Department of Social Welfare, UCLA Luskin School of Public Affairs, University of California, Los Angeles, Los Angeles, CA, United States.
Front Public Health. 2022 Oct 25;10:954897. doi: 10.3389/fpubh.2022.954897. eCollection 2022.
Prior research demonstrates significant links between discrimination and mental health by assessing either encounters with or stress appraisal of discrimination. However, research has yet to examine the dynamic interplay between frequency and stress appraisal (e.g., high frequency-low stress appraisal) and their linkage to depressive symptoms. Using a sample of 309 Asian American women ( = 22.81, = 0.26), we used a polynomial regression and response surface analysis to model the congruence and discrepancy between frequency and stress appraisal of gendered racial microaggressions experienced by Asian American women and how they are related to depressive symptoms and internalized racism. The dynamics between frequency and stress in relation to depressive symptoms were further probed at low, mean, and high levels of internalized racism. Greater congruence between frequency and stress was significantly associated with depressive symptoms (medium to large effect) and internalized racism (small effect). A discrepancy between higher frequency and lower stress was significantly associated with greater internalized racism. Further, when looking across levels of internalized racism, greater congruence between frequency and stress was significantly associated with greater depressive symptoms at low and mean levels of internalized racism but not at high levels. Gendered racial microaggressions are associated with adverse mental health outcomes among Asian American women, contributing to greater depressive symptoms and internalized racism. Further consideration should be given toward how internalized racism shapes differences in the perceptions and stress appraisal of gendered racial microaggressions, and subsequent mental health outcomes among Asian American women.
先前的研究通过评估遭遇歧视或对歧视的压力评估，证明了歧视与心理健康之间存在显著关联。然而，研究尚未探讨频率和压力评估（例如，高频率低压力评估）之间的动态相互作用，以及它们与抑郁症状之间的联系。本研究使用了一个由 309 名亚裔美国女性组成的样本（ = 22.81， = 0.26），采用多项式回归和响应面分析来建模亚裔美国女性经历的性别种族微侵犯的频率和压力评估之间的一致性和差异，以及它们与抑郁症状和内化种族主义之间的关系。在低、中、高水平的内化种族主义的情况下，进一步探讨了频率和压力之间的动态关系与抑郁症状之间的关系。频率和压力之间的一致性与抑郁症状（中到大量效果）和内化种族主义（小效果）显著相关。频率较高但压力较低的差异与内化种族主义显著相关。此外，在跨内化种族主义水平的情况下，频率和压力之间的一致性与低水平和中水平的内化种族主义与更大的抑郁症状显著相关，但在高水平的内化种族主义下则没有。性别种族微侵犯与亚裔美国女性的不良心理健康结果相关，导致更大的抑郁症状和内化种族主义。应该进一步考虑内化种族主义如何塑造对性别种族微侵犯的感知和压力评估的差异，以及随后亚裔美国女性的心理健康结果。
