Adkins-Jackson Paris B, Turner-Musa Jocelyn, Chester Charlene
1 University of California, Los Angeles, USA.
2 Morgan State University, Baltimore, MD, USA.
Inquiry. 2019 Jan-Dec;56:46958019870968. doi: 10.1177/0046958019870968.
Stress leads to poor self-rated health for many black women because of racial and economic discrimination which results in psychological distress and restricted access to resources. Resilience factors such as self-care may be able to buffer the impact of stress; however, the role of self-care in reducing the effect of stress on self-rated health has not been explored. Self-care involves the utilization of self-awareness and agency to seek remedy for imbalance and to sustain equilibrium. Despite anecdotal exploration of these factors, there has not been a systematic investigation of whether self-awareness and agency indeed predict self-care. Subsequently, this study sought to provide evidence that self-awareness and resilience predict self-care, and self-care can mediate the negative relationship between stress and self-rated health. A cross-section of 223 black women living in the United States completed a battery of assessments of self-care, mindfulness, perceived stress, resilience, and self-rated health. Through a series of regression analyses exploring mediating effects, a path emerged. Findings indicate that awareness and resilience do predict self-care, and self-care mediates the negative relationship between stress and health. These analyses suggest that the role of stress on black women's health can be reduced by the implementation of awareness and resilience.
由于种族和经济歧视，压力导致许多黑人女性自评健康状况不佳，这种歧视会造成心理困扰并限制资源获取。诸如自我关怀等复原力因素或许能够缓冲压力的影响；然而，自我关怀在减轻压力对自评健康的影响方面所起的作用尚未得到探究。自我关怀涉及利用自我意识和能动性来寻求失衡的补救办法并维持平衡。尽管对这些因素进行了一些轶事性探究，但尚未对自我意识和能动性是否确实能预测自我关怀进行系统调查。随后，本研究试图提供证据，证明自我意识和复原力能预测自我关怀，且自我关怀可调节压力与自评健康之间的负面关系。对居住在美国的223名黑人女性进行的一项横断面研究完成了一系列关于自我关怀、正念、感知压力、复原力和自评健康的评估。通过一系列探索中介效应的回归分析，得出了一条路径。研究结果表明，意识和复原力确实能预测自我关怀，并自我关怀调节了压力与健康之间的负面关系。这些分析表明，通过培养意识和复原力，可以减轻压力对黑人女性健康的影响。
