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儿童歧视经历对父母心理和自评健康的影响:来自国民健康访谈调查的结果

The Influence of Children's Discrimination Experiences on Parents' Mental and Self-Rated Health: Results from the National Health Interview Survey.

作者信息

Jelsma Elizabeth, Kebbeh Nema, Ahmad Mahnoor

机构信息

Psychological, Health, & Learning Sciences, University of Houston, 3657 Cullen Blvd, Room 491, Houston, TX 77204, USA.

出版信息

Children (Basel). 2024 Jul 8;11(7):830. doi: 10.3390/children11070830.

DOI:10.3390/children11070830
PMID:39062279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11276265/
Abstract

BACKGROUND

This study assessed the associations between children's experiences of discrimination based on race/ethnicity and sexual orientation/gender identity and their parents' anxiety, depressive symptoms, and self-rated health.

METHODS

Our sample included 3910 parents with at least one child between 12 and 17 years of age. Data were pooled from the 2021 and 2022 waves of the National Health Interview Survey. Path analysis with maximum likelihood (ML) estimation and bootstrapping were used to examine the indirect pathways from child-experienced discrimination to parental self-rated health through parental anxiety and depressive symptoms.

RESULTS

Child-experienced discrimination based on race/ethnicity was associated with worse parental self-rated health via pathways through higher parental anxiety ( = 0.003) and depressive symptoms ( < 0.001). Child-experienced discrimination based on sexual orientation/gender identity was also associated with worse parental self-rated health via pathways through higher parental anxiety ( = 0.002) and depressive symptoms ( = 0.001).

CONCLUSIONS

The results show a strong association between children's experiences of discrimination and parental self-rated health through pathways of poor parental mental health. Findings demonstrate the need to reduce discrimination directed at children and to facilitate mental health support for parents of children experiencing discrimination to improve family well-being.

摘要

背景

本研究评估了儿童基于种族/族裔以及性取向/性别认同所经历的歧视与他们父母的焦虑、抑郁症状及自评健康之间的关联。

方法

我们的样本包括3910名有至少一个12至17岁孩子的家长。数据来自2021年和2022年的国家健康访谈调查。采用最大似然估计和自抽样法的路径分析来检验从儿童经历的歧视通过父母的焦虑和抑郁症状到父母自评健康的间接路径。

结果

基于种族/族裔的儿童经历的歧视通过更高的父母焦虑(=0.003)和抑郁症状(<0.001)与更差的父母自评健康相关。基于性取向/性别认同的儿童经历的歧视也通过更高的父母焦虑(=0.002)和抑郁症状(=0.001)与更差的父母自评健康相关。

结论

结果表明,通过父母心理健康不佳的途径,儿童经历的歧视与父母自评健康之间存在强烈关联。研究结果表明,有必要减少针对儿童的歧视,并为经历歧视的儿童的父母提供心理健康支持,以改善家庭福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ba1/11276265/ce42c8c23335/children-11-00830-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ba1/11276265/ce42c8c23335/children-11-00830-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ba1/11276265/ce42c8c23335/children-11-00830-g001.jpg

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本文引用的文献

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Sexual Orientation/Gender Identity Discrimination and Chronic Pain in Children: A National Study.儿童的性取向/性别认同歧视与慢性疼痛:一项全国性研究。
Am J Prev Med. 2024 Aug;67(2):175-183. doi: 10.1016/j.amepre.2024.03.010. Epub 2024 Mar 18.
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Perceptions of adolescents' racial discrimination experiences, racial identity, and depressive symptoms among Black American fathers.美国黑人父亲对青少年种族歧视经历、种族认同和抑郁症状的认知
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Perceived Racial/Ethnic Discrimination, Physical and Mental Health Conditions in Childhood, and the Relative Role of Other Adverse Experiences.
感知到的种族/民族歧视、童年时期的身心健康状况以及其他不良经历的相对作用。
Advers Resil Sci. 2022;3(2):181-194. doi: 10.1007/s42844-022-00063-z.
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Multidimensional Discrimination Distress, Controlling Parenting, and Parent-Adolescent Attachment Relationships: Racial/Ethnic Differences.多维歧视困扰、控制性养育与亲子依恋关系:种族/民族差异
J Soc Issues. 2023 Mar;79(1):334-359. doi: 10.1111/josi.12525. Epub 2022 Jul 12.
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Overview and Methods for the Youth Risk Behavior Surveillance System - United States, 2021.《2021 年美国青年风险行为监测系统概述和方法》。
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The Cutting Edge of Epigenetic Clocks: In Search of Mechanisms Linking Aging and Mental Health.表观遗传钟的前沿:探寻衰老与心理健康关联的机制。
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The Influence of Parent's Cardiovascular Morbidity on Child Mental Health: Results from the National Health Interview Survey.父母心血管疾病对儿童心理健康的影响:来自国民健康访谈调查的结果
Children (Basel). 2023 Jan 11;10(1):138. doi: 10.3390/children10010138.
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Vicarious experiences of major discrimination, anxiety symptoms, and mental health care utilization among Black Adults.黑人成年人中重大歧视的替代性经历、焦虑症状及心理健康服务利用情况
Soc Sci Med. 2023 Jan;316:114997. doi: 10.1016/j.socscimed.2022.114997. Epub 2022 May 6.
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Parental perceived immigration threat and children's mental health, self-regulation and executive functioning in pre-Kindergarten.父母感知到的移民威胁与学前儿童的心理健康、自我调节和执行功能。
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