COVID-19 Racism and Mental Health in Chinese American Families
COVID-19 Racism and Mental Health in Chinese American Families
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DOI：
10.1542/peds.2020-021816
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发表时间：
2020-11-01
期刊：
影响因子：
8
通讯作者：
Xue, Xiaofang
中科院分区：
文献类型：
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作者：
Cheah, Charissa S. L.;Wang, Cixin;Xue, Xiaofang
在本研究中，我们调查了华裔美国父母和青年的COVID-19种族主义和种族歧视发生率及其与心理健康的关系。2019冠状病毒病（COVID-19）大流行加剧了对华裔美国人的仇外心理。我们研究了华裔美国父母和青年经历的6种COVID-19种族主义和种族歧视的发生率及其与心理健康的关系。方法：我们在2020年3月14日至2020年5月31日期间招募了以人群为基础的华裔美国家庭样本，参与了这项自我报告的调查研究。符合条件的父母是华裔，居住在美国，有一个4- 18岁的孩子；他们的子女年龄在10到18岁之间。结果：样本包括543名华裔美国父母（平均[SD]年龄43.44[6.47]岁；425名母亲（78.3%））及其子女（N = 230；平均[SD]年龄13.83[2.53]岁；111名女孩（48.3%））。近一半的父母和年轻人报告说，他们在网上（父母：172人[31.7%]；年轻人：105人[45.7%]）和/或当面（父母：276人[50.9%]；年轻人：115人[50.2%]）直接成为COVID-19种族歧视的目标。共有417名家长（76.8%）和176名青少年（76.5%）报告至少发生过一次在线和/或面对面的COVID-19代种族歧视事件（家长：481名[88.5%]；青少年：211名[91.9%]）。在美国，共有267名（49.1%）父母和164名（71.1%）年轻人认为与健康相关的恐华症，274名（50.4%）父母和129名（56.0%）年轻人认为媒体长期存在的恐华症。父母和年轻人认为的种族主义和种族歧视程度越高，他们的心理健康状况就越差。结论：在COVID-19大流行期间，卫生保健专业人员必须通过教育和适当的心理健康转诊来关注华裔美国人父母及其子女的种族主义相关经历和心理健康需求。
In this study, we examined the rates of COVID-19 racism and racial discrimination experienced by Chinese American parents and youth and the associations with their mental health.OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has fueled xenophobia against Chinese Americans. We examined the rates of 6 types of COVID-19 racism and racial discrimination experienced by Chinese American parents and youth and the associations with their mental health. METHODS: We recruited a population-based sample of Chinese American families to participate in this self-reported survey study conducted from March 14, 2020, to May 31, 2020. Eligible parent participants identified as ethnically/racially Chinese, lived in the United States, and had a 4- to 18-year-old child; their eligible children were 10 to 18 years old. RESULTS: The sample included 543 Chinese American parents (mean [SD] age, 43.44 [6.47] years; 425 mothers [78.3%]), and their children (N = 230; mean [SD] age, 13.83 [2.53] years; 111 girls [48.3%]). Nearly half of parents and youth reported being directly targeted by COVID-19 racial discrimination online (parents: 172 [31.7%]; youth: 105 [45.7%]) and/or in person (parents: 276 [50.9%]; youth: 115 [50.2%]). A total of 417 (76.8%) parents and 176 (76.5%) youth reported at least 1 incident of COVID-19 vicarious racial discrimination online and/or in person (parents: 481 [88.5%]; youth: 211 [91.9%]). A total of 267 (49.1%) parents and 164 (71.1%) youth perceived health-related Sinophobia in America, and 274 (50.4%) parents and 129 (56.0%) youth perceived media-perpetuated Sinophobia. Higher levels of parent- and youth-perceived racism and racial discrimination were associated with their poorer mental health. CONCLUSIONS: Health care professionals must attend to the racism-related experiences and mental health needs of Chinese Americans parents and their children throughout the COVID-19 pandemic via education and making appropriate mental health referrals.