探索寻求心理健康服务的有色人种青少年中创伤与歧视的交叉点。
Exploring Intersections Between Trauma and Discrimination in Youth of Color Seeking Mental Health Services.
作者信息
Alvis Lauren, Kibble Camisha D M, Douglas Robyn D, Giang Christopher, Johns Tamara, Oosterhoff Benjamin, Kaplow Julie B
机构信息
Trauma and Grief Center at Meadows Mental Health Policy Institute, Houston, Texas.
University of Texas at Dallas, Dallas, Texas.
出版信息
J Am Acad Child Adolesc Psychiatry. 2025 Jan 20. doi: 10.1016/j.jaac.2024.10.018.
OBJECTIVE
The purpose of this study is to explore the intersection between trauma and discrimination among Black and Latino/a/x youth seeking treatment. Specifically, we examine the following: (1) the frequency of various everyday discrimination experiences, averaged across the sample and disaggregated by demographic characteristics; (2) unique associations between exposure to potentially traumatic events (PTEs) and everyday discrimination experiences; and (3) unique associations between everyday discrimination experiences and specific posttraumatic stress symptoms while accounting for demographic characteristics and PTEs.
METHOD
Participants were 573 Black (54.8%) and non-Black Latino/a/x youth (10-18 years of age, 55.8% female, 25.7% first- or second-generation immigrant) who were treatment-seeking and had exposure at least one traumatic event.
RESULTS
Two-thirds of trauma-exposed youth reported having experienced discrimination, with the most common experience being treated as not smart (46%), followed by being treated with less courtesy or respect (40%). Rates of discrimination varied by intersecting demographic characteristics in nuanced ways. Among 11 PTEs, exposure to a natural disaster, experiencing community violence, and witnessing community violence were each positively associated with overall everyday discrimination scores and specific discriminatory encounters. Everyday discrimination experiences were positively associated with posttraumatic stress symptoms after accounting for demographic characteristics and exposure to PTEs.
CONCLUSION
Findings provide important context for understanding experiences of everyday discrimination in Black and Latino/a/x youth seeking mental health services for trauma. Findings further highlight variability in the types of discrimination youth with different intersecting identities experience, the high rates of co-occurrence between discrimination and other traumatic events, and unique associations between specific discrimination experiences and posttraumatic stress reactions.
DIVERSITY & INCLUSION STATEMENT: We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure sex and gender balance in the recruitment of human participants. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. One or more of the authors of this paper self-identifies as living with a disability. We actively worked to promote sex and gender balance in our author group. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote sex and gender balance in our reference list. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work. One or more of the authors of this paper received support from a program designed to increase minority representation in science.
目的
本研究旨在探讨寻求治疗的黑人和拉丁裔青年中创伤与歧视之间的交叉点。具体而言,我们将研究以下内容:(1)各种日常歧视经历的频率,以样本平均值表示,并按人口统计学特征进行分类;(2)暴露于潜在创伤事件(PTEs)与日常歧视经历之间的独特关联;(3)在考虑人口统计学特征和PTEs的情况下,日常歧视经历与特定创伤后应激症状之间的独特关联。
方法
研究对象为573名黑人(54.8%)和非黑人拉丁裔青年(10 - 18岁,55.8%为女性,25.7%为第一代或第二代移民),他们寻求治疗且至少经历过一次创伤事件。
结果
三分之二经历过创伤的青年报告称遭受过歧视,最常见的经历是被视为不聪明(46%),其次是受到较少的礼貌或尊重(40%)。歧视率因交叉的人口统计学特征而呈现出细微差别。在11种PTEs中,暴露于自然灾害、经历社区暴力和目睹社区暴力均与总体日常歧视得分及特定歧视遭遇呈正相关。在考虑人口统计学特征和PTEs暴露情况后,日常歧视经历与创伤后应激症状呈正相关。
结论
研究结果为理解寻求创伤心理健康服务的黑人和拉丁裔青年的日常歧视经历提供了重要背景。研究结果进一步凸显了具有不同交叉身份的青年所经历的歧视类型的差异、歧视与其他创伤事件的高共现率,以及特定歧视经历与创伤后应激反应之间的独特关联。
多样性与包容性声明
我们努力确保在招募人类参与者时保证种族、民族和/或其他类型的多样性。我们努力确保研究问卷以包容性的方式编制。我们努力确保在招募人类参与者时实现性别平衡。本文的一位或多位作者自我认同为科学领域中一个或多个历史上代表性不足的种族和/或民族群体的成员。本文的一位或多位作者自我认同为科学领域中一个或多个历史上代表性不足的性取向和/或性别群体的成员。本文的一位或多位作者自我认同为残疾人士。我们积极努力在作者群体中促进性别平衡。我们积极努力在作者群体中促进科学领域中历史上代表性不足的种族和/或民族群体的参与。在引用与本研究科学相关的参考文献时,我们也积极努力在参考文献列表中促进性别平衡。在引用与本研究科学相关的参考文献时,我们也积极努力在参考文献列表中促进科学领域中历史上代表性不足的种族和/或民族群体的参与。本文的作者名单包括来自研究开展地点和/或社区且参与了数据收集、设计、分析和/或工作解读的贡献者。本文的一位或多位作者获得了旨在增加科学领域中少数群体代表性的项目的支持。