Assari Shervin, Moazen-Zadeh Ehsan, Caldwell Cleopatra Howard, Zimmerman Marc A
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Front Public Health. 2017 May 29;5:104. doi: 10.3389/fpubh.2017.00104. eCollection 2017.
Despite the existing knowledge regarding the negative mental health consequences of perceived racial discrimination, very few researchers have used a longitudinal design with long-term follow-up periods to explore gender differences in this association over time.
The current longitudinal study aimed to investigate gender differences in predictive role of an increase in perceived racial discrimination during adolescence for mental health deterioration a decade later when they are transitioning to young adulthood.
Current study followed 681 Black youths for 18 years from 1994 (mean age 15) to 2012 (mean age 32). All participants spent their adolescence and transition to young adulthood in an economically disadvantaged urban area in the Midwest of the United States. Independent variable was perceived racial discrimination measured in 1999 and 2002. Outcomes were psychological symptoms (anxiety and depression) measured in 1999 and at end of follow-up (2012). Covariates included sociodemographics (age, family structure, and parental employment) measured in 1994. Gender was used to define groups in a multigroup structural equation model to test moderating effects.
Multigroup structural equation modeling showed that among male Black youth, an increase in perceived racial discrimination from age 20 to 23 was predictive for an increase in symptoms of anxiety and depression from age 20 to 32. Among female Black youth, change in perceived racial discrimination did not predict future change in depressive or anxiety symptoms.
While racial discrimination is associated with negative mental health consequences for both genders, male and female Black youth differ in regard to long-term effects of an increase in perceived discrimination on deterioration of psychological symptoms. Black males seem to be more susceptible than Black females to the psychological effects of an increase in racial discrimination over time.
尽管已有关于感知到的种族歧视对心理健康产生负面影响的知识,但很少有研究采用具有长期随访期的纵向设计来探讨这种关联随时间变化的性别差异。
当前的纵向研究旨在调查青少年时期感知到的种族歧视增加对十年后向青年期过渡时心理健康恶化的预测作用中的性别差异。
本研究对681名黑人青年从1994年(平均年龄15岁)到2012年(平均年龄32岁)进行了18年的跟踪。所有参与者在美国中西部一个经济弱势的城市地区度过青春期并过渡到青年期。自变量是1999年和2002年测量的感知到的种族歧视。结果是1999年和随访结束时(2012年)测量的心理症状(焦虑和抑郁)。协变量包括1994年测量的社会人口统计学特征(年龄、家庭结构和父母就业情况)。在多组结构方程模型中使用性别来定义组以测试调节效应。
多组结构方程模型显示,在黑人男性青年中,从20岁到23岁感知到的种族歧视增加可预测从20岁到32岁焦虑和抑郁症状的增加。在黑人女性青年中,感知到的种族歧视变化并不能预测未来抑郁或焦虑症状的变化。
虽然种族歧视对男女两性的心理健康都有负面影响,但黑人男性和女性青年在感知到的歧视增加对心理症状恶化的长期影响方面存在差异。随着时间的推移,黑人男性似乎比黑人女性更容易受到种族歧视增加带来的心理影响。