Asian American Adolescents' Behavioral Health Within the Context of Racism, Discrimination, and the COVID-19 Pandemic.

Asian American Adolescents' Behavioral Health Within the Context of Racism, Discrimination, and the COVID-19 Pandemic.
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种族主义、歧视和 COVID-19 大流行背景下亚裔美国青少年的行为健康。

DOI:
10.1016/j.jadohealth.2023.10.019
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发表时间:
2024
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Wang,Yijie
Wang,Yijie
中科院分区:
--
文献类型:
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作者:
Wang,Yijie

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亚裔美国青年在种族主义,歧视和青少年健康结果的研究中的代表性不足,与其他少数民族的同龄人相比。这种无形性在一定程度上是由于“模范少数族裔”的刻板印象,即亚裔美国人表现出色,表现良好,错误地暗示他们不需要在健康差异研究中特别关注。然而,确实研究亚裔美国青少年的研究表明,他们比其他种族-族裔群体更有可能经历同龄人或学校犯下的种族-族裔歧视。自2019冠状病毒病大流行以来,美国的反亚裔情绪和仇恨犯罪激增,严重影响了亚裔美国人社区,包括其年轻成员4,5。一个新兴的科学证据已经开始记录种族主义和歧视对亚裔美国青少年心理健康结果的有害影响5- 7.尽管越来越多的关注对亚裔美国青少年的歧视,仍然存在一个显着的差距,在研究其对行为健康结果的影响,如犯罪,帮派参与,物质使用,和危险的性行为。最近的一项荟萃分析综述显示,在371项调查种族歧视对青少年心理、学业和行为健康结果影响的研究中,只有37项研究专门关注亚裔美国青少年,7项研究(不到2%)调查了他们的行为健康结果(主要是犯罪)。虽然亚裔美国青少年倾向于表现出较低水平的行为问题比其他种族,民族群体的整体,一个小机构的工作已经确定了这个人口中的实质性变化。这些变化包括物质使用9,帮派参与10,学校暴力11和性行为12,受性别,种族,代际地位和性取向等因素的影响。这一证据强调了明确需要了解亚裔美国青少年的行为健康结果,以及相关的风险和弹性因素。
Asian American youth are underrepresented in research on racism, discrimination, and adolescent health outcomes compared to their peers from other minoritized racial-ethnic groups. This invisibility is, in part, due to the “model minority” stereotype that portraits Asian Americans as high-achieving and well-behaved, erroneously suggesting that they do not require special attention in health disparity research 1. However, studies that do examine Asian American adolescents suggest that they are more likely than other racial-ethnic groups to experience racial-ethnic discrimination perpetrated by peers or at school 2, 3. These experiences have been exacerbated since the COVID-19 pandemic, when the United States witnesses a surge of anti-Asian sentiments and hate crimes that have significantly affected Asian American communities including its young members 4, 5. An emerging body of scientific evidence has begun to document the detrimental impacts of racism and discrimination on the mental health outcomes of Asian American adolescents 5–7.Despite the growing attention to discrimination against Asian American adolescents, there remains a notable gap in research regarding its impact on behavioral health outcomes, such as delinquency, gang involvement, substance use, and risky sexual behaviors. A recent meta-analytic review shows that, among 371 studies investigating the influence of racialethnic discrimination on adolescents’ mental, academic, and behavioral health outcomes, only 37 studies focused specifically on Asian American adolescents and 7 studies (less than 2%) examined their behavioral health outcomes (mostly by delinquency) 8. While Asian American adolescents tend to show lower levels of behavioral issues than other racial-ethnic groups overall, a small body of work has identified substantial variations within this population. These variations encompass substance use 9, gang involvement 10, school violence 11, and sexual behaviors 12, influenced by factors such as gender, ethnicity, generational status, and sexual orientation. This evidence underscores a clear need to understand Asian American adolescents’ behavioral health outcomes, as well as relevant risk and resilience factors.