Discrimination, internalized racism, and depression: A comparative study of African American and Afro-Caribbean adults in the US
Discrimination, internalized racism, and depression: A comparative study of African American and Afro-Caribbean adults in the US
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DOI：
10.1177/1368430216641304
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发表时间：
2016-07-01
影响因子：
4.4
通讯作者：
James, Drexler
中科院分区：
文献类型：
--
作者：
Molina, Kristine M.;James, Drexler
新出现的研究表明，对歧视的看法和内在的种族主义（即，对自己种族群体的负面刻板印象的认可）与心理健康状况不佳有关。然而，迄今为止，还没有研究在一项研究中考察它们对美国种族/少数民族心理健康的影响。本研究审查了：（a）日常歧视和内化种族主义对过去一年重度抑郁障碍（MDD）DSM-IV标准风险的直接影响;（B）日常歧视和内化种族主义对过去一年MDD风险的交互影响;（c）日常歧视通过内化种族主义对过去一年MDD风险的间接影响。此外，我们还研究了这些协会是否因种族成员而异。我们利用了来自美国生活全国调查的非洲裔加勒比人（N = 1，418）和非洲裔美国人（N = 3，570）成年人的全国代表性数据。结果显示，在总样本中，经历歧视与过去一年抑郁症的几率增加有关。此外，非裔加勒比人，但不是非裔美国人，内化的种族主义与去年MDD标准的符合率下降。我们没有发现日常歧视的相互作用效应通过内化的种族主义，也没有通过内化的种族主义歧视对去年MDD风险的间接影响。总的来说，我们的研究结果表明，需要调查歧视影响心理健康的其他潜在机制，并进一步研究内化种族主义作为潜在自我保护策略的潜在因素。最后，我们的研究结果指出，需要研究，提请注意美国黑人人口的异质性。
Emerging research suggests that both perceptions of discrimination and internalized racism (i.e., endorsement of negative stereotypes of one's racial group) are associated with poor mental health. Yet, no studies to date have examined their effects on mental health with racial/ethnic minorities in the US in a single study. The present study examined: (a) the direct effects of everyday discrimination and internalized racism on risk of DSM-IV criteria of past-year major depressive disorder (MDD); (b) the interactive effects of everyday discrimination and internalized racism on risk of past-year MDD; and (c) the indirect effect of everyday discrimination on risk of past-year MDD via internalized racism. Further, we examined whether these associations differed by ethnic group membership. We utilized nationally representative data of Afro-Caribbean (N = 1,418) and African American (N = 3,570) adults from the National Survey of American Life. Results revealed that experiencing discrimination was associated with increased odds of past-year MDD among the total sample. Moreover, for Afro-Caribbeans, but not African Americans, internalized racism was associated with decreased odds of meeting criteria for past-year MDD. We did not find an interaction effect for everyday discrimination by internalized racism, nor an indirect effect of discrimination on risk of past-year MDD through internalized racism. Collectively, our findings suggest a need to investigate other potential mechanisms by which discrimination impacts mental health, and examine further the underlying factors of internalized racism as a potential self-protective strategy. Lastly, our findings point to the need for research that draws attention to the heterogeneity within the U.S. Black population.