Racial discrimination, the superwoman schema, and allostatic load: exploring an integrative stress-coping model among African American women

Racial discrimination, the superwoman schema, and allostatic load: exploring an integrative stress-coping model among African American women
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DOI:
10.1111/nyas.14188
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发表时间:
2019-08-12
影响因子:
5.2
通讯作者:
Woods-Giscombe, Cheryl L.
Woods-Giscombe, Cheryl L.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Allen, Amani M.;Wang, Yijie;Woods-Giscombe, Cheryl L.

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种族歧视与非稳态负荷有关(即,累积的生物压力)在非洲裔美国妇女。然而,有限的注意力已被给予心理社会过程中参与的压力反应,了解健康的生物途径至关重要,在研究种族歧视作为健康的社会决定因素。我们研究了是否女超人图式(SWS),一个多维度的文化特定的框架,其特征是非裔美国妇女对压力的心理社会反应,修改种族歧视和非稳态负荷之间的关联。我们采用立意抽样,从五个旧金山弗朗西斯科湾区县(n = 208)招募了一个社区样本的非洲裔美国妇女年龄30-50。路径分析被用来测试的相互作用,同时占之间的协方差SWS分量表使用线性和二次模型。显着的相互作用之间的种族歧视和四个SWS分量表。感觉有义务展示力量的形象和有义务抑制情绪都是保护性的,而感觉强烈的成功动机和感觉有义务帮助他人加剧了与经历种族歧视相关的独立健康风险。我们的研究结果肯定了需要考虑应对的个体差异以及压力反应过程中可能涉及的其他心理社会过程,并提供了一些见解,这些见解可能有助于阐明种族歧视“在皮肤下”的机制。"
Racial discrimination has been linked to allostatic load (i.e., cumulative biological stress) among African American women. However, limited attention has been given to psychosocial processes involved in the stress response-critical for understanding biological pathways to health-in studies examining racial discrimination as a social determinant of health. We examined whether the superwoman schema (SWS), a multidimensional culture-specific framework characterizing psychosocial responses to stress among African American women, modifies the association between racial discrimination and allostatic load. We used purposive sampling to recruit a community sample of African American women ages 30-50 from five San Francisco Bay Area counties (n = 208). Path analysis was used to test for interactions while accounting for the covariance among SWS subscales using both linear and quadratic models. Significant interactions were observed between racial discrimination and four of the five SWS subscales. Feeling obligated to present an image of strength and an obligation to suppress emotions were each protective whereas feeling an intense motivation to succeed and feeling an obligation to help others exacerbated the independent health risk associated with experiencing racial discrimination. Our findings affirm the need to consider individual variability in coping and potentially other psychosocial processes involved in the stress response process, and offer several insights that may help elucidate the mechanisms by which racial discrimination gets "under the skin."