Scott Jewel, James Kortney Floyd, Méndez Dara D, Johnson Ragan, Davis Esa M
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
University of California, Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
SSM Qual Res Health. 2023 Jun;3. doi: 10.1016/j.ssmqr.2023.100268. Epub 2023 Apr 10.
Historically, Black women strategically employed silence to endure enslavement to the U.S., and other forms of racial violence. The current study aimed to understand contemporary perspectives on self-silencing.
To explore young adult Black women's experiences of self-silencing and its potential impact on their physical and mental well-being.
Data are from 16 semi-structured interviews with Black women ages 18 to 39 in southwest Pennsylvania conducted between October 2021 - May 2022. We analyzed the interviews using inductive thematic analysis.
We identified four themes: "Self-silencing is Inherited," "Silencing Here and Now," "Wear and Tear," and "The Flip Side." The first theme represents the overwhelming consensus that limiting self-expression has a generational component rooted in racism. Most participants identified self-silencing in school and employment settings. Participants described the wear and tear of self-silencing as negatively impacting health behaviors (e.g., diet) and mental health both when deciding whether to self-silence and later ruminations on the decision. "The Flip Side" represents counter perspectives that not self-silencing liberates and improves health.
The findings highlight that many Black women may use or resist self-silencing as a vigilance-based coping strategy to preserve their mental and physical well-being. We present measurement considerations for research on health impacts of racism and other forms of oppression.
从历史上看,黑人女性曾战略性地运用沉默来忍受在美国遭受的奴役以及其他形式的种族暴力。当前的研究旨在了解当代对自我沉默的看法。
探讨年轻成年黑人女性自我沉默的经历及其对她们身心健康的潜在影响。
数据来自2021年10月至2022年5月期间在宾夕法尼亚州西南部对18至39岁黑人女性进行的16次半结构化访谈。我们使用归纳主题分析法对访谈进行了分析。
我们确定了四个主题:“自我沉默是遗传的”、“此时此地的沉默”、“损耗”和“另一面”。第一个主题代表了压倒性的共识,即限制自我表达具有植根于种族主义的代际因素。大多数参与者在学校和工作环境中发现了自我沉默的情况。参与者将自我沉默的损耗描述为在决定是否自我沉默以及之后对该决定的反思时,都会对健康行为(如饮食)和心理健康产生负面影响。“另一面”代表了相反的观点,即不自我沉默会带来解放并改善健康。
研究结果突出表明,许多黑人女性可能会将自我沉默作为一种基于警惕的应对策略来使用或抵制,以维护她们的身心健康。我们提出了关于种族主义和其他形式压迫对健康影响研究的测量考量。