Are There Regional Differences in Mental Health among Black Americans? An Exploration of Explanatory Mechanisms.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-04-01 Epub Date: 2024-03-11 DOI:10.1007/s40615-024-01969-3

Lacee A Satcher, Christy L Erving, Richard N Pitt

引用次数: 0

Abstract

Using data from the National Survey of American Life (NSAL) (2001-2003), we examine regional differences in past-year anxiety disorder and past-year major depressive episodes among a geographically diverse sample of Black Americans (N = 3,672). We find that Black Americans residing in the South experience a mental health advantage over Black Americans living in other parts of the country, experiencing lower rates of both anxiety disorder and past-year major depression. We also examine the extent to which stress exposure, religious involvement, and neighborhood contexts help explain any regional differences. We find that stress exposure helps to explain much of the differences observed across regions, while religious involvement and neighborhood contexts help explain observed regional differences to a lesser extent. These findings highlight the importance of considering regional contexts in understanding intra-racial differences in mental health.

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美国黑人的心理健康存在地区差异吗？对解释机制的探索。

我们利用《美国全国生活调查》（NSAL）（2001-2003 年）的数据，研究了不同地域的美国黑人样本（样本数 = 3,672）在上一年焦虑症和上一年重度抑郁症发作方面的地区差异。我们发现，与居住在美国其他地区的美国黑人相比，居住在南方的美国黑人具有心理健康优势，焦虑症和过去一年重度抑郁症的发病率都较低。我们还研究了压力暴露、宗教参与和邻里环境在多大程度上有助于解释地区差异。我们发现，压力暴露在很大程度上有助于解释所观察到的地区间差异，而宗教参与和邻里关系在较小程度上有助于解释所观察到的地区间差异。这些发现强调了在理解种族内部心理健康差异时考虑地区背景的重要性。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.