Spence Nicholas D, Wells Samantha, Graham Kathryn, George Julie
Harvard Medical School, Harvard University, Boston, MA, USA
Social and Epidemiological Research Department, Centre for Addiction and Mental Health, London, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada School of Psychology, Deakin University, Australia.
Can J Psychiatry. 2016 May;61(5):298-307. doi: 10.1177/0706743716638653. Epub 2016 Mar 28.
Racial discrimination is a social determinant of health for First Nations people. Cultural resilience has been regarded as a potentially positive resource for social outcomes. Using a compensatory model of resilience, this study sought to determine if cultural resilience (compensatory factor) neutralized or offset the detrimental effect of racial discrimination (social risk factor) on stress (outcome).
Data were collected from October 2012 to February 2013 (N = 340) from adult members of the Kettle and Stony Point First Nation community in Ontario, Canada. The outcome was perceived stress; risk factor, racial discrimination; and compensatory factor, cultural resilience. Control variables included individual (education, sociability) and family (marital status, socioeconomic status) resilience resources and demographics (age and gender). The model was tested using sequential regression.
The risk factor, racial discrimination, increased stress across steps of the sequential model, while cultural resilience had an opposite modest effect on stress levels. In the final model with all variables, age and gender were significant, with the former having a negative effect on stress and women reporting higher levels of stress than males. Education, marital status, and socioeconomic status (household income) were not significant in the model. The model had R(2) = 0.21 and adjusted R(2) = 0.18 and semipartial correlation (squared) of 0.04 and 0.01 for racial discrimination and cultural resilience, respectively.
In this study, cultural resilience compensated for the detrimental effect of racial discrimination on stress in a modest manner. These findings may support the development of programs and services fostering First Nations culture, pending further study.
种族歧视是原住民健康的一个社会决定因素。文化复原力被视为对社会结果具有潜在积极作用的资源。本研究采用复原力补偿模型,旨在确定文化复原力(补偿因素)是否能中和或抵消种族歧视(社会风险因素)对压力(结果)的不利影响。
2012年10月至2013年2月期间,从加拿大安大略省凯特尔和斯托尼波因特第一民族社区的成年成员中收集数据(N = 340)。结果变量为感知到的压力;风险因素为种族歧视;补偿因素为文化复原力。控制变量包括个人(教育程度、社交能力)和家庭(婚姻状况、社会经济地位)的复原力资源以及人口统计学特征(年龄和性别)。该模型通过逐步回归进行检验。
风险因素种族歧视在逐步回归模型的各个步骤中均增加了压力,而文化复原力对压力水平有相反的适度影响。在包含所有变量的最终模型中,年龄和性别具有显著性,前者对压力有负面影响,且女性报告的压力水平高于男性。教育程度、婚姻状况和社会经济地位(家庭收入)在模型中不具有显著性。该模型的R(2) = 0.21,调整后的R(2) = 0.18,种族歧视和文化复原力的半偏相关系数(平方)分别为0.04和0.01。
在本研究中,文化复原力适度补偿了种族歧视对压力的不利影响。在有待进一步研究的情况下,这些发现可能支持开展促进第一民族文化的项目和服务。