Vicarious Racism and Vigilance During the COVID-19 Pandemic: Mental Health Implications Among Asian and Black Americans
Vicarious Racism and Vigilance During the COVID-19 Pandemic: Mental Health Implications Among Asian and Black Americans
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DOI：
10.1177/00333549211018675
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发表时间：
2021-05-25
影响因子：
3.3
通讯作者：
LaVeist, Thomas A.
中科院分区：
文献类型：
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作者：
Chae, David H.;Yip, Tiffany;LaVeist, Thomas A.
在COVID-19大流行期间，替代性种族主义的经历-听到针对自己种族群体的种族主义或针对其他种族群体成员的种族主义行为-以及对种族歧视的警惕一直很突出。本研究探讨了替代性种族主义和警惕性与亚洲人和黑人Americans.MethodsWe抑郁和焦虑症状的关系，从2020年5月21日至7月15日，我们使用了来自美国5个城市招募的604名亚裔美国人和844名年龄>= 18岁的美国黑人成年人的横断面研究数据。多变量线性回归模型通过自我报告的替代种族主义和警惕性来检查抑郁和焦虑的水平。结果控制了社会人口特征，在亚洲人和美国黑人中，自我报告的替代种族主义与更多的抑郁症状相关（亚裔：β = 1.92 [95% CI，0.97-2.87];黑人：β = 1.72 [95% CI，0.95-2.49]）和焦虑（亚裔：β = 2.40 [95% CI，1.48-3.32];黑人：β = 1.98 [95% CI，1.17-2.78]）。警惕性也与抑郁症状呈正相关（亚裔：β = 1.54 [95% CI，0.58-2.50];黑人：β = 0.90 [95% CI，0.12-1.67]）和焦虑（亚洲人：beta = 1.98 [95%CI，1.05-2.91];黑人：beta = 1.64 [95%CI，0.82-2.45]）。我们的研究结果表明，针对亚裔和黑人的种族主义情绪、骚扰和暴力行为的加剧，通过替代性种族主义和警惕性，导致抑郁和焦虑的风险增加。在此期间的公共卫生工作应解决地方性种族主义以及COVID-19。
ObjectivesExperiences of vicarious racism-hearing about racism directed toward one's racial group or racist acts committed against other racial group members-and vigilance about racial discrimination have been salient during the COVID-19 pandemic. This study examined vicarious racism and vigilance in relation to symptoms of depression and anxiety among Asian and Black Americans.MethodsWe used data from a cross-sectional study of 604 Asian American and 844 Black American adults aged >= 18 in the United States recruited from 5 US cities from May 21 through July 15, 2020. Multivariable linear regression models examined levels of depression and anxiety by self-reported vicarious racism and vigilance.ResultsControlling for sociodemographic characteristics, among both Asian and Black Americans, greater self-reported vicarious racism was associated with more symptoms of depression (Asian: beta = 1.92 [95% CI, 0.97-2.87]; Black: beta = 1.72 [95% CI, 0.95-2.49]) and anxiety (Asian: beta = 2.40 [95% CI, 1.48-3.32]; Black: beta = 1.98 [95% CI, 1.17-2.78]). Vigilance was also positively related to symptoms of depression (Asian: beta = 1.54 [95% CI, 0.58-2.50]; Black: beta = 0.90 [95% CI, 0.12-1.67]) and anxiety (Asian: beta = 1.98 [95% CI, 1.05-2.91]; Black: beta = 1.64 [95% CI, 0.82-2.45]).ConclusionsMental health problems are a pressing concern during the COVID-19 pandemic. Results from our study suggest that heightened racist sentiment, harassment, and violence against Asian and Black Americans contribute to increased risk of depression and anxiety via vicarious racism and vigilance. Public health efforts during this period should address endemic racism as well as COVID-19.