Woolverton G Alice, Zhang Wenbo, Wong Sylvia H M, Wang Jessica J, Nguyen Vi, Zhao Chang, Rastogi Ritika, Yip Tiffany, Keum Brian TaeHyuk, Liu Cindy H
From Harvard Medical School (Drs. Woolverton, Zhao, and Liu, and Ms. Wang); Department of Pediatrics (Drs. Woolverton, Zhao, Rastogi, and Liu, Mr. Zhang, and Ms. Nguyen), Department of Psychiatry (Dr. Liu), Brigham and Women's Hospital, Boston, MA; Counseling and Clinical Psychology, Teachers College, Columbia University (Dr. Wong); Department of Psychology, Fordham University (Dr. Yip); School of Public Health, University of California, Berkley (Dr. Keum).
Harv Rev Psychiatry. 2025;33(4):191-212. doi: 10.1097/HRP.0000000000000436.
Vicarious racism, or second-hand/indirect exposure to racism, is a highly prevalent phenomenon linked to negative emotions and poor mental health. We performed a scoping review to summarize and analyze the literature on how vicarious racism is defined and measured, where it occurs, samples and study designs used, racial makeup of witnesses compared to targets, evidence connecting vicarious racism to negative emotions and poor mental health, and recommendations for future research.
We followed the Population, Concept, and Context framework for scoping reviews and searched PubMed and PsycInfo for relevant studies. Five reviewers performed study selection, screening, and extraction using Covidence. We reviewed 51 empirical studies published between 2014 and 2024 using adult samples from the United States.
There is a lack of consensus about how vicarious racism is defined and measured. The majority of papers focused on Black and/or Asian samples; a limited number included Latine samples. Most studies used a cross-sectional design. Positive associations between vicarious racism and poor mental health were observed, with few studies reporting null findings. The two most common recommendations for future research were: (1) identifying pathways from vicarious racism to mental health outcomes and (2) increasing sample diversity.
Comprehensive definitions of vicarious racism and gold-standard measures are necessary for the unified progression of knowledge. Increasing sample diversity in future research will lead to more generalizable findings. Identifying pathways from vicarious racism to mental health outcomes is critical for intervention and prevention among those most vulnerable.
替代性种族主义,即间接/非直接接触种族主义,是一种与负面情绪和心理健康不佳相关的普遍现象。我们进行了一项范围综述,以总结和分析关于替代性种族主义如何被定义和衡量、其发生的地点、所使用的样本和研究设计、与目标相比证人的种族构成、将替代性种族主义与负面情绪和心理健康不佳联系起来的证据以及对未来研究的建议等方面的文献。
我们遵循范围综述的人群、概念和背景框架,并在PubMed和PsycInfo中搜索相关研究。五名评审员使用Covidence进行研究选择、筛选和提取。我们回顾了2014年至2024年间发表的51项实证研究,这些研究使用了来自美国的成人样本。
关于替代性种族主义如何被定义和衡量缺乏共识。大多数论文关注黑人或/和亚洲样本;少数论文纳入了拉丁裔样本。大多数研究采用横断面设计。观察到替代性种族主义与心理健康不佳之间存在正相关,很少有研究报告无显著结果。对未来研究的两个最常见建议是:(1)确定从替代性种族主义到心理健康结果的途径;(2)增加样本多样性。
替代性种族主义的全面定义和金标准测量对于知识的统一进展是必要的。在未来研究中增加样本多样性将导致更具普遍性的研究结果。确定从替代性种族主义到心理健康结果的途径对于最脆弱人群的干预和预防至关重要。