Moderation of the effects of discrimination-induced affective responses on health outcomes.
Moderation of the effects of discrimination-induced affective responses on health outcomes.
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DOI：
10.1080/08870446.2017.1314479
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发表时间：
2018-03
影响因子：
3.3
通讯作者：
Stock ML
中科院分区：
文献类型：
--
作者：
Gerrard M;Gibbons FX;Fleischli ME;Cutrona CE;Stock ML
目的：本研究的目的是考察歧视通过内化(焦虑和抑郁)和外化(敌意和愤怒)对健康行为和健康状况的长期影响的不同中介作用，并探索这些影响的缓和，特别是通过支持网络和应对倾向的存在。设计：目前的分析采用结构方程模型，来自家庭和社区健康研究的黑人女性参与者11年来(MAGE 37-48)的五波数据。主要结果衡量：主要结果变量是健康状况和饮酒(频率和问题消费)。结果：感觉到的种族歧视与内化和外化的增加相关。此外，对歧视的内化反应与健康状况的恶化和问题饮酒的增加有关；外化反应与饮酒频率的增加有关。这些关系因支持网络的可用性而减弱，并因回避应对的使用而加剧。结论：(A)本研究重复了先前的研究，表明两种不同类型的情感反应在感知到的种族歧视和身体健康状况与损害健康的行为之间起中介作用：内化和外化，以及(B)通过应对机制来缓和这些影响。
Objective:The goal of the study was to examine differential mediation of long-term effects of discrimination on health behaviour and health status by internalising (anxiety and depression) and externalising (hostility and anger), and to explore moderation of these effects, specifically, by the presence of support networks and coping tendencies.Design:The current analyses employed structural equation modelling of five waves of data from Black female participants of the Family and Community Health Study over 11 years (Mage 37–48).Main Outcomes Measures:The main outcome variables were health status and alcohol use (frequency and problematic consumption).Results:Perceived racial discrimination was associated with increases in internalising and externalising. In addition, internalising reactions to discrimination were associated with deterioration in health status and increases in problematic drinking; externalising reactions were associated with increases in frequency of drinking. These relations were attenuated by availability of support networks, and exacerbated by use of avoidance coping.Conclusion:The current study (a) replicated previous research suggesting that two different types of affective reactions mediate the relations between perceived racial discrimination and physical health status vs. health-impairing behaviours: internalising and externalising, and (b) revealed moderation of these effects by coping mechanisms.
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影响因子：
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