Responses to Discrimination and Psychiatric Disorders Among Black, Hispanic, Female, and Lesbian, Gay, and Bisexual Individuals
Responses to Discrimination and Psychiatric Disorders Among Black, Hispanic, Female, and Lesbian, Gay, and Bisexual Individuals
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DOI：
10.2105/ajph.2009.181586
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发表时间：
2010-08-01
影响因子：
12.7
通讯作者：
Keyes, Katherine M.
中科院分区：
文献类型：
--
作者：
McLaughlin, Katie A.;Hatzenbuehler, Mark L.;Keyes, Katherine M.
目标。我们研究了种族/民族、性取向或性别引起的感知歧视之间的联系；对歧视经历的反应；和精神障碍。样本包括2004-2005年全国酒精及相关疾病流行病学调查的应答者（n=34653）。我们分析了黑人（n=6587）中自我报告的过去一年的歧视与过去一年精神疾病之间的关系；西班牙裔(n = 6359);女同性恋、男同性恋和双性恋（LGB; n=577）；女性（n=20089）。黑人受访者表示过去一年的歧视程度最高，其次是同性恋、西班牙裔和女性受访者。在各组中，歧视与12个月的情绪（比值比[or]=2.1-3.1）、焦虑（or =1.8-3.3）和物质使用（or =1.6-3.5）障碍相关。与不接受歧视但与他人讨论的受访者相比，不接受歧视且不与他人讨论的受访者患精神疾病的几率更高（or =2.9-3.9）。黑人受访者和接受歧视但不与他人谈论歧视的女性患情绪障碍和焦虑症的比例分别较高。精神疾病在报告过去一年遭受歧视的个人中更为普遍。对歧视的某些反应，特别是不透露，与精神疾病有关。[J] .中华卫生杂志，2010;31(2):387 - 398。doi: 10.2105 / AJPH.2009。181586)
Objectives. We examined associations between perceived discrimination due to race/ethnicity, sexual orientation, or gender; responses to discrimination experiences; and psychiatric disorders.Methods. The sample included respondents in the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (n=34653). We analyzed the associations between self-reported past-year discrimination and past-year psychiatric disorders as assessed with structured diagnostic interviews among Black (n=6587); Hispanic (n=6359); lesbian, gay, and bisexual (LGB; n=577); and female (n=20089) respondents.Results. Black respondents reported the highest levels of past-year discrimination, followed by LGB, Hispanic, and female respondents. Across groups, discrimination was associated with 12-month mood (odds ratio [ORs]=2.1-3.1), anxiety (ORs=1.8-3.3), and substance use (ORs=1.6-3.5) disorders. Respondents who reported not accepting discrimination and not discussing it with others had higher odds of psychiatric disorders (ORs=2.9-3.9) than did those who did not accept discrimination but did discuss it with others. Black respondents and women who accepted discrimination and did not talk about it with others had elevated rates of mood and anxiety disorders, respectively.Conclusions. Psychiatric disorders are more prevalent among individuals reporting past-year discrimination experiences. Certain responses to discrimination, particularly not disclosing it, are associated with psychiatric morbidity. (Am J Public Health. 2010;100:1477-1484. doi:10.2105/AJPH.2009. 181586)