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非裔美国人和加勒比黑人的社会隔离与心理健康。

Social isolation from family and friends and mental health among African Americans and Black Caribbeans.

机构信息

School of Social Work.

Center for Aging and Human Development.

出版信息

Am J Orthopsychiatry. 2020;90(4):468-478. doi: 10.1037/ort0000448. Epub 2020 Apr 20.

Abstract

Social isolation is a significant social problem in the United States that many health and welfare organizations have begun to acknowledge and address. Unfortunately, extremely little research focuses on social isolation among ethnic minority populations. This study investigated the association between social isolation from family and friends and the mental health of African Americans and Black Caribbeans. Using data from the National Survey of American Life (2001-2003), we explore 2 indicators of mental health: depressive symptoms (CES-D) and serious psychological distress (Kessler 6). The negative binomial regression analysis examined both objective isolation (infrequent contact) and subjective isolation (lack of emotional closeness) from family and friends. Overall study findings indicated that infrequent contact (objective social isolation) and diminished emotional closeness (subjective social isolation) from family and friends were associated with higher levels of depressive symptoms and serious psychological distress for both African Americans and Black Caribbeans. The addition of subjective social isolation to regression models attenuated the association between objective social isolation and depressive symptoms for both groups. However, the addition of subjective social isolation attenuated the association between serious psychological distress for African Americans but not for Black Caribbeans. These findings contribute to the very limited, but growing body of research on the negative association between social isolation and the mental and physical health of ethnic minorities. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

社会孤立是美国一个严重的社会问题,许多健康和福利组织已经开始认识到这个问题,并着手解决。不幸的是,极少有研究关注少数民族群体中的社会孤立问题。本研究调查了与非裔美国人和加勒比黑人的家庭和朋友之间社会孤立相关的心理健康问题。本研究使用了来自美国生活全国调查(2001-2003 年)的数据,探讨了心理健康的两个指标:抑郁症状(CES-D)和严重心理困扰(Kessler 6)。负二项回归分析同时考察了来自家庭和朋友的客观隔离(接触频率低)和主观隔离(缺乏情感亲密)。总体研究结果表明,与非裔美国人和加勒比黑人的抑郁症状和严重心理困扰程度较高相关的是与家庭和朋友之间的接触频率低(客观社会隔离)和情感亲密感减弱(主观社会隔离)。在回归模型中加入主观社会隔离,会减弱两组人群中客观社会隔离与抑郁症状之间的关联。然而,对于非裔美国人来说,加入主观社会隔离会减弱严重心理困扰与社会隔离之间的关联,但对于加勒比黑人则不然。这些发现丰富了关于社会隔离与少数民族身心健康之间负面关联的非常有限但不断增长的研究文献。(美国心理协会,2020)

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