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中年和老年黑人成年人一生中替代性经历重大歧视与抑郁症状的关系。

Lifetime vicarious experiences of major discrimination and depressive symptoms among middle-aged and older black adults.

机构信息

Department of Sociology, University of Alabama-Birmingham, Birmingham, AL, USA.

出版信息

Aging Ment Health. 2023 Jun;27(6):1103-1110. doi: 10.1080/13607863.2022.2117792. Epub 2022 Aug 29.

Abstract

OBJECTIVES

Racial disparities in later-life depression among Americans are well-documented. Perceived discrimination has been linked to depressive symptoms among aging Black adults, but little research has considered how vicarious exposure to discrimination shapes the mental health of middle-aged and older Black adults.

METHODS

A subsample of Black adults aged 50-69 years ( = 273) were drawn from the Nashville Stress and Health Study. Lifetime vicarious exposures to major discrimination were assessed. Additionally, multivariate linear regression was employed to examine the association between vicarious experiences of major discrimination and depressive symptoms.

RESULTS

Once the Black adults in the sample had reached ages 50 and older, the most common discriminatory events that they had vicariously experienced in their lifetime occurred as a result of their loved ones' unfair interactions with law enforcement and the job market, respectively. Furthermore, our findings revealed that vicarious experiences of major discrimination were associated with higher levels of depressive symptoms among middle-aged and older Black adults.

CONCLUSION

Vicarious, as well as personal, exposures to discrimination shape the mental health of Black Americans over the lifespan. The secondhand effects of discrimination must be considered for interventions aimed at reducing the mental health consequences of racism-related adversity as Black adults age.

摘要

目的

美国老年人的后期抑郁症中存在明显的种族差异。人们已经认识到,感知到的歧视与老年黑人的抑郁症状有关,但很少有研究考虑到间接接触到的歧视如何影响中年和老年黑人的心理健康。

方法

从纳什维尔压力与健康研究中抽取了年龄在 50-69 岁的黑人成年人的一个子样本(n=273)。评估了一生中间接接触的主要歧视事件。此外,还采用多元线性回归来检验主要歧视的间接经历与抑郁症状之间的关联。

结果

一旦样本中的黑人成年人达到 50 岁以上,他们一生中最常见的间接歧视事件分别是由于他们的亲人与执法部门和就业市场的不公平互动而发生的。此外,我们的研究结果表明,间接经历主要歧视与中年和老年黑人成年人的抑郁症状水平较高有关。

结论

间接经历和个人经历的歧视都会影响黑人美国人的整个生命周期的心理健康。必须考虑歧视的次生效应,以便在黑人成年人年龄增长时,针对与种族主义相关的逆境对心理健康造成的影响的干预措施。

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Linked fate and mental health among African Americans.非裔美国人的关联命运与心理健康。
Soc Sci Med. 2020 Dec;266:113340. doi: 10.1016/j.socscimed.2020.113340. Epub 2020 Sep 3.

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