The Role of Perceived Discrimination during Childhood and Adolescence in Understanding Racial and Socioeconomic Influences on Depression in Young Adulthood
The Role of Perceived Discrimination during Childhood and Adolescence in Understanding Racial and Socioeconomic Influences on Depression in Young Adulthood
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DOI：
10.1016/j.jpeds.2014.10.010
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发表时间：
2015-02-01
影响因子：
5.1
通讯作者：
Goodman, Elizabeth
中科院分区：
文献类型：
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作者：
Cheng, Erika R.;Cohen, Alyssa;Goodman, Elizabeth
目的描述年轻人感知的终身歧视水平，并确定其在理解这种种族/民族disparity.Study设计数据来自普林斯顿学区的研究，一项为期10年的队列研究中，调查人员跟踪545名非西班牙裔黑人（46%）和白色最初的5-12年级学生。感知的终身种族歧视与一般种族歧视量表和抑郁症状与流行病学研究中心抑郁量表进行了评估。逐步线性和逻辑回归分析评估种族/民族，父母教育，五分位数的歧视抑郁症状的关系。分层的种族/民族探索的差异，在解释父母的教育和抑郁symptoms.Results之间的关系的歧视的作用，黑人学生从专业教育的家庭有最大的歧视分数，1.8倍大于他们的白色同龄人（平均值（黑色）= 42.1与平均值（白色）= 22.8; P < .0001）。在所有回归模型中，父母教育程度越高，抑郁症状越低。种族/民族只有在调整歧视后才能预测抑郁症状，这与抑郁症状密切相关。分层分析表明，歧视占的关系，父母的教育，抑郁症状的白人。在黑人科目中，占歧视揭露父母education.Conclusions缓冲效应更高水平的父母教育是预防抑郁症的白色青年。然而，对黑人青年来说，更多的父母教育既有风险，也有保护作用。来自受过大学或专业教育的父母家庭的黑人青年受到的高度歧视证明了父母教育水平较高的保护作用。
Objective To describe levels of perceived lifetime discrimination among young adults and determine its role in understanding this racial/ethnic disparity.Study design Data were from the Princeton School District study, a 10-year cohort study in which investigators followed 545 non-Hispanic black (46%) and white initial 5-12 graders. Perceived lifetime racial discrimination was assessed with the General Ethnic Discrimination Scale and depressive symptoms with the Center for Epidemiological Studies Depression Scale. Stepped linear and logistic regression analyses assessed the relationships of race/ethnicity, parental education, and quintiles of discrimination to depressive symptoms. Stratification by race/ethnicity explored differences in the role of discrimination in explaining the relationship between parental education and depressive symptoms.Results Black students from professionally educated families had the greatest discrimination scores, 1.8 times greater than among their white peers (mean(black) = 42.1 vs mean(white) = 22.8; P < .0001). Greater parental education was associated with lower depressive symptoms in all regression models. Race/ethnicity became predictive of depressive symptoms only after adjusting for discrimination, which was strongly associated with depressive symptoms. Stratified analysis suggested discrimination accounted for the relationship of parental education to depressive symptoms among whites. Among black subjects, accounting for discrimination unmasked a buffering effect of parental education.Conclusions Greater levels of parent education are protective against depression for white youth. However, for black youth, greater parent education confers both risk and protective effects. The high discrimination among black youth from families with college or professionally educated parents overwhelms the protective effect of greater levels of parent education.