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在城市日间收容所寻求帮助的、享有种族特权和少数民族地位的成年人中,更高的歧视频率和更低的压力容忍度与心理健康问题有关。

Greater Discrimination Frequency and Lower Distress Tolerance Are Associated with Mental Health Problems Among Racially Privileged and Minoritized Adults Accessing an Urban Day Shelter.

机构信息

TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Department of Psychology, Old Dominion University, Norfolk, VA, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Feb;11(1):45-61. doi: 10.1007/s40615-022-01496-z. Epub 2023 Jan 6.


DOI:10.1007/s40615-022-01496-z
PMID:36607564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10699794/
Abstract

INTRODUCTION: Discrimination experiences may be a contributing factor to the elevated prevalence of mental health problems among adults experiencing homelessness. METHODS: Using survey data (N = 552) collected from adults seeking services at an urban day shelter, the relationships between everyday and major discrimination experiences, distress tolerance, and mental health problems (depression, anxiety, post-traumatic stress disorder, poor mental health days) were characterized. Distress tolerance was examined as a moderator of the relationship between discrimination and mental health problems. RESULTS: Participants were predominantly from racially minoritized groups (59.6%), non-Hispanic (88.7%), and male (70.9%), with an average age of 45.7 years old (SD = 11.7). Descriptive analyses indicated that the main reason for discrimination differed between racially privileged (i.e., White participants) and racially minoritized participants (i.e., participants who identified as Black, American Indian/Alaska Native, Asian, Native Hawaiian/Pacific Islander, or multi-race), such that homelessness was most commonly endorsed among racially privileged participants while racial discrimination was most commonly reported among racially minoritized participants. Multivariate logistic regression analyses revealed associations between everyday discrimination, major discrimination, and distress tolerance with mental health problems. Distress tolerance did not moderate the relations between discrimination and mental health problems in most analyses. Notably, major discrimination was no longer associated with all mental health variables when both everyday and major discrimination were included in all models. CONCLUSION: Findings suggest that reducing everyday discrimination and addressing the adverse impact of everyday discrimination experiences may have a beneficial impact on mental health.

摘要

简介:歧视经历可能是导致无家可归成年人心理健康问题高发的一个因素。

方法:本研究使用城市日间收容所寻求服务的成年人的调查数据(N=552),描述了日常和主要歧视经历、痛苦耐受力与心理健康问题(抑郁、焦虑、创伤后应激障碍、心理健康不佳天数)之间的关系。还检验了痛苦耐受力对歧视与心理健康问题之间关系的调节作用。

结果:参与者主要来自少数族裔群体(59.6%)、非西班牙裔(88.7%)和男性(70.9%),平均年龄为 45.7 岁(SD=11.7)。描述性分析表明,在有特权的种族(即白人参与者)和少数族裔参与者(即自认为是黑人、美国印第安人/阿拉斯加原住民、亚洲人、夏威夷原住民/太平洋岛民或多种族的参与者)之间,歧视的主要原因存在差异,无家可归最常被有特权的种族参与者认可,而种族歧视最常被少数族裔参与者报告。多变量逻辑回归分析显示,日常歧视、主要歧视和痛苦耐受力与心理健康问题之间存在关联。在大多数分析中,痛苦耐受力并没有调节歧视与心理健康问题之间的关系。值得注意的是,当所有模型都包含日常和主要歧视时,主要歧视与所有心理健康变量不再相关。

结论:研究结果表明,减少日常歧视和解决日常歧视经历的负面影响可能对心理健康有益。

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[1]
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引用本文的文献

[1]
The association of sleep with physical and mental health among people experiencing homelessness.

Sleep Health. 2024-2

本文引用的文献

[1]
Discrimination, Substance Use, and Mental Health among Sexual and Gender Minority Adults Accessing Day Shelter Services.

Subst Use Misuse. 2022

[2]
Examining racial differences in community integration between black and white homeless veterans.

Psychiatry Res. 2022-2

[3]
The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis.

PLoS Med. 2021-8

[4]
The relations between discrimination, stressful life events, and substance use among adults experiencing homelessness.

Stress Health. 2022-2

[5]
Distress Tolerance: Theory, Measurement, and Relations to Psychopathology.

Curr Dir Psychol Sci. 2010-12-1

[6]
Racial Discrimination in the Life Course of Older Adults Experiencing Homelessness: Results from the HOPE HOME Study.

J Soc Distress Homeless. 2020

[7]
Preliminary evidence for a race-based stress reduction intervention for Black women at risk for cardiovascular disease.

Complement Ther Med. 2021-5

[8]
Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness.

Soc Sci Med. 2021-1

[9]
Urban Stress Indirectly Influences Psychological Symptoms through Its Association with Distress Tolerance and Perceived Social Support among Adults Experiencing Homelessness.

Int J Environ Res Public Health. 2020-7-23

[10]
Using the right words to address racial disparities in COVID-19.

Lancet Public Health. 2020-8

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