Strong Black Women? Investigating the role of intersectionality in the experience, treatment, and outcomes of common mental disorders among Black

坚强的黑人女性？

• 批准号: 2462475
• 金额: --
• 依托单位: Queen Mary University of London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2462475
• 关键词: Strong; Black; Women; Investigating; role

Common mental disorders (CMD), which include depression and anxiety, are a major global mental health concern. In Britain, women are disproportionally affected by CMD (19% women versus 12% men) and ethnicity adds an additional layer of disadvantage, with Black/Black British women experiencing higher rates of CMD relative to White British women (29.3% versus 20.9%). Despite this increased prevalence, Black/Black British women are less likely to seek and receive treatment, and more likely to experience poor outcomes (e.g., maladaptive coping, detention under the Mental Health Act). Understanding and addressing these mental health inequalities are imperative to ensuring that all members of society can access and obtain the support needed to fare well. Drawing on the framework of intersectionality in general, and the Strong Black woman schema in particular, the proposed research will investigate how and why gender and race might work together to shape the experience, treatment and outcomes associated with CMD among Black women (e.g., Black British women; women with Black-African and Black-Caribbean backgrounds). Through a systematic review of the literature, focus groups, an international cross-sectional survey, and in-depth interviews we will test whether beliefs and expectations about being what it means to be Black and female shape the experience of CMD, and whether these intersections, in turn, influence treatment and outcomes. Findings will provide important insights into the lived experiences of Black women with CMD as well as helping us to identify barriers to treatment and predictors of poor outcomes. This research will be conducted in partnership with Catalyst 4Change (Birmingham) and BlackThrive (London), organisations that work to develop and support Black British, African and Caribbean mental health and well-being in the United Kingdom. Our partners will help us to embed this research in the community, by connecting us with a range of stakeholders (i.e., practitioners, people with lived experiences, policymakers) to form a research advisory board. Our partners will also support our main research activities of participant recruitment, connecting us with Black women from the community with CMD, and with dissemination, by working with us to translate and findings into suitable recommendations for commissioners and service providers. This work will also add to the literature on intersectionality more broadly, providing important qualitative and quantitative data on its roles in mental health.

常见精神障碍（CMD）包括抑郁和焦虑，是全球主要的精神健康问题。在英国，妇女受到CMD的不利影响（19%的妇女对12%的男子），种族增加了另一层不利因素，黑人/黑人英国妇女的CMD率高于白色英国妇女（29.3%对20.9%）。尽管患病率增加，但黑人/英国黑人妇女寻求和接受治疗的可能性较小，更有可能出现不良结果（例如，适应不良应对，根据《精神卫生法》拘留）。理解和解决这些心理健康不平等问题对于确保社会所有成员都能获得并获得良好生活所需的支持至关重要。借鉴一般交叉性的框架，特别是强大的黑人妇女模式，拟议的研究将调查如何以及为什么性别和种族可能共同努力，以塑造黑人妇女中与CMD相关的经验，治疗和结果（例如，英国黑人妇女;有非洲黑人和加勒比黑人背景的妇女）。通过对文献的系统回顾，焦点小组，国际横断面调查和深入访谈，我们将测试是否信念和期望是什么意思是黑人和女性塑造CMD的经验，以及这些交叉点，反过来，是否影响治疗和结果。研究结果将为了解患有CMD的黑人妇女的生活经历提供重要见解，并帮助我们确定治疗障碍和不良结局的预测因素。这项研究将与Catalyst 4Change（伯明翰）和BlackThrive（伦敦）合作进行，这些组织致力于发展和支持英国黑人，非洲人和加勒比人的心理健康和福祉。我们的合作伙伴将帮助我们将这项研究嵌入社区，通过将我们与一系列利益相关者（即，实践者、有实际经验的人、政策制定者）组成一个研究咨询委员会。我们的合作伙伴还将支持我们的参与者招募的主要研究活动，将我们与社区的黑人妇女与CMD联系起来，并通过与我们合作将调查结果转化为专员和服务提供者的适当建议来传播。这项工作还将更广泛地增加关于交叉性的文献，提供关于其在心理健康中作用的重要定性和定量数据。