Adkins-Jackson Paris B, Joseph Victoria A, Ford Tiffany N, Avila-Rieger Justina F, Gobaud Ariana N, Keyes Katherine M
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, United States.
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, United States.
Am J Epidemiol. 2025 Apr 8;194(4):946-953. doi: 10.1093/aje/kwae164.
We explored state-level indicators of structural racism on internalizing symptoms of depressive affect among US adolescents. We merged 16 indicators of state-level structural racism with 2015-19 Monitoring the Future surveys (n = 41 258) examining associations with loneliness, self-esteem, self-derogation, and depressive symptoms using regression analyses. Students racialized as Black in states with bans on food stamp eligibility and temporary assistance for drug felony conviction had 1.37 times the odds of high depressive symptoms (95% confidence interval [CI], 1.01-1.89) compared to students in states without bans. In contrast, students racialized as White living in states with more severe disenfranchisement of people convicted of felonies had lower odds of high self-derogation (odds ratio [OR], 0.89; 95% CI, 0.78-1.02) and high depressive symptoms (OR, 0.83; 95% CI, 0.70-0.99) compared to states with less severe disenfranchisement. These findings demonstrate the need to address the legacy of structural racism at the state level to reduce mental distress for US youth. This article is part of a Special Collection on Mental Health.
我们探究了美国州级结构性种族主义指标与青少年内化性抑郁情绪症状之间的关系。我们将16项州级结构性种族主义指标与2015 - 2019年的“未来监测”调查（n = 41258）相结合，通过回归分析研究其与孤独感、自尊、自我贬低和抑郁症状的关联。在那些禁止食品券资格和对毒品重罪定罪者提供临时援助的州，被认定为黑人的学生出现高抑郁症状的几率是没有此类禁令州的学生的1.37倍（95%置信区间[CI]，1.01 - 1.89）。相比之下，与重罪剥夺选举权程度较轻的州相比，生活在重罪剥夺选举权更为严重的州的白人学生出现高自我贬低（优势比[OR]，0.89；95% CI，0.78 - 1.02）和高抑郁症状（OR，0.83；95% CI，0.70 - 0.99）的几率更低。这些发现表明，有必要在州一级解决结构性种族主义的遗留问题，以减轻美国青少年的心理困扰。本文是心理健康专题文集的一部分。
