J Health Care Poor Underserved. 2023;34(1):35-57. doi: 10.1353/hpu.2023.0004.
Black Americans face significant discrimination associated with mental health disorder, which may be exacerbated among sexually victimized people. Social support may buffer that relationship.
Cross-sectional data from a retrospective cohort study were analyzed to examine if discrimination and sexual victimization overlap to exacerbate symptoms of depression and post-traumatic stress disorder (PTSD) and to determine the extent to which social support moderated that association among Black women living in Baltimore, Maryland [138 non-abused (no physical/sexual victimization) and 98 abused (sexually victimized) since age 18].
Symptoms of depression and PTSD were independently associated with discrimination. Multilinear regression showed social support from friends moderated the association between discrimination and depressive symptoms among sexually abused participants only.
Discrimination may exacerbate symptoms of depression and PTSD more for sexually victimized Black women, but sources of informal social support may attenuate adverse effects of discrimination on depressive symptoms among members of that group.
美国黑人面临着与心理健康障碍相关的严重歧视，而在性受虐者中，这种歧视可能会加剧。社会支持可能会缓冲这种关系。
对一项回顾性队列研究的横断面数据进行了分析，以检验歧视和性受虐是否会重叠，从而加剧抑郁和创伤后应激障碍（PTSD）的症状，并确定社会支持在多大程度上缓和了马里兰州巴尔的摩市黑人女性（18 岁以后遭受过非身体/性虐待的 138 人和遭受过性虐待的 98 人）中这种关联。
抑郁和 PTSD 症状与歧视独立相关。多元线性回归显示，仅在性受虐参与者中，来自朋友的社会支持调节了歧视与抑郁症状之间的关联。
歧视可能会使性受虐的黑人女性的抑郁和 PTSD 症状恶化得更严重，但非正式社会支持的来源可能会减轻该群体成员中歧视对抑郁症状的不良影响。
