Self-Esteem, Racial Identity, and Depression in the Long-Term Impact of Discrimination on Health among Black Americans.

IF 3.6 1区医学 Q1 PSYCHOLOGY, SOCIAL

Journal of Health and Social Behavior Pub Date : 2026-04-08 DOI:10.1177/00221465261426038

Cerenity E Collins,Man-Kit Lei,Ronald L Simons

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Abstract

Racial discrimination is an important predictor of long-term health outcomes for Black Americans. However, research has not fully examined how the development of psychosocial resources and depressive symptoms throughout the life course impact the long-term relationship between discrimination and physical health. Using data from the Family and Community Health Study (N = 889 for full-information maximum likelihood; n = 520 for listwise deletion), we conducted path modeling to examine whether self-esteem, racial identity, and depressive symptomatology mediate the relationship between racial discrimination in youth and lifetime chronic disease and acute health symptoms for Black Americans. Results indicate significant indirect effects of self-esteem, depressive symptoms, and racial identity on acute health symptoms. Results also show significant indirect effects of self-esteem and depression on lifetime chronic illness. Findings point to the importance of depressive symptomatology and psychosocial resources in shaping the long-term health impacts of youth exposure to racial discrimination.

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自尊、种族认同和抑郁在歧视对美国黑人健康的长期影响。

种族歧视是美国黑人长期健康状况的重要预测因素。然而，研究还没有充分调查在整个生命过程中社会心理资源的发展和抑郁症状如何影响歧视与身体健康之间的长期关系。使用来自家庭和社区健康研究的数据（全信息最大似然N = 889；列表删除N = 520），我们进行路径建模，以检验自尊、种族认同和抑郁症状是否介导青年种族歧视与美国黑人终生慢性疾病和急性健康症状之间的关系。结果表明，自尊、抑郁症状和种族认同对急性健康症状有显著的间接影响。结果还显示自尊和抑郁对终生慢性疾病有显著的间接影响。研究结果指出，抑郁症状学和社会心理资源在塑造青少年暴露于种族歧视的长期健康影响方面的重要性。

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

Journal of Health and Social Behavior Multiple-

CiteScore

6.50

自引率

4.00%

发文量

期刊介绍： Journal of Health and Social Behavior is a medical sociology journal that publishes empirical and theoretical articles that apply sociological concepts and methods to the understanding of health and illness and the organization of medicine and health care. Its editorial policy favors manuscripts that are grounded in important theoretical issues in medical sociology or the sociology of mental health and that advance theoretical understanding of the processes by which social factors and human health are inter-related.