Self-reported discrimination and mental health status among African descendants, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 Initiative: The added dimension of immigration
Self-reported discrimination and mental health status among African descendants, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 Initiative: The added dimension of immigration
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DOI：
10.2105/ajph.2005.080085
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发表时间：
2006-10-01
影响因子：
12.7
通讯作者：
Holt, Jeanie
中科院分区：
文献类型：
--
作者：
Gee, Gilbert C.;Ryan, Andrew;Holt, Jeanie
目标。我们研究了自我报告的种族歧视是否与心理健康状况有关，以及这种联系是否因种族/民族或移民身份而异。我们对2002年和2003年进行的社区干预进行了二次分析，该社区干预是针对新罕布什尔州2010年社区健康的种族和民族方法，调查了非洲裔、墨西哥裔美国人和其他拉丁美洲人。我们使用医疗结果研究简表12的心理成分摘要（MCS12）来评估心理健康状况，并通过与受访者实现目标的能力、对他人治疗的不适/愤怒以及获得优质医疗保健相关的问题来衡量歧视。自我报告的歧视与较低的MCS12分数有关。此外，自我报告的医疗保健歧视与较低MCS12分数之间的联系在非洲裔中最强，然后是墨西哥裔美国人，然后是其他拉丁裔。这些模式可以用被调查者在美国居住时间的不同来解释。此外，医疗保健歧视与较低MCS12的关联在新移民中较弱。歧视可能是黑人和拉丁裔移民心理健康状况不佳的重要预测因素。先前的研究发现，随着移民适应文化，心理健康状况会下降，这可能在一定程度上与种族歧视的经历有关。
Objectives. We examined whether self-reported racial discrimination was associated with mental health status and whether this association varied with race/ethnicity or immigration status.Methods. We performed secondary analysis of a community intervention conducted in 2002 and 2003 for the New Hampshire Racial and Ethnic Approaches to Community Health 2010 Initiative, surveying African descendants, Mexican Americans, and other Latinos. We assessed mental health status with the Mental Component Summary (MCS12) of the Medical Outcomes Study Short Form 12, and measured discrimination with questions related to respondents' ability to achieve goals, discomfort/anger at treatment by others, and access to quality health care.Results. Self-reported discrimination was associated with a lower MCS12 score. Additionally, the strength of the association between self-reported health care discrimination and lower MCS12 score was strongest for African descendants, then Mexican Americans, then other Latinos. These patterns may be explained by differences in how long a respondent has lived in the United States. Furthermore, the association of health care discrimination with lower MCS12 was weaker for recent immigrants.Conclusions. Discrimination may be an important predictor of poor mental health status among Black and Latino, immigrants. Previous findings of decreasing mental health status as immigrants acculturate might partly be related to experiences with racial discrimination.