微侵略和歧视对年轻人的焦虑,抑郁和睡眠的影响
Ritika Rastogi1, G Alice Woolverton1, Richard M Lee2
1Department of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.
Journal of affective disorders
|July 19, 2024
概括
微妙的微型攻击和公开的歧视同样增加了焦虑. 歧视更强烈地影响抑郁和睡眠,影响因种族而异. 需要定制的干预措施.
科学领域:
- 社会流行病学 社会流行病学
- 健康心理学 心理健康心理学
- 公共卫生 公共卫生
背景情况:
- 越来越多地关注健康的社会决定因素,包括结构性压迫和歧视.
- 微型攻击,定义为对边缘化身份的微妙侮辱,与公开的歧视有所区别.
- 研究正在探索微型攻击和歧视对年轻成年人的心理健康和睡眠的影响.
研究的目的:
- 为了比较微侵略和歧视对年轻成年人焦虑,抑郁和睡眠障碍的影响.
- 进行种族分层分析,以了解跨种族群体的差异模式.
- 为各种人群提供量身定制的公共卫生干预信息.
主要方法:
- 利用了2022年春季美国大学健康协会-全国大学健康评估III (N=48,606) 的数据.
- 使用后勤回归分析来评估微侵略和歧视暴露与心理健康结果之间的关联.
- 检查了焦虑症状,抑郁症状和睡眠障碍的几率.
主要成果:
- 微侵略和歧视都与增加焦虑症状的几率有关.
- 与微型攻击性相比,歧视与抑郁症状和睡眠障碍的相关性更强.
- 种族分层分析显示,与亚裔美国人,黑人/非裔美国人以及西班牙裔/拉丁裔/a/x人相比,这些暴露与心理健康不佳之间的关联在白人个体中更强.
结论:
- 初步证据表明,微型攻击和歧视通过不同的途径影响健康.
- 与白人相比,种族边缘化群体可能会表现出一定的压力反应.
- 治疗策略应根据特定暴露来个性化,以提高有效性.
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