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加拿大黑人青年低韧性与身心健康的相关性。

Correlates of low resilience and physical and mental well-being among black youths in Canada.

机构信息

University of Alberta, Edmonton, Canada.

Red Deer Polytechnic, Red Deer, Canada.

出版信息

BMC Public Health. 2024 Aug 31;24(1):2369. doi: 10.1186/s12889-024-19440-7.

Abstract

BACKGROUND

Resilience has gained considerable attention in the mental health field as a protective factor that enables individuals to overcome mental health issues and achieve positive outcomes. A better understanding of resilience among Black youth is important for supporting the strengths and capacities within this population. This study seeks to investigate the correlates of resilience among Black youths in Canada.

METHODS

The survey was conducted online through REDCap between November 2022 and March 2023. The Brief Resilience Scale (BRS) was utilized to measure the capacity of participants to recover from or bounce back from stress. The BRS comprises six five-point Likert scale items. Data were analyzed employing a bivariate analysis followed by a multivariable binary logistic regression.

RESULTS

A total of 933 Black youths participated in the study across all Canadian provinces, of which 51.8% (483) identified as female and 46.7% (436) as male. Most respondents 51.3% (479) were between the ages of 16 and 20 years, with 28% (261) between the ages of 21 and 25 years, and 20.2% (188) between the ages of 26 and 30 years. In terms of employment, 62.0% (578) were working part-time, 23.7%, (220) were unemployed, and 9.8% (91) were working full-time. Over a third of participants (39.3%, 331) rated their mental health over the last month as good, with 34% (317) giving a rating of poor and 20.9% (195) giving a rating of fair. Black youths who were working part-time had four times greater odds of expressing low resilience (OR: 4.02; 95% CI: 1.82-11.29) than those who were not working. Black youth who ranked their mental health as poor were about nine times (OR: 8.65; 95% CI: 1.826-21.978) more likely to express low resilience.

CONCLUSION

In this study, the Black youth participants reported relatively low resilience scores. Employment, physical health, and mental health status were factors that contributed to low resilience. Further studies are needed to examine the causal link between resilience and its dynamic effect on health outcomes among Black youth. More interventions are needed to make mental health services accessible to Black youth in a more culturally sensitive way with cross-culturally trained professionals.

摘要

背景

韧性在心理健康领域受到了相当大的关注,它是一种保护因素,可以使个体克服心理健康问题并取得积极的结果。更好地了解加拿大黑人青年的韧性对于支持这一人群的优势和能力很重要。本研究旨在调查加拿大黑人青年的韧性相关因素。

方法

该调查于 2022 年 11 月至 2023 年 3 月期间通过 REDCap 在线进行。使用简短韧性量表(BRS)来衡量参与者从压力中恢复或反弹的能力。BRS 由六个五分制李克特量表项目组成。采用双变量分析和多变量二元逻辑回归进行数据分析。

结果

共有 933 名加拿大各地的黑人青年参与了这项研究,其中 51.8%(483 人)为女性,46.7%(436 人)为男性。大多数受访者(51.3%,479 人)年龄在 16 至 20 岁之间,28%(261 人)年龄在 21 至 25 岁之间,20.2%(188 人)年龄在 26 至 30 岁之间。就就业而言,62.0%(578 人)从事兼职工作,23.7%(220 人)失业,9.8%(91 人)全职工作。超过三分之一的参与者(39.3%,331 人)表示过去一个月的心理健康状况良好,34%(317 人)的评分较差,20.9%(195 人)的评分一般。从事兼职工作的黑人青年表达低韧性的可能性是不工作的青年的四倍(优势比:4.02;95%置信区间:1.82-11.29)。将心理健康自评为较差的黑人青年表达低韧性的可能性大约是自评较好的青年的九倍(优势比:8.65;95%置信区间:1.826-21.978)。

结论

在这项研究中,黑人青年参与者报告的韧性得分相对较低。就业、身体健康和心理健康状况是导致低韧性的因素。需要进一步研究来检验韧性与其对黑人青年健康结果的动态影响之间的因果关系。需要更多的干预措施,以便以更具文化敏感性的方式为黑人青年提供心理健康服务,并由跨文化培训的专业人员提供服务。

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