Racial Discrimination, Mental Health and Behavioral Health During the COVID-19 Pandemic: a National Survey in the United States.
Racial Discrimination, Mental Health and Behavioral Health During the COVID-19 Pandemic: a National Survey in the United States.
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共同19日大流行期间的种族歧视，心理健康和行为健康：美国的一项全国调查。
DOI：
10.1007/s11606-022-07540-2
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发表时间：
2022-08
影响因子：
5.7
通讯作者：
Su D
中科院分区：
文献类型：
--
作者：
Shi L;Zhang D;Martin E;Chen Z;Li H;Han X;Wen M;Chen L;Li Y;Li J;Chen B;Ramos AK;King KM;Michaud T;Su D
虽然在2019冠状病毒病大流行期间仇恨犯罪有所上升，但很少有研究调查这种大流行时期的种族歧视是否在人口层面上导致了负面的健康后果。我们研究了大流行期间经历和感知的种族歧视是否与心理或行为健康结果有关。2020年10月，我们对少数民族进行了一项全国抽样调查，涵盖了受访者的社会人口背景和健康相关信息。共有2709名参与者回应了调查（回复率：4.2%）。暴露变量包括(1)经历和遭遇过种族歧视，(2)经历过种族和民族网络欺凌，(3)感知到种族偏见。心理健康结果通过心理困扰和自我幸福感来衡量。行为健康的测量包括睡眠质量、吸烟的改变和饮酒的改变。在控制年龄、性别、种族和民族、受教育程度、家庭收入、投票资格、政党、COVID-19感染和地理区域的情况下，进行加权逻辑回归来估计暴露变量与结果之间的关联。在六个种族和族裔亚组中分别进行回归分析：非西班牙裔白人、非西班牙裔黑人、西班牙裔、东亚、南亚和东南亚受访者。经历过种族歧视与较高的心理困扰可能性相关（调整优势比[AOR] = 2.18, 95%可信区间[95% CI]: 1.34-3.55）。经历过的种族歧视（AOR = 2.31, 95% CI: 1.34-3.99）和感知到的种族偏见（AOR = 1.05, 95% CI: 1.00-1.09）都与吸烟增加有关。种族歧视与精神痛苦和药物使用之间的联系在黑人、东亚、南亚和西班牙裔受访者中最为突出。种族歧视可能与更高的痛苦可能性以及少数种族和少数民族吸烟有关。解决种族歧视问题对于减轻这一大流行病对心理和行为健康的负面影响至关重要。在线版本包含补充材料，可在10.1007/s11606-022-07540-2获得。
While hate crimes rose during the COVID-19 pandemic, few studies examined whether this pandemic-time racial discrimination has led to negative health consequences at the population level. We examined whether experienced and perceived racial discrimination were associated with mental or behavioral health outcomes during the pandemic. In October 2020, we conducted a national survey with minorities oversampled that covered respondents’ sociodemographic background and health-related information. A total of 2709 participants responded to the survey (response rate: 4.2%). The exposure variables included (1) experienced and encountered racial discrimination, (2) experienced racial and ethnic cyberbullying, and (3) perceived racial bias. Mental health outcomes were measured by psychological distress and self-rated happiness. Measures for behavioral health included sleep quality, change in cigarette smoking, and change in alcohol consumption. Weighted logistic regressions were performed to estimate the associations between the exposure variables and the outcomes, controlling for age, gender, race and ethnicity, educational attainment, household income, eligibility to vote, political party, COVID-19 infection, and geographic region. Separate regressions were performed in the six racial and ethnic subgroups: non-Hispanic White, non-Hispanic Black, Hispanic, East Asian, South Asian, and Southeast Asian respondents. Experienced racial discrimination was associated with higher likelihood of psychological distress (adjusted odds ratio [AOR] = 2.18, 95% confidence interval [95% CI]: 1.34–3.55). Experienced racial discrimination (AOR = 2.31, 95% CI: 1.34–3.99) and perceived racial bias (AOR = 1.05, 95% CI: 1.00–1.09) were both associated with increased cigarette smoking. The associations between racial discrimination and mental distress and substance use were most salient among Black, East Asian, South Asian, and Hispanic respondents. Racial discrimination may be associated with higher likelihood of distress, and cigarette smoking among racial and ethnic minorities. Addressing racial discrimination is important for mitigating negative mental and behavioral health ramifications of the pandemic. The online version contains supplementary material available at 10.1007/s11606-022-07540-2.
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影响因子：
8.1
作者：
Jalloh MF;Li W;Bunnell RE;Ethier KA;O'Leary A;Hageman KM;Sengeh P;Jalloh MB;Morgan O;Hersey S;Marston BJ;Dafae F;Redd JT
通讯作者：
Redd JT
影响因子：
11.3
作者：
Liu, Cindy H.;Zhang, Emily;Hahm, Hyeouk Chris
通讯作者：
Hahm, Hyeouk Chris
影响因子：
2
作者：
Fell, James
通讯作者：
Fell, James
影响因子：
3.4
作者：
Bower, Kelly M.;Thorpe, Roland J., Jr.;LaVeist, Thomas A.
通讯作者：
LaVeist, Thomas A.
影响因子：
8.5
作者：
Dubey AD
通讯作者：
Dubey AD