Gender and Race Variations in the Intersection of Religious Involvement, Early Trauma, and Adult Health.
Gender and Race Variations in the Intersection of Religious Involvement, Early Trauma, and Adult Health.
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宗教参与、早期创伤和成人健康交叉点中的性别和种族差异。
DOI：
10.1111/jnu.12144
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Lee,Jerry
中科院分区：
文献类型：
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作者：
Reinert,KatiaG;Campbell,JacquelynC;Bandeen-Roche,Karen;Sharps,Phyllis;Lee,Jerry
本研究采用横断面预测性设计对北美基督复临安息日会成人(N=10,283)进行研究，探讨宗教参与(RI)对早期创伤应激(ETS)对成年虐待儿童幸存者健康相关生活质量的影响的性别和种族差异。方法采用多元回归对问卷收集的数据进行二次分析。结果显示，除身体虐待发生率外，女性ETS亚型的患病率显著高于男性。黑人报告至少有一个ETS亚型的患病率明显高于白人，除了疏忽，白人的患病率更高。与男性相比，接触至少一种ETS亚型对女性的心理健康(B=-2.08，p<；.0001 vs.B=-1.54，p<；.0001)和身体健康(B=-2.01，p<；.0001 vs.B=-1.11，p<；.0001)的负面影响更严重。在暴露于所有ETS亚型的人(n=447)中，白人的身体健康明显更差，白人女性对身体健康的负面影响(B=-4.50，p<；.0001)几乎是白人男性(B=-2.87，p<；.05)的两倍。至于RI调节，基于RACE-RI-ETS的三向交互作用的检验，没有关联的差异。然而，性别-RI-ETS的三向交互作用测试显示出显著的缓冲效应。在消极宗教应对(RC)水平较高的人群中，暴露于ETS的女性的身体健康水平显著低于男性(B=-1.28)。结论在ETS-健康效应的大小上存在性别和种族差异，以及在负面宗教应对(RC)的ETS-健康缓冲方面存在性别差异。
PurposeThis study aimed to determine gender and race variations in regards to the influence of religious involvement (RI) as a moderator of the effects of early traumatic stress (ETS) on health‐related quality of life among adult survivors of child abuse.DesignA cross‐sectional predictive design was used to study Seventh‐day Adventist adults in North America (N= 10,283).MethodsA secondary analysis of data collected via questionnaires was done using multiple regression.ResultsData revealed that women had a significantly higher prevalence of any or all ETS subtypes, except for physical abuse prevalence, which was the same for both genders. Blacks reported a significantly higher prevalence of at least one ETS subtype than did Whites, except for neglect, where Whites had a higher prevalence. Exposure to at least one ETS subtype was associated with worse negative effect on mental health (B = ‒2.08,p< .0001 vs. B = ‒1.54,p< .0001) and physical health (B = ‒2.01,p< .0001 vs. B = ‒1.11,p< .0001) for women compared to men. Among those exposed to all ETS subtypes (n= 447), Whites had significant worse physical health, with White women having almost two times the negative effect on physical health (B = ‒4.50,p< .0001) than White men (B = ‒2.87,p< .05). As for RI moderation, based on tests of three‐way interactions of race–RI–ETS, there were no associated differences. However, tests of three‐way interactions of gender–RI–ETS showed a significant buffering effect. Among those with high levels of negative religious coping (RC), women exposed to ETS had significantly worse physical health (B = ‒1.28) than men.ConclusionsResults give evidence of gender and racial differences on the magnitude of the ETS–health effect, as well as gender differences in ETS–health buffering by RC.Clinical RelevanceFindings suggest gender and racial differences must be considered when devising holistic nursing interventions for improving health outcomes of early trauma survivors.