Kim Isak, Jang Hyemi, Kim So Rin, Choi Jihyeon
Department of Counseling, University of Nebraska Omaha, Omaha, NE USA.
Educational Psychology Department, Western Connecticut State University, Danbury, CT USA.
J Child Adolesc Trauma. 2024 Aug 19;17(4):1177-1188. doi: 10.1007/s40653-024-00652-3. eCollection 2024 Dec.
The purpose of the current research study was to examine the relationship among Adverse Childhood Experiences (ACEs), racial discrimination, and internalizing problems (i.e., anxiety, depression) among Asian adolescents in the US. We used a subsample of Asian adolescents from the National Survey of Children's Health (NSCH) 2018-2019 (n = 1,110; age = 14.73 years; 47.8% male). Results of binary logistic regression analyses revealed most individual ACEs were not significantly associated with anxiety and depression, but 'family mental illness' had a strong association with the condition of depression (OR = 5.39, 95% CI [2.17, 13.40], < .001). Racial discrimination was significantly associated with both anxiety (OR = 3.70, 95% CI [1.98, 6.89]) and depression (OR = 3.47., 95% CI [1.74, 6.91]), even after accounting for cumulative scores of other ACEs and sociodemographic covariates in the regression models. The findings demonstrate the unique role of racial discrimination in developing internalizing problems among Asian adolescents in the US. Implications for practitioners and future research are discussed.
当前这项研究的目的是考察美国亚裔青少年中不良童年经历（ACEs）、种族歧视和内化问题（即焦虑、抑郁）之间的关系。我们使用了2018 - 2019年全国儿童健康调查（NSCH）中亚裔青少年的一个子样本（n = 1110；年龄 = 14.73岁；47.8%为男性）。二元逻辑回归分析结果显示，大多数个体ACEs与焦虑和抑郁无显著关联，但“家庭精神疾病”与抑郁状况有很强的关联（OR = 5.39，95%置信区间[2.17, 13.40]，P <.001）。即使在回归模型中考虑了其他ACEs的累积得分和社会人口统计学协变量后，种族歧视与焦虑（OR = 3.70，95%置信区间[1.98, 6.89]）和抑郁（OR = 3.47，95%置信区间[1.74, 6.91]）均显著相关。研究结果表明了种族歧视在美国亚裔青少年内化问题发展中的独特作用。文中还讨论了对从业者和未来研究的启示。
