Ethnic/Racial Identity, Adolescent Sleep, and Somatic Health: Discrimination and Stress Responses as Mediating Mechanisms.
Ethnic/Racial Identity, Adolescent Sleep, and Somatic Health: Discrimination and Stress Responses as Mediating Mechanisms.
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民族/种族身份、青少年睡眠和躯体健康：歧视和压力反应作为中介机制。
DOI：
10.1016/j.jadohealth.2023.09.012
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Yip,Tiffany
中科院分区：
文献类型：
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作者：
Xie,Mingjun;Zhao,Zhenqiang;Yan,Jinjin;Cham,Heining;Yip,Tiffany
目的本研究旨在探讨民族/种族歧视和应激反应之间的日常关联是否作为民族/种族认同（ERI）、青少年睡眠健康和躯体症状之间的中介。方法数据来自279名有色人种青少年，其中女性69%，非洲裔24%，亚裔31%，拉丁裔41%，未知族裔/人种4%，年龄= 14.31岁，SD= 0.65。青少年首先完成了关于ERI探索和承诺的在线调查；然后是关于民族/种族歧视和压力反应的14天日记（即反思和解决问题的应对），最后是关于过去两周睡眠和身体健康的日记后调查。本研究采用斜率作为中介模型，这是一种新颖的方法，通过检查两个变量之间的日常关联作为解释机制，突出了日常水平经验在发展过程中的作用。结果民族/种族歧视和两种应激反应之间的日常关联显著介导了ERI探索与青少年后续睡眠和躯体健康之间的联系。对于ERI承诺，只有民族/种族歧视与解决问题应对之间的中介通路显著。对民族/种族歧视的日常反应，无论是适应性的还是不适应性的，都可以部分解释ERI探索与青少年健康之间的联系。积极参与文化活动可以增强对民族/种族歧视的适应性反应；同时，ERI的不确定性可能导致反刍等适应不良反应。就ERI承诺而言，只有解决民族/种族歧视的问题才能调节与健康结果的联系，这一观察结果可能可以用对ERI抱有强烈承诺感的好处来解释。
PurposeThis study sought to examine whether the daily associations between ethnic/racial discrimination and stress responses served as mediators linking ethnic/racial identity (ERI), adolescent sleep health, and somatic symptoms.MethodsData were drawn from 279 adolescents of color (69% female; 24% African Americans; 31% Asian Americans; 41% Latinx; and 4% unknown ethnicity/race;Mage= 14.31 years,SD= 0.65). Adolescents first completed an online survey about ERI exploration and commitment; and then 14-day diaries on ethnic/racial discrimination and stress responses (i.e., rumination and problem-solving coping), and finally, a post-diary survey about sleep and somatic health over the past two weeks. This study adoptsslope-as-mediatormediation modeling, a novel approach highlighting the role of daily-level experiences in developmental processes by examining the day-to-day association between two variables as an explanatory mechanism.ResultsThe daily associations between ethnic/racial discrimination and two stress responses significantly mediated the link between ERI exploration and adolescents' subsequent sleep and somatic health. For ERI commitment, only the mediating pathway of the association between ethnic/racial discrimination and problem-solving coping was significant.DiscussionDaily responses to ethnic/racial discrimination, both adaptively and maladaptively, could in part explain the association between ERI exploration and adolescent health. Active participation in cultural activities may increase adaptive responses to ethnic/racial discrimination; meanwhile, uncertainty about ERI may lead to maladaptive reactions such as rumination. For ERI commitment, only problem-solving coping with ethnic/racial discrimination mediated the links to health outcomes, an observation possibly explained by the benefits of holding a strong sense of commitment to ERI.