The psychosocial context of Black women's health.
The psychosocial context of Black women's health.
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黑人妇女健康的社会心理背景。
DOI：
10.1080/073993399245764
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发表时间：
1999
影响因子：
1.4
通讯作者：
Shireen S. Rajaram
中科院分区：
文献类型：
--
作者：
Erma Jean Lawson;La Francis Rodgers;Shireen S. Rajaram
研究人员已经证明，黑人女性表现出不成比例的健康不良风险。我们研究了包括经济地位、基于种族的社会不平等、基于性别的暴力等心理社会因素与323名年龄在18岁到65岁之间的黑人女性健康状况之间的关系。来自社区样本的黑人女性完成了一项开放式回答的健康调查。结果表明，经济水平较低的女性更有可能接受过敏(p=.05)和盆腔炎(p=p=.01)的治疗。经历了基于种族的社会不平等事件增加的女性接受了更多的酵母感染、与怀孕有关的问题、过敏和产后不良反应的治疗。那些有身体、心理和早期性虐待病史的人更有可能接受抑郁症、过敏、酵母菌感染和高血压的治疗。此外，定性数据审查了经济、基于种族的社会不平等和基于性别的暴力导致黑人妇女健康不良的过程。这些发现的含义表明，了解心理社会背景对于适当的临床实践是必不可少的。此外，未来的研究应该将健康概念化为心理社会风险的复杂相互作用，这些风险对黑人妇女的健康状况具有深远影响。
Researchers have demonstrated that Black women exhibit a disproportionate risk of ill health. We examined the relationship between psychosocial factors, including economic status, race-based social inequality, gender-based violence, and the health status of 323 Black women between the ages of 18 and 65. Black women from a community sample completed a health survey with open-ended responses. Results indicated that women in lower economic groups are more likely to be treated for allergies (p = < .05) and pelvic inflammatory disease (PID; p = < .01). Women who experienced increased incidents of race-based social inequality received more medical treatments for yeast infections, pregnancy-related problems, allergies, and PID. Those with histories of physical, psychological, and early sexual abuse are more likely to be treated for depression, allergies, yeast infections, and hypertension. In addition, qualitative data examined the process in which economic, race-based social inequality, and gender-based violence contributed to the ill health of Black women. The implications of these findings suggest that understanding the psychosocial context is essential for appropriate clinical practice. Additionally, future research should conceptualize health as a complex interaction of psychosocial risks that have a profound effect on the health status of Black women.