Chin Lauren L, Kershaw Trace, Hernandez-Ramirez Raul U, Ramos S Raquel
Yale School of Public Health, Yale University, New Haven, CT, USA.
Ariadne Labs, Harvard T. H. Chan School of Public Health and Brigham and Women's Hospital, Boston, MA, USA.
Sci Rep. 2025 Feb 27;15(1):6994. doi: 10.1038/s41598-025-91794-3.
Racial discrimination has been linked to decreased psychological well-being and physical health. Most Asian Americans in the United States reported discrimination against Asians as a major problem and that inadequate attention is given to racial inequities affecting Asians living in the US. We described the association of racism-related stress and health outcomes among Asian American sexual minority men. We hypothesized that greater racism-related stress is associated with poor general and oral health, increased substance use, and unfavorable attitudes about PrEP. We conducted a secondary analysis of data collected in 2017-2019 through the HIV Oral Self-Testing Infographic Experiment study, a pilot behavioral randomized controlled trial testing effects of an HIV self-testing infographic in 322 emerging adult ethnic and racial sexual minority men. We examined secondary data on racism-related stress and health outcomes in 62 participants using questions derived from the Behavioral Risk Factor Surveillance System, National Survey on Drug Use and Health, PrEP Familiarity and Attitudes Questionnaire, and the Asian American Racism-related Stress Inventory (AARRSI). To describe association between AARRSI scores and health outcomes, we calculated mean total AARRSI scores across categorical variables and assessed differences between groups using one-way ANOVA, and we assessed correlation between continuous variables with scores using Spearman correlation. Findings suggested that greater racism-related stress is linked to increased substance use. More research is needed to confirm these observed trends with larger, more diverse samples, explore intersectional factors such as sexual minority identity and societal discrimination against Asians, and how the current political climate has contributed to negative experiences that amplify health risks.
种族歧视与心理健康和身体健康的下降有关。在美国，大多数亚裔美国人报告称，针对亚裔的歧视是一个主要问题，而且影响生活在美国的亚裔的种族不平等问题没有得到足够的关注。我们描述了美国亚裔性少数男性中与种族主义相关的压力和健康结果之间的关联。我们假设，与种族主义相关的压力越大，总体健康和口腔健康状况就越差，物质使用增加，对暴露前预防（PrEP）的态度也越不利。我们对2017 - 2019年通过“HIV口腔自我检测信息图实验”研究收集的数据进行了二次分析，该研究是一项试点行为随机对照试验，测试了HIV自我检测信息图对322名新兴成年族裔和种族性少数男性的影响。我们使用来自行为风险因素监测系统、全国药物使用和健康调查、PrEP熟悉度和态度问卷以及亚裔美国人种族主义相关压力量表（AARRSI）的问题，检查了62名参与者中与种族主义相关的压力和健康结果的二次数据。为了描述AARRSI得分与健康结果之间的关联，我们计算了分类变量的平均AARRSI总分，并使用单因素方差分析评估组间差异，我们使用斯皮尔曼相关性评估连续变量得分之间的相关性。研究结果表明，与种族主义相关的压力越大，物质使用就越多。需要更多的研究来用更大、更多样化的样本证实这些观察到的趋势，探索诸如性少数身份和对亚裔的社会歧视等交叉因素，以及当前的政治气候如何导致了放大健康风险的负面经历。
