去12个月内患有任何DSM - IV障碍、抑郁症或焦虑症的更高几率相关。此外,多项逻辑回归发现,报告遭受歧视的个体在过去12个月内患有一种障碍的风险高出两倍,患两种或更多种障碍的风险高出三倍。因此,自我报告的歧视与全美国亚裔美国人精神障碍风险增加相关,且这种关系无法用社会期望性、身体健康状况、其他压力源和社会人口学因素来解释。如果这些关联最终被证明是持久且具有因果关系的,那么旨在减少歧视的政策可能有助于改善心理健康。

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