25808Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, CA, USA.
University of Alabama-Birmingham, Birmingham, AL, USA.
J Aging Health. 2021 Jun-Jul;33(5-6):396-408. doi: 10.1177/0898264320988187. Epub 2021 Feb 3.
To evaluate the impact of early life racial discrimination (ELRD) on mental health among Black adults. Data were from the Nashville Stress and Health Study ( = 618). Ordinary least squares regression models examined the relationship between ELRD and adult psychological distress; logistic regression estimated the probability of past-year major depressive disorder (MDD). We also assessed whether ELRD moderated the relationship between adult discrimination and mental health. Childhood (b = 1.07, = .51, = .04) and adolescent ELRD (b = 1.32, = .42, = .002) were associated with adult distress. Individuals who experienced childhood ERLD had 88% lower odds of adult MDD than individuals with no ELRD. Significant interactions showed that childhood and adolescent ELRD was protective against adult discrimination. While ELRD importantly shapes distress and MDD among Black adults, patterns vary by outcome. Results indicate that adult distress and MDD develop through cumulative adversity processes that are further influenced by sensitive periods in the life course.
为了评估早期生活中的种族歧视（ELRD）对黑人成年人心理健康的影响。数据来自纳什维尔压力与健康研究（=618）。普通最小二乘法回归模型检验了 ELRD 与成人心理困扰之间的关系；逻辑回归估计了过去一年重度抑郁症（MDD）的概率。我们还评估了 ELRD 是否调节了成人歧视与心理健康之间的关系。童年（b=1.07，=0.51，=0.04）和青少年时期的 ELRD（b=1.32，=0.42，=0.002）与成人困扰有关。经历过童年 ELRD 的个体与没有 ELRD 的个体相比，成年 MDD 的几率低 88%。显著的交互作用表明，童年和青少年时期的 ELRD 对成人歧视具有保护作用。虽然 ELRD 对黑人成年人的困扰和 MDD 有重要影响，但模式因结果而异。研究结果表明，成人的困扰和 MDD 是通过累积逆境过程发展的，而这些过程进一步受到生命历程中敏感时期的影响。
