Lane Brittany L, Millender Eugenia F, Harris Rachel M, Nowak Alexandra L, Josiah Nia, Hall Casey D Xavier, Pfeiffer Faith, Wong Frank Y, Crusto Cindy A, Potts-Thompson Stephanie, Prescott Laura, Taylor Jacquelyn Y
Center of Population Sciences for Health Equity, College of Nursing, Florida State University, 2010 Levy Avenue, Innovation Park, Building B, Suite 3600, Tallahassee, FL, 32310, USA.
College of Social Work, Florida State University, Tallahassee, FL, USA.
J Racial Ethn Health Disparities. 2025 Jun 2. doi: 10.1007/s40615-025-02498-3.
Systemic inequities lead to socioeconomic disparities and increased exposure to neighborhood deprivation among African American women, which in turn may have impacts on mental health. This study examined the individual and cumulative effects of neighborhood deprivation and experiences of trauma on depression among young African American mothers.
We conducted a longitudinal study using data from the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure (InterGEN) study. We analyzed demographic and psychological data of 248 participants in Southwest and Central Connecticut, employing descriptive statistics, latent class analysis, and regression analysis to predict depressive symptoms.
In unadjusted models, high potentially traumatic event (PTE) exposure, avoidance coping, and stress were statistically significant predictors of depressive symptoms across all time points. Once adjusted, avoidance coping and stress remained statistically significant at baseline; neighborhood deprivation, mid-level PTE, and stress remained statistically significant at T2; and only stress remained statistically significant at T3.
There is a critical need for a comprehensive approach to address systemic issues rooted in racism and strengthen community resilience to improve mental health among young African American mothers, their families, and communities. Interventions that build on existing community strengths, provide psychological support, and enhance individual coping skills may be effective in fostering resilience and improving mental health.
系统性不平等导致社会经济差距，并使非裔美国女性更多地暴露于社区贫困之中，这反过来可能会对心理健康产生影响。本研究考察了社区贫困和创伤经历对年轻非裔美国母亲抑郁的个体及累积影响。
我们利用遗传和心理因素对血压的代际影响（InterGEN）研究的数据进行了一项纵向研究。我们分析了康涅狄格州西南部和中部248名参与者的人口统计学和心理数据，采用描述性统计、潜在类别分析和回归分析来预测抑郁症状。
在未经调整的模型中，高潜在创伤事件（PTE）暴露、回避应对和压力在所有时间点都是抑郁症状的统计学显著预测因素。调整后，回避应对和压力在基线时仍具有统计学显著性；社区贫困、中度PTE和压力在T2时仍具有统计学显著性；而在T3时只有压力仍具有统计学显著性。
迫切需要一种全面的方法来解决植根于种族主义的系统性问题，并增强社区复原力，以改善年轻非裔美国母亲及其家庭和社区的心理健康。基于现有社区优势、提供心理支持并增强个人应对技能的干预措施可能有助于培养复原力并改善心理健康。
