一项横断面研究：全国男男性行为人群感知压力和种族歧视状况。
A Cross-sectional Study of Perceived Stress and Racial Discrimination Among a National Sample of Young Men Who Have Sex With Men.
机构信息
Evette Cordoba, PhD, MPH, is a Postdoctoral Research Scientist, Columbia University School of Nursing, New York, New York, USA. Robert Garofalo, MD, MPH, is the Division Head of Adolescent and Young Adult Medicine, the Potocsnak Family Professorship in Adolescent & Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, and Professor of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Lisa M. Kuhns, PhD, is a Research Associate Professor of Pediatrics (Adolescent Medicine), Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. Cynthia R. Pearson, PhD, is a Research Professor and Director of Research at the Indigenous Wellness Research Institute, School of Social Work, University of Washington, Seattle, Washington, USA. D. Scott Batey, PhD, MSW, is an Associate Professor of Social Work, Tulane University, New Orleans, Louisiana, USA. Josh Bruce, MPH, is the Director of Research Initiatives, Birmingham AIDS Outreach, Birmingham, Alabama, USA. Asa Radix, MD, PhD, MPH, FIDSA, is the Senior Director of Research and Education, Callen-Lorde Community Health Center, New York, New York, USA. Uri Belkind, MD, MS, FAAP, AAHIVS, is the Associate Director of Adolescent Health (Health Outreach to Teens), Callen Lorde Community Health Center, New York, New York, USA. Marco A. Hidalgo, PhD, MA, is a Faculty Psychologist at the Center for Transyouth Health and Development and Assistant Professor of Clinical Pediatrics, Children's Hospital Los Angeles, The Saban Research Institute and the Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Sabina Hirshfield, PhD, is a Principal Research Scientist, STAR Program, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, New York, USA. Rebecca Schnall, PhD, MPH, RN-BC, FAAN, FACMI, is the Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion, Columbia University School of Nursing, Professor of Population and Family Health, Columbia University, New York, New York, USA.
出版信息
J Assoc Nurses AIDS Care. 2023;34(3):226-237. doi: 10.1097/JNC.0000000000000407.
Research regarding the impact of racism on stress among young men who have sex with men (YMSM) is sparse. Secondary data were assessed from a 2018-2020 national mHealth prevention trial for YMSM aged 13-18 years (N = 542). Linear regression models examined associations between perceived stress and interpersonal and vicarious racism, adjusting for covariates. Stratified models by race/ethnicity were included. A subanalysis (n = 288) examined associations between nine interpersonal racial discriminatory events and perceived stress. Over 50% of participants experienced racial discrimination. In the multivariable models, exposure to interpersonal (β = 1.43, p-value: .038) and vicarious (β = 1.77, p-value: .008) racism was associated with perceived stress because there were four interpersonal racial discriminatory events. Stratified analysis by race/ethnicity found significant associations between interpersonal and vicarious racism and perceived stress among some racial/ethnic groups. Racial discrimination was common among YMSM, making them susceptible to the possible effects of vicarious and interpersonal racism on stress.
关于种族主义对男男性行为者（MSM）年轻人压力影响的研究很少。对 2018-2020 年一项针对 13-18 岁 MSM 的国家移动健康预防试验的二次数据进行了评估（N=542）。线性回归模型检验了感知压力与人际和间接种族主义之间的关联，同时调整了协变量。包括按种族/民族分层的模型。一项亚分析（n=288）检验了九种人际种族歧视事件与感知压力之间的关联。超过 50%的参与者经历了种族歧视。在多变量模型中，人际（β=1.43，p 值：.038）和间接（β=1.77，p 值：.008）种族主义的暴露与感知压力相关，因为有四种人际种族歧视事件。按种族/民族分层分析发现，在一些种族/民族群体中，人际和间接种族主义与感知压力之间存在显著关联。种族歧视在 MSM 中很常见，这使他们容易受到间接和人际种族主义对压力的可能影响。
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