Center for Population Sciences and Health Equity Associate Professor, College of Nursing, Florida State University, 2010 Levy Ave., Tallahassee, FL 32310, United States of America.
Department of Psychology, the University of Hawai'i at Mānoa, 2530 Dole St., Sakamaki Hall C404, Honolulu, HI 96822-2294, United States of America.
Arch Psychiatr Nurs. 2021 Feb;35(1):94-101. doi: 10.1016/j.apnu.2020.09.014. Epub 2020 Nov 25.
The association between symptoms of depression and risks for cardiovascular disease (CVD) remains equivocal for African American (AA) mothers. We examined the association between social determinants of health (perceived discrimination), and cardiovascular risk (BMI) on symptoms of depression in a sample of young AA mothers.
Secondary data from 219 adult AA mothers between the ages of 21 and 46 with an average BMI of 29.8 and yearly family income of $14,999 were analyzed using a latent growth model that evaluated four time points to assess changes in symptoms of depression.
Initial BMI was significantly associated with initial symptoms of depression (b = 0.12, p = .019). Perceived discrimination (unfair treatment) was associated with higher initial symptoms of depression (b = 1.14, p = .017).
The findings suggest that elevated BMI and perceived discrimination are associated with higher reported symptoms of depression among young, socioeconomically disadvantaged AA mothers. These results advance the scientific understanding of young AA mothers' risk for symptoms of depression and CVD by elucidating the impact of perceived discrimination and social experiences on mental health. Further studies of SDoH and CVD risk factors and perceived racism and depression are needed to shed light on the long-term mental health impact on AA mothers and their children.
对于非裔美国（AA）母亲来说，抑郁症状与心血管疾病（CVD）风险之间的关联仍然存在争议。我们研究了健康的社会决定因素（感知歧视）和心血管风险（BMI）与年轻 AA 母亲抑郁症状之间的关联。
对 219 名年龄在 21 至 46 岁之间、平均 BMI 为 29.8、年家庭收入为 14999 美元的 AA 成年母亲进行二次数据分析，使用潜在增长模型评估四个时间点以评估抑郁症状的变化。
初始 BMI 与初始抑郁症状显著相关（b=0.12，p=0.019）。感知歧视（不公平待遇）与较高的初始抑郁症状相关（b=1.14，p=0.017）。
研究结果表明，BMI 升高和感知歧视与年轻、社会经济地位较低的 AA 母亲报告的抑郁症状较高有关。这些结果通过阐明感知歧视和社会经历对心理健康的影响，推进了对年轻 AA 母亲抑郁症状和 CVD 风险的科学理解。需要进一步研究 SDoH 和 CVD 风险因素以及感知种族主义和抑郁，以阐明对 AA 母亲及其子女的长期心理健康影响。
