Discrimination and Depressive Symptoms Among African American Men Across the Adult Lifecourse
Discrimination and Depressive Symptoms Among African American Men Across the Adult Lifecourse
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DOI：
10.1093/geronb/gbx077
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发表时间：
2018-03-01
影响因子：
6.2
通讯作者：
Abdou, Cleopatra M.
中科院分区：
文献类型：
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作者：
Wheaton, Felicia V.;Thomas, Courtney S.;Abdou, Cleopatra M.
目的：一个生命历程的框架被用来检查的主要和日常措施之间的关联感知歧视和抑郁症状的非洲裔美国人的男子，并评估这些关系是否不同的年轻，中年和老年男子。主要和日常歧视与抑郁症状之间的关联，由流行病学研究中心抑郁量表（CES-D）测量，在2011-2014年纳什维尔压力与健康研究（NSAHS）中，使用普通最小二乘回归对296名非洲裔美国男性进行了评估。主要和日常歧视和歧视抑郁症状relationship.Results的年龄模式之间的互动关联也investigated. Everyday，但不是主要的歧视与抑郁症状的非洲裔美国人之间的男性。这种关系在中年男性中更为强烈，而在老年男性中则有所减弱。然而，主要的歧视，但不是日常的歧视，与老年男性（年龄55岁以上）的抑郁症状，最大的抑郁症的discrimination.Discussion：日常的歧视是一个更一致的预测，相对于主要的歧视，抑郁症状在非洲裔美国人的整个生命周期，虽然有年龄和/或队列差异。调查结果还表明，多种形式的歧视对心理健康具有协同或叠加影响。
Objectives: A lifecourse framework was used to examine the association between major and everyday measures of perceived discrimination and depressive symptoms among African American men and to evaluate whether these relationships differed for young, middle-aged, and older men.Method: The association between both major and everyday discrimination and depressive symptoms, as measured by the Center for Epidemiologic Studies Depression (CES-D) scale, was assessed among 296 African American men in the 2011-2014 Nashville Stress and Health Study (NSAHS) using ordinary least squares regression. Interactive associations between major and everyday discrimination and age patterns in the discrimination-depressive symptoms relationship were also investigated.Results: Everyday, but not major discrimination was associated with depressive symptoms among African American men. This relationship was stronger among middle-aged men and diminished among older men. However, major discrimination, but not everyday discrimination, was associated with depressive symptoms of older men (age 55+), with greatest depressive symptomatology among those reporting both forms of discrimination.Discussion: Everyday discrimination is a more consistent predictor, relative to major discrimination, of depressive symptoms among African American men across the lifecourse, although there were age and/or cohort differences. Findings also demonstrate the synergistic, or additive, impact of multiple forms of discrimination on mental health.