Irizar Patricia, Kapadia Dharmi, Taylor Harry, Wafula Gertrude, Kwaku-Odoi Charles, Bécares Laia, Katikireddi Srinivasa Vittal
Department of Sociology, School of Social Sciences, University of Manchester, Manchester, UK.
Department of Global Health & Medicine, King's College London, London, UK.
Sociol Health Illn. 2025 May;47(4):e70023. doi: 10.1111/1467-9566.70023.
We aim to explore the association between racial discrimination across the life course on common mental disorders (CMD) during the COVID-19 pandemic, testing direct and indirect pathways. Cross-sectional data were obtained from the Evidence for Equality National Survey (Feb-Nov 2021, N = 8897 ethnic minority people aged 18-60). The survey measured experiences of racial discrimination across multiple domains and time periods. Path analyses were used to explore the associations between racial discrimination and CMD and the indirect associations via SARS-CoV-2 infection, financial concerns, loneliness and belonging. We find a clear dose-response relationship between experiences of racial discrimination over time and CMD. Compared to no reporting of experiences, chronic experiences of racial discrimination were associated with 2.91 times the odds of CMD (95%CI: 2.33-3.65; recent experiences only OR = 2.11, 1.67-2.67; past experiences only OR = 1.50, 1.16-1.92). Recent and chronic experiences of racial discrimination (but not past experiences) were also indirectly associated with CMD, via SARS-CoV-2 infection, greater financial concerns, greater feelings of loneliness and a reduced sense of belonging. These findings were consistent across all domains of racial discrimination, indicating that racial discrimination in any setting can negatively impact mental health. Anti-racist interventions which target the interconnected dimensions of racism are needed.
我们旨在探讨新冠疫情期间一生中遭受的种族歧视与常见精神障碍（CMD）之间的关联，并检验直接和间接途径。横断面数据取自平等证据全国调查（2021年2月至11月，N = 8897名18 - 60岁的少数民族人群）。该调查衡量了多个领域和时间段内的种族歧视经历。路径分析用于探究种族歧视与CMD之间的关联，以及通过感染新冠病毒、经济担忧、孤独感和归属感产生的间接关联。我们发现，随着时间推移，种族歧视经历与CMD之间存在明确的剂量反应关系。与未报告经历相比，长期遭受种族歧视与患CMD的几率高出2.91倍相关（95%置信区间：2.33 - 3.65；仅近期经历的优势比 = 2.11，1.67 - 2.67；仅过去经历的优势比 = 1.50，1.16 - 1.92）。近期和长期遭受种族歧视（而非过去经历）还通过感染新冠病毒、更大的经济担忧、更强烈的孤独感和归属感与CMD间接相关。这些发现在种族歧视的所有领域都是一致的，表明任何环境下的种族歧视都会对心理健康产生负面影响。需要针对种族主义相互关联层面的反种族主义干预措施。
