Discrimination and common mental disorder among migrant and ethnic groups: findings from a South East London Community sample.
Discrimination and common mental disorder among migrant and ethnic groups: findings from a South East London Community sample.
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DOI：
10.1007/s00127-016-1191-x
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发表时间：
2016-05
影响因子：
4.4
通讯作者：
Hotopf M
中科院分区：
文献类型：
--
作者：
Hatch SL;Gazard B;Williams DR;Frissa S;Goodwin L;SELCoH Study Team;Hotopf M
很少有研究探讨歧视和心理健康在英国，特别是移民身份和城市背景下，更大的人口多样性。本研究旨在（1）描述多个生活领域中歧视经历的普遍性;（2）描述歧视经历与常见精神障碍（CMD）之间的关联;（3）确定歧视与CMD之间的关系是否因移民身份和种族而异。关于主要的，预期的和日常的歧视和CMD症状的数据是从2008年至2013年在南东伦敦社区健康研究中随访的1052名参与者的种族多样化前瞻性样本中收集的，这是一项基于人口的家庭调查。除少数例外，歧视在加勒比黑人群体中最为普遍。然而，其他白色族裔群体中的受试者报告的主要歧视和预期歧视与黑人或混合少数族裔群体相似或更大。歧视对CMD的影响是最明显的个人谁最近迁移到英国，一个种族异质性群体，并为黑人和混合少数民族群体在部分调整模型。先前CMD占混合和白色英国种族群体之间的差异，但最近的移民群体和黑人种族群体的协会的强度仍然是两个或两个以上的参考组。这种关系的强度表明，在研究社区和临床样本中歧视对精神障碍的影响时，需要更多地考虑移民身份沿着种族。本文的在线版本（doi：10.1007/s 00127 -016-1191-x）包含补充材料，可供授权用户使用。
Few studies have examined discrimination and mental health in the UK, particularly by migrant status and in urban contexts with greater demographic diversity. This study aims to (1) describe the prevalence of discrimination experiences across multiple life domains; (2) to describe associations between discrimination experiences and common mental disorder (CMD); (3) to determine whether or not the relationship between discrimination and CMD varies by migrant status and ethnicity. Data on major, anticipated and everyday discrimination and CMD symptoms were collected from an ethnically diverse prospective sample of 1052 participants followed up from 2008 to 2013 in the South East London Community Health study, a population-based household survey. With few exceptions, discrimination was most prevalent among those in the Black Caribbean group. However, those in the White Other ethnic group had similar or greater reporting major and anticipated discrimination to Black or mixed ethnic minority groups. The effects of discrimination on CMD were most pronounced for individuals who had recently migrated to the UK, an ethnically heterogeneous group, and for Black and Mixed ethnic minority groups in partially adjusted models. Prior CMD accounted for differences between the Mixed and White British ethnic groups, but the strength of the association for the most recent migrant group and the Black ethnic groups remained two or more times greater than the reference groups. The strength of the relationship suggests a need for more consideration of migration status along with ethnicity in examining the impact of discrimination on mental disorder in community and clinical samples. The online version of this article (doi:10.1007/s00127-016-1191-x) contains supplementary material, which is available to authorized users.