Long-term discrimination effects on adolescent health behaviors and well-being in four countries.

IF 3.1 2区 心理学 Q1 PSYCHOLOGY
Christine Emmer, Anna Neumer, Frank Kalter, Jutta Mata
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Abstract

Objective: Adolescence is a pivotal foundation for lifelong health and a phase vulnerable to the adverse effects of discrimination. We assessed the impact of perceived discrimination on adolescent well-being over 2 years and the mediating effects of protective (physical activity, nutrition, and sleep) and risky (substance use) health behaviors.

Method: Adolescents (N = 9,957; Mage = 14.90 years) from the Children of Immigrants Longitudinal Survey in Four European Countries multinational panel (a longitudinal survey in four European countries) were examined across three waves. Direct and indirect relationships were analyzed using path models, adjusting for health behaviors, well-being, and control variables (age, gender, socioeconomic status, migration, and religion) assessed in Wave 1.

Results: Adolescents reported the most discrimination instances within the school environment. Perceived discrimination at Wave 1 was significantly associated with decreased well-being at Wave 3 (β = -.04, p < .001) and decreased protective (physical activity, β = -.02; nutrition, β = -.04; sleep, β = -.04) and increased risky (substance use, β = .03) health behaviors at Wave 2. Nutrition and sleep mediated the relationship between perceived discrimination and well-being; no mediation was found for physical activity and substance use.

Conclusions: Even in observational data with 1-year assessment intervals, detrimental long-term effects of perceived discrimination on adolescent well-being are apparent, mediated through changes in nutrition and sleep behaviors. These results extend previous research-predominantly focusing on substance use-showing that perceived discrimination also predicted fewer protective health behaviors. Adolescence represents a strategic window for addressing discrimination and promoting healthy behaviors and well-being to mitigate long-term health disparities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

长期歧视对四个国家青少年健康行为和幸福感的影响。
目的:青春期是终身健康的关键基础,也是易受歧视不利影响的阶段。我们评估了2年来感知歧视对青少年幸福感的影响,以及保护性(体育活动、营养和睡眠)和高风险(物质使用)健康行为的中介作用。方法:青少年(N = 9,957;来自四个欧洲国家移民子女纵向调查多国小组(四个欧洲国家的纵向调查)的研究分为三波。使用路径模型分析直接和间接关系,调整健康行为、幸福感和控制变量(年龄、性别、社会经济地位、移民和宗教)在第1波中评估。结果:青少年报告的歧视事件在学校环境中最多。第一阶段的感知歧视与第三阶段的幸福感下降显著相关(β = -)。4, p < .001)和保护性(体力活动,β = -.02;营养,β = - 0.04;睡眠,β = - 0.04)和危险(物质使用,β = 0.03)健康行为的增加。营养和睡眠在感知歧视与幸福感的关系中起中介作用;没有发现体育活动和物质使用之间的中介关系。结论:即使在1年评估间隔的观察性数据中,感知歧视对青少年健康的有害长期影响也很明显,这是通过营养和睡眠行为的变化介导的。这些结果扩展了先前主要关注物质使用的研究,表明感知到的歧视也预示着更少的保护性健康行为。青少年是解决歧视和促进健康行为和福祉以减轻长期健康差距的战略窗口。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Psychology
Health Psychology 医学-心理学
CiteScore
4.90
自引率
2.40%
发文量
170
审稿时长
4-8 weeks
期刊介绍: Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.
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