St John Victor J, Nemati Donya
John Glenn College of Public Affairs, The Ohio State University, Columbus, OH, USA.
College of Nursing, The Ohio State University, Columbus, OH, USA.
J Racial Ethn Health Disparities. 2024 Nov 6. doi: 10.1007/s40615-024-02215-6.
This study examines the impact of various adversities-including racism, indirect adversity, loss of a loved one, and adverse police contact-on psychological and physical health outcomes such as sleep quality, depressive symptoms, serious illness, and self-reported health. Additionally, it investigates how economic, educational, social, and spiritual capital moderate these effects, with attention to racial differences. Leveraging a sample of 1139 participants from the 1995 Detroit Area Study, analyses reveal nuanced effects of adversity, with the impact being neutralized, attenuated, or amplified by coping capacities. Economic and educational supports generally provide protective health benefits, while social and religious supports reveal complex, sometimes divergent effects. Subgroup analyses reveal racial differences: for instance, Black individuals face a higher likelihood of developing a serious illness in connection with adverse police encounters, and White individuals benefit from liquid assets in buffering depressive symptoms. These findings underscore the need for multifaceted, context-sensitive health interventions and policies that enhance economic stability, educational opportunities, and mental health services, while strengthening social and spiritual support systems to build resilience and mitigate the adverse health effects of these adversities.
本研究考察了包括种族主义、间接逆境、失去亲人以及与警方的不良接触等各种逆境对心理和身体健康结果的影响,如睡眠质量、抑郁症状、重病和自我报告的健康状况。此外,研究还探讨了经济、教育、社会和精神资本如何调节这些影响,并关注种族差异。利用1995年底特律地区研究中的1139名参与者组成的样本,分析揭示了逆境的细微影响,应对能力会使这种影响被抵消、减弱或放大。经济和教育支持通常能提供有益健康的保护作用,而社会和宗教支持则显示出复杂的、有时是不同的影响。亚组分析揭示了种族差异:例如,黑人因与警方的不良接触而患重病的可能性更高,而白人则受益于流动资产对抑郁症状的缓冲作用。这些发现强调了需要采取多方面的、因地制宜的健康干预措施和政策,以增强经济稳定性、教育机会和心理健康服务,同时加强社会和精神支持系统,以建立复原力并减轻这些逆境对健康的不利影响。