Perceived colorism and lifetime psychiatric disorders among Black American adults: findings from the National Survey of American Life

Perceived colorism and lifetime psychiatric disorders among Black American adults: findings from the National Survey of American Life
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美国黑人成年人的肤色歧视和终生精神疾病:美国生活全国调查的结果

DOI:
10.1007/s00127-021-02102-z
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发表时间:
2021
影响因子:
4.4
通讯作者:
K. Waldman
K. Waldman
中科院分区:
医学2区
文献类型:
--
作者:
H. Oh;K. Lincoln;K. Waldman

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肤色歧视已经在全球范围内传播,肤色歧视可能在一定程度上解释了美国黑人人口中的社会分层和健康差距。使用来自美国黑人成年人的大概率样本(全国美国生活调查;2001-2003)的数据,我们检查了感知的肤色和精神障碍之间的关系。在多因素Logistic回归模型中,组内肤色与终生精神障碍相关(AOR:1.2 0;95%CI:1.0 8~1.32;p = 0.0 0),而组外肤色与社会人口学特征和组内肤色无关(aOR:1.0 8;95%CI:0.99~1.18;p = 0.0 8)。当观察特定的障碍时,组内肤色与酒精使用障碍、物质使用障碍、焦虑障碍和饮食障碍的几率显著相关,但与创伤后应激障碍或情绪障碍无关。除焦虑症外,组外肤色与任何精神障碍均无显著关联。我们的发现表明,色彩主义预示着精神障碍,尽管还需要更多的研究来理解为什么组内和组外颜色主义的影响与某些精神障碍有关,而与其他精神障碍无关。
Colorism has been propagated across the globe, and skin tone discrimination may partly explain social stratification and health disparities within the Black American population. Using data from a large probability sample of Black American adults (National Survey of American Life; 2001–2003), we examined the relations between perceived colorism and psychiatric disorders. In multivariable logistic regression models, in-group colorism was associated with greater odds of having any lifetime psychiatric disorder (aOR: 1.20; 95% CI: 1.08–1.32; p  = 0.00); however, out-group colorism was not significantly associated, net of sociodemographic characteristics and in-group colorism (aOR: 1.08; 95% CI: 0.99–1.18; p  = 0.08). When looking at specific disorders, in-group colorism was significantly associated with greater odds of alcohol use disorder, substance use disorder, anxiety disorder, and eating disorder, but was not associated with post-traumatic stress disorder or mood disorder. Out-group colorism was not significantly associated with any psychiatric disorder except anxiety disorder. Our findings show that colorism predicts psychiatric disorders, though more research is needed to understand why the effects of in-group and out-group colorism are related to certain psychiatric disorders but not others.
DOI: 10.1037/a0016059
发表时间: 2009-07
影响因子: 22.4
作者:
Pascoe, Elizabeth A;Smart Richman, Laura
通讯作者: Smart Richman, Laura