Hatch S L, Gazard B, Williams D R, Frissa S, Goodwin L, Hotopf M
Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 10 Cutcombe Road, London, SE5 9RJ, UK.
Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Soc Psychiatry Psychiatr Epidemiol. 2016 May;51(5):689-701. doi: 10.1007/s00127-016-1191-x. Epub 2016 Feb 13.
Few studies have examined discrimination and mental health in the UK, particularly by migrant status and in urban contexts with greater demographic diversity. This study aims to (1) describe the prevalence of discrimination experiences across multiple life domains; (2) to describe associations between discrimination experiences and common mental disorder (CMD); (3) to determine whether or not the relationship between discrimination and CMD varies by migrant status and ethnicity.
Data on major, anticipated and everyday discrimination and CMD symptoms were collected from an ethnically diverse prospective sample of 1052 participants followed up from 2008 to 2013 in the South East London Community Health study, a population-based household survey.
With few exceptions, discrimination was most prevalent among those in the Black Caribbean group. However, those in the White Other ethnic group had similar or greater reporting major and anticipated discrimination to Black or mixed ethnic minority groups. The effects of discrimination on CMD were most pronounced for individuals who had recently migrated to the UK, an ethnically heterogeneous group, and for Black and Mixed ethnic minority groups in partially adjusted models. Prior CMD accounted for differences between the Mixed and White British ethnic groups, but the strength of the association for the most recent migrant group and the Black ethnic groups remained two or more times greater than the reference groups.
The strength of the relationship suggests a need for more consideration of migration status along with ethnicity in examining the impact of discrimination on mental disorder in community and clinical samples.
很少有研究调查英国的歧视与心理健康问题，特别是按移民身份以及在人口多样性更高的城市环境中的情况。本研究旨在：（1）描述多个生活领域中歧视经历的发生率；（2）描述歧视经历与常见精神障碍（CMD）之间的关联；（3）确定歧视与CMD之间的关系是否因移民身份和种族而有所不同。
在基于人群的家庭调查“东南伦敦社区健康研究”中，从1052名参与者的种族多样化前瞻性样本中收集了关于重大、预期和日常歧视以及CMD症状的数据，这些参与者在2008年至2013年期间接受了随访。
几乎没有例外，歧视在加勒比黑人组中最为普遍。然而，“其他白人”种族组在报告重大和预期歧视方面与黑人或混合少数族裔组相似或更多。在部分调整模型中，歧视对CMD的影响在最近移民到英国的个体（一个种族异质群体）以及黑人和混合少数族裔群体中最为明显。先前的CMD解释了混合族裔和英国白人族裔之间的差异，但最近移民群体和黑人种族组的关联强度仍比参照组大两倍或更多。
这种关系的强度表明，在研究社区和临床样本中歧视对精神障碍的影响时，需要更多地考虑移民身份以及种族。
