Faculty of Health Sciences, University of Lethbridge, Canada.
Faculty of Health Sciences, University of Lethbridge, M3083 4401 University Drive, Lethbridge, T1K 3M4, Alberta, Canada.
Public Health. 2019 Nov;176:59-67. doi: 10.1016/j.puhe.2018.12.011. Epub 2019 Feb 13.
To examine the impacts of housing discrimination experienced by Indigenous postsecondary students on post-traumatic stress disorder (PTSD) symptomology and perceptions of university stress.
Cross-sectional study.
Data were gathered via in-person surveys completed by 142 Indigenous students between 2015 and 2017. Associations were analyzed using phi coefficients and linear regression models adjusted for confounders. Qualitative data were examined using thematic analyses.
Indigenous students who had children (almost 50% of the sample), were living with a romantic partner, and/or were between the ages of 25-44 years experienced significantly more racially-motivated housing discrimination than other Indigenous students in the sample. The frequency of housing discrimination in the past 12 months was significantly associated with increased PTSD symptoms; particularly, intrusive recollection and more perceived stress at university in linear regression models adjusted for confounders. Every 1-point increase in the frequency of housing discrimination on a 4-point scale resulted in a 5.4-point increase in PTSD score. Although living with a romantic partner resulted in more housing discrimination, it also served as a resilience factor, buffering the impact of housing discrimination on PTSD symptomology. Qualitative data indicated students faced Racially-motivated housing discrimination that was blunt and deliberate and highlighted the resourceful ways students sought to resist it.
Racially-motivated housing discrimination exacerbated PTSD symptomology among Indigenous students and adversely impacted perceptions of their university experience. Efforts are needed to address housing discrimination directly, as well as provide greater family-focused housing and mental wellness supports to Indigenous students to reduce potential impacts of this public health problem on postsecondary success and degree completion.
研究原住民大学生所经历的住房歧视对创伤后应激障碍（PTSD）症状和对大学压力的感知的影响。
横断面研究。
数据通过 2015 年至 2017 年间完成的 142 名原住民学生的面对面调查收集。使用 phi 系数和线性回归模型分析关联，模型调整了混杂因素。使用主题分析检查定性数据。
在样本中，有孩子（接近样本的 50%）、与浪漫伴侣同住或年龄在 25-44 岁之间的原住民学生经历了更多与种族动机相关的住房歧视。在过去 12 个月中住房歧视的频率与 PTSD 症状增加显著相关；特别是在调整混杂因素的线性回归模型中，侵入性回忆和更多感知到的大学压力。在 4 分制的住房歧视频率上每增加 1 分，PTSD 评分增加 5.4 分。尽管与浪漫伴侣同住会导致更多的住房歧视，但它也是一个恢复力因素，缓冲了住房歧视对 PTSD 症状的影响。定性数据表明，学生面临着直接而刻意的种族动机住房歧视，并强调了学生为抵制这种歧视而采取的富有创造力的方式。
种族动机的住房歧视加剧了原住民学生的 PTSD 症状，并对他们对大学经历的感知产生了不利影响。需要努力直接解决住房歧视问题，并为原住民学生提供更多以家庭为中心的住房和心理健康支持，以减少这一公共卫生问题对高等教育成功和学位完成的潜在影响。
