The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide
The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide
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DOI：
10.1016/j.socscimed.2007.02.013
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发表时间：
2007-05-01
影响因子：
5.4
通讯作者：
Takeuchi, David T.
中科院分区：
文献类型：
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作者：
Gee, Gilbert C.;Spencer, Michael;Takeuchi, David T.
越来越多的研究发现，歧视的报道与心理健康有关。然而，美国的许多研究都集中在区域样本上，并没有控制重要的混杂因素，例如其他压力源和反应因素。本研究调查了 2002-2003 年美国全国拉丁裔和亚裔美国人研究 (n = 2047) 中亚洲受访者自我报告的种族歧视与 DSM-IV 定义的精神障碍之间的关联。Logistic 回归分析表明，自我报告的种族歧视与过去 12 个月内患任何 DSM-IV 障碍、抑郁症或焦虑症的可能性较高相关（控制社会人口统计学） 特征、文化压力、家庭凝聚力、贫困、自评健康、慢性身体状况和社会期望。此外，多项逻辑回归发现，报告受到歧视的个人在过去 12 个月内患一种疾病的风险增加两倍，患两种或多种疾病的风险增加三倍。因此，自我报告的歧视与美国亚裔美国人精神障碍风险增加有关，这种关系不能用社会期望、身体健康、其他压力源和社会人口因素来解释。如果这些关联最终被证明是持久的和因果关系，他们建议旨在减少歧视的政策可能有助于改善心理健康。 (c) 2007 Elsevier Ltd. 保留所有权利。
Growing research finds that reports of discrimination are associated with mental health. However, many US studies are focused on regional samples and do not control for important confounders such as other stressors and response factors. The present study examines the association between self-reported racial discrimination and DSM-IV defined mental disorders among Asian respondents to the 2002-2003 US National Latino and Asian American Study (n = 2047).Logistic regression analyses indicated that self-reported racial discrimination was associated with greater odds of having any DSM-IV disorder, depressive disorder, or anxiety disorder within the past 12 months-controlling for sociodemographic characteristics, acculturative stress, family cohesion, poverty, self-rated health, chronic physical conditions, and social desirability. Further, multinomial logistic regression found that individuals who reported discrimination were at a twofold greater risk of having one disorder within the past 12 months, and a threefold greater risk of having two or more disorders.Thus, self-reported discrimination was associated with increased risk of mental disorders among Asian Americans across the United States and this relationship was not explained by social desirability, physical health, other stressors, and sociodemographic factors. Should these associations ultimately be shown enduring and causal, they suggest that policies designed to reduce discrimination may help improve mental health. (c) 2007 Elsevier Ltd. All rights reserved.