Burton Wanda Martin, Sanders Angelia M, Jaiswal Jessica, Guyotte Kelly W, Bartlett Tracy Robin
J Psychosoc Nurs Ment Health Serv. 2025 Mar;63(3):19-26. doi: 10.3928/02793695-20241101-05. Epub 2024 Nov 8.
Discrimination is a social determinant of health (SDOH) that negatively affects racially minoritized students and patients. Nurses and nurse educators must understand discrimination, including nuanced and intersecting ways that it negatively affects academic and health outcomes.
In-depth interviews were conducted with 12 Black women at a primarily White institution in the Southeast United States. The interview guide, informed by critical race and intersectionality theories, explored experiences of gendered racism, particularly in the students' social environments. Narrative analysis was conducted, then a composite counternarrative was composed to portray experiences of gendered racism across multiple levels, including intrapersonal, interpersonal, and institutional.
The composite narrative revealed experiences of multi-leveled gendered racial microaggressions that shape the daily lived experiences of Black college women students. Three main themes emerged: , , and .
Gendered racism differs from White women's experiences of sexism and Black men's experiences of racism. Institutional efforts to support Black college women must be intentional in addressing the unique ways they experience discrimination in various settings on campus. Nurses' and nurse educators' understanding of gendered racism as a SDOH may ease the hesitancy in addressing health inequities. [(3), 19-26.].
歧视是一种健康的社会决定因素（SDOH），对少数族裔学生和患者产生负面影响。护士和护理教育工作者必须了解歧视，包括其以细微差别和交叉方式对学业和健康结果产生负面影响的情况。
在美国东南部一所主要为白人的机构对12名黑人女性进行了深入访谈。访谈指南以批判种族理论和交叉性理论为依据，探讨了性别化种族主义的经历，特别是在学生的社会环境中的经历。进行了叙事分析，然后编写了一个综合反叙事，以描绘跨多个层面的性别化种族主义经历，包括个人层面、人际层面和机构层面。
综合叙事揭示了多层次性别化种族微侵犯的经历，这些经历塑造了黑人女大学生的日常生活经历。出现了三个主要主题： ， ，以及 。
性别化种族主义不同于白人女性的性别歧视经历和黑人男性的种族主义经历。支持黑人女大学生的机构努力必须有针对性地解决她们在校园不同环境中遭受歧视的独特方式。护士和护理教育工作者将性别化种族主义理解为一种健康的社会决定因素，可能会减轻在解决健康不平等问题上的犹豫。[（3），19 - 26。]
