Experiences of racism and subjective cognitive function in African American women
Experiences of racism and subjective cognitive function in African American women
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DOI：
10.1002/dad2.12067
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发表时间：
2020-01-01
影响因子：
5.3
通讯作者：
Rosenberg, Lynn
中科院分区：
文献类型：
--
作者：
Coogan, Patricia;Schon, Karin;Rosenberg, Lynn
基于已建立的心理压力与记忆衰退的关联，我们假设非洲裔美国女性频繁的种族主义经历会对主观认知功能（SCF）产生不利影响。方法：在前瞻性黑人妇女健康研究的17320名参与者中，基于六个问题，我们使用多项逻辑回归来量化种族主义经历与SCF之间的关系。结果在日常种族主义（例如，商店服务较差）的最高和最低水平的妇女中，较差的SCF与良好的SCF的多变量优势比（OR， 95%置信区间[CI]）为2.75(2.34至3.23)；对于处于最高级别的体制性种族主义（例如，在住房方面受到歧视）的妇女与处于最低级别种族主义的妇女进行同样的比较，OR为2.66（2.24至3.15）。这种关联在一定程度上是由抑郁和失眠介导的。种族主义经历是非洲裔美国人中非常普遍的社会心理压力源，与较低的SCF有关。
IntroductionWe hypothesized that frequent experiences of racism among African American women would adversely affect subjective cognitive function (SCF), based on the established association of psychological stress with memory decline.MethodsWe used multinomial logistic regression to quantify the association between experiences of racism and SCF, based on six questions, among 17,320 participants in the prospective Black Women's Health Study.ResultsThe multivariable odds ratio (OR, 95% confidence interval [CI]) for poor compared to good SCF among women at the highest versus the lowest level of daily racism (eg, poorer service in stores) was 2.75 (2.34 to 3.23); for the same comparison among women at the highest level of institutional racism (eg, discriminated against in housing) relative to the lowest, the OR was 2.66 (2.24 to 3.15). The associations were mediated, in part, by depression and insomnia.DiscussionExperiences of racism, a highly prevalent psychosocial stressor among African Americans, were associated with lower SCF.