Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA.
Department of Psychology, Miami University, Oxford, Ohio, USA.
J Clin Psychol. 2023 Sep;79(9):2101-2123. doi: 10.1002/jclp.23530. Epub 2023 May 18.
Communities of color in the United States systematically experience inequities in physical and mental health care compared to individuals who identify as non-Hispanic White. The coronavirus disease 2019 (COVID-19) pandemic exacerbated these structural drivers of inequity to disproportionate and devastating effects for persons of color. In addition to managing the direct effects of COVID-19 risk, persons of color were also navigating increased racial prejudice and discrimination. For mental health professionals and trainees of color, the effects of COVID-19 racial health disparities and the increase in acts of racism may have been compounded by their work responsibilities. The current study used an embedded mixed-methods approach to examine the differential impact of COVID-19 on health service psychology (HSP) students of color as compared to their non-Hispanic White peers.
Using quantitative and qualitative data from the Epidemic-Pandemic Impacts Inventory, measures of perceived support and of discrimination, and open-ended questions about students' experiences with racism and microaggressions, we examined the extent to which different racial/ethnic HSP student groups experienced COVID-19-related discrimination, the impacts of COVID-19 felt by students of color, and how these experiences differed from those of their non-Hispanic White peers.
HSP students of color endorsed greater impacts of the pandemic on both self and others in the home, perceived themselves as less supported by others, and reported more experiences of racial discrimination than non-Hispanic White HSP students.
Throughout the graduate experience, HSP students of color and their experiences of discrimination need to be addressed. We provided recommendations to HSP training program directors and students both during and after the COVID-19 pandemic.
与非西班牙裔白人相比，美国的有色人种群体在身心健康护理方面系统地经历着不平等。2019 年冠状病毒病（COVID-19）大流行加剧了这些造成不平等的结构性驱动因素，对有色人种造成了不成比例和毁灭性的影响。除了应对 COVID-19 风险的直接影响外，有色人种还面临着种族偏见和歧视的增加。对于有色人种的心理健康专业人员和受训者来说，COVID-19 种族健康差距的影响以及种族主义行为的增加，可能因他们的工作责任而更加复杂。本研究采用嵌入式混合方法，比较 COVID-19 对有色人种健康服务心理学（HSP）学生与非西班牙裔白人同龄人产生的不同影响。
使用来自流行病影响清单的定量和定性数据、感知支持和歧视的衡量标准，以及关于学生经历种族主义和微侵犯的开放性问题，我们考察了不同种族/族裔 HSP 学生群体经历 COVID-19 相关歧视的程度、有色人种学生感受到的 COVID-19 的影响，以及这些经历与非西班牙裔白人同龄人有何不同。
HSP 有色人种学生认为大流行对家庭中自己和他人的影响更大，认为自己得到的他人支持较少，并且报告的种族歧视经历多于非西班牙裔白人 HSP 学生。
在整个研究生经历中，都需要关注 HSP 有色人种学生及其经历的歧视问题。我们为 HSP 培训项目主任和学生提供了在 COVID-19 大流行期间和之后的建议。
