McGill University, Montreal, QC, Canada.
Black Community Resource Center, Montreal, QC, Canada.
J Racial Ethn Health Disparities. 2023 Oct;10(5):2327-2337. doi: 10.1007/s40615-022-01412-5. Epub 2023 Feb 6.
Quebec's English-speaking Black community finds itself at the intersection of racial and linguistic discrimination, which presents challenges to mental wellness. The present study aims to add necessary detail to the conversations surrounding racism and mental health in Canada while including language as a determinant of health and intersecting element affecting the wellbeing of English-speaking Black Quebecers. We recruited 531 Black adults who are currently living in Quebec to complete a survey on various community-relevant items, including their mental and physical health, their experiences of discrimination, and barriers to accessing mental healthcare. Our analyses revealed that English-speaking participants experience more discrimination across all types and report more barriers to mental healthcare and lower mental health than their French-speaking counterparts. Furthermore, we found that language also had a mediated effect on mental health through discrimination and barriers to mental healthcare. Our study adds to the sparse race-based and intersectional literature about Black people in Canada and substantiates a mechanism by which language affects mental health by exposing Black Quebecers to more discrimination and thus higher barriers to care.
魁北克的英语黑人社区发现自己处于种族和语言歧视的交叉点，这对他们的心理健康构成了挑战。本研究旨在为加拿大的种族主义和心理健康对话增添必要的细节，同时将语言作为健康的决定因素和影响英语黑人魁北克人福祉的交叉因素纳入其中。我们招募了 531 名目前居住在魁北克的黑人成年人，让他们完成了一项关于各种社区相关项目的调查，包括他们的身心健康、歧视经历以及获得精神保健的障碍。我们的分析表明，讲英语的参与者经历了更多类型的歧视，报告了更多的精神保健障碍，并且心理健康状况比说法语的参与者差。此外，我们发现语言也通过歧视和获得精神保健的障碍对心理健康产生了中介影响。我们的研究增加了关于加拿大黑人的基于种族和交叉的文献，证明了语言通过使黑人魁北克人更容易受到歧视，从而对精神健康产生影响的机制，因为这种歧视导致他们面临更高的护理障碍。
