Health Psychology最新文献

{"title":"Social isolation, loneliness, and biological aging acceleration.","authors":"Rui Mao, Jiao Yuan, Tongtong Zhang, Fan Wang, Yun Zhong, Haonan Yuan, Fan Yang, Xin Meng","doi":"10.1037/hea0001631","DOIUrl":"10.1037/hea0001631","url":null,"abstract":"<p><strong>Objective: </strong>Social isolation and loneliness have been associated with several age-related health conditions. However, their effects on biological age acceleration (BAA) remain understudied.</p><p><strong>Methods: </strong>The study analyzed data from 309,746 UK Biobank participants (<i>M</i>_age = 56.38 years, <i>SD</i> = 8.08, 54% female) over a median follow-up of 14.4 years. Self-reported questionnaires were used to gauge social isolation and loneliness. Multiple linear regression models and two-sample Mendelian randomization analysis were applied to estimate the associations between social isolation, loneliness, and BAA. Polygenic risk scores were calculated based on the single nucleotide polymorphisms related to BAA. Log-rank tests were conducted to assess the association between social isolation, loneliness, and mortality, with mediation analysis further employed to examine whether BAA mediated these associations.</p><p><strong>Results: </strong>Social isolation (<i>b</i> = 0.17; 95% confidence interval [CI; 0.14, 0.19]) and loneliness (<i>b</i> = 0.15; 95% CI [0.12, 0.18]) were linked to BAA, with a cumulative effect observed. Although no interaction effects were identified between social isolation, loneliness, and genetic susceptibility to BAA, a superimposed effect was evident. Two-sample Mendelian randomization analyses determined that loneliness (<i>b</i> = 3.832; 95% CI [0.247, 7.417]) was linked to BAA, whereas regular club or gym attendance (<i>b</i> = -4.145; 95% CI [-7.622, -0.667]) and religious involvement (b = -3.244; 95% CI [-5.577, -0.913]) mitigated aging risk. Furthermore, each unit increment in social isolation and loneliness scores was associated with a 13.9% and 8.9% increase in all-cause mortality risk, respectively, and BAA partially mediated these associations.</p><p><strong>Conclusions: </strong>This study revealed significant associations between social isolation, loneliness, and BAA. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between childhood family stress and systemic inflammation in adulthood: Contributions of pubertal timing and waist circumference in adolescence.","authors":"Brianna N Natale, Daniel S Shaw, Anna L Marsland, Kate Keenan, Alison E Hipwell","doi":"10.1037/hea0001638","DOIUrl":"10.1037/hea0001638","url":null,"abstract":"<p><strong>Objective: </strong>Evidence from retrospective studies suggests that childhood experiences relate to levels of systemic inflammation across the lifespan, particularly for women. This prospective study examined associations between childhood family stress and inflammation in early adulthood among women, considering pubertal timing and adolescent adiposity as potential biobehavioral mediators as well as differences by race.</p><p><strong>Method: </strong>The sample included 1,362 participants of the Pittsburgh Girls Study followed from middle childhood to adulthood. Childhood family stress was estimated as a second-order latent variable from measures of harsh punishment, caregiver-partner conflict, and caregiver depression assessed annually between ages 5 and 9. Inflammation was measured as plasma levels of interleukin-6 (IL-6) (<i>M</i>_age = 23.57 years). Household receipt of public assistance between ages 5 and 9 was included as a binary covariate. Age at menarche and waist circumference at age 12 served as mediators in structural equation models.</p><p><strong>Results: </strong>Greater childhood family stress was associated with higher levels of IL-6 in early adulthood, independently of household public assistance (β = .10, <i>p</i> = .011). Childhood family stress was also indirectly related to adult IL-6 via pubertal timing (β = .01, confidence interval [0.000, 0.004]) and waist circumference (β = .05, confidence interval [0.002, 0.021]). When modeling both mediators together, only waist circumference contributed independent variance to the association between childhood family stress and adult IL-6, and results varied by race.</p><p><strong>Conclusions: </strong>Stress within the childhood family environment may relate to long-term systemic inflammation, both directly and indirectly through pubertal timing and adolescent adiposity, independently of household public assistance. The identification of life course cascades underlying cardiometabolic risk could inform early health promotion efforts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight discrimination and metabolic syndrome: Examining discrimination attributions and frequency across settings.","authors":"Rafael O Leite, Maria M Llabre, Patrice G Saab","doi":"10.1037/hea0001637","DOIUrl":"https://doi.org/10.1037/hea0001637","url":null,"abstract":"<p><strong>Objective: </strong>This study examined characteristics of discrimination among participants with overweight and obesity, including discrimination attributions (i.e., attributed to weight and/or other personal characteristics) and discrimination frequency across settings (everyday life or medical settings), and their associations with metabolic syndrome.</p><p><strong>Method: </strong>Participants with a BMI ≥ 25 kg/m² (<i>N</i> = 35,102; aged 57.9 ± 13.9 years; 59% female) from the <i>All of Us Research Program</i> self-reported their experiences of discrimination and contributed biomarker data used to determine metabolic syndrome. Participants identified personal characteristics perceived as reasons for discrimination (e.g., weight, gender, age, race). In cross-sectional analyses, multiple logistic regression models examined how discrimination attributions (weight and/or other personal characteristics) as well as frequency of everyday discrimination and discrimination in medical settings were associated with metabolic syndrome.</p><p><strong>Results: </strong>Participants attributing discrimination to both their weight and other personal characteristics had 31% higher odds of metabolic syndrome than those reporting no discrimination (<i>OR</i> = 1.31, 95% confidence interval [CI; 1.19, 1.43]). Participants attributing discrimination to only their weight did not show significantly different odds of metabolic syndrome relative to those reporting no discrimination (<i>OR</i> = 1.12, 95% CI [.92, 1.37]). Adjusting for discrimination attributions, greater frequency of everyday discrimination (<i>OR</i> = 1.07, 95% CI [1.03, 1.11]) and discrimination in medical settings (<i>OR</i> = 1.09, 95% CI [1.04, 1.13]) were positively associated with metabolic syndrome.</p><p><strong>Conclusions: </strong>Findings demonstrate the importance of assessing the burden of weight discrimination, including how multiple discrimination attributions and frequency of discrimination across settings may be associated with cardiometabolic health. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13495999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring racial dis(con)cordance and self-affirmation in physical activity messaging to Black women.","authors":"Sheba M Aikawa, Evava S Pietri, Katherine Parks, Angela D Bryan","doi":"10.1037/hea0001639","DOIUrl":"10.1037/hea0001639","url":null,"abstract":"<p><strong>Objective: </strong>Black women are among the least physically active demographic groups in the United States, partly due to sociocultural barriers and medical mistrust. The present research examined whether self-affirmation could help racially discordant physicians enhance Black women's receptivity to a targeted physical activity promotion message.</p><p><strong>Method: </strong>In a single-session online experiment, Black women participants (<i>N</i> = 370) completed either a self-affirmation or control writing task before reading a targeted health promotion message about increasing physical activity from a Black or White male physician. Participants then rated the physician's trustworthiness, affective responses to the message, perceived discrimination, and message persuasiveness.</p><p><strong>Results: </strong>Using 2 × 2 univariate analyses of variance, we found that self-affirmation did not significantly influence perceptions of the health message or the physicians (all <i>d</i>s > 0.03; all <i>p</i>s > .094). In contrast, physician race had robust effects. Participants perceived the Black (vs. White) physician as more trustworthy, more persuasive, less discriminatory against their race and gender, and elicited more positive affect and less anger (all <i>d</i>s > -0.54; all <i>p</i>s < .001).</p><p><strong>Conclusions: </strong>Race concordance, rather than self-affirmation, shaped Black women's responses to a targeted physical activity promotion message. A targeted health promotion message from a Black physician was trusted and well received, whereas the same message from a White physician elicited perceptions of discrimination and anger. These findings suggest that physician racial concordance may outweigh individual-level interventions such as self-affirmation, underscoring the importance of representation and culturally responsive communication in promoting physical activity among Black women. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dimensions of early life adversity and cardiometabolic health in adulthood: A systematic review and meta-analysis.","authors":"Meredith A Gruhn, Debbie Bitran, Lucy A Lurie, Gina Cusing, Teresa Seeman, Christine Power, Jeanne Brooks-Gunn, Margaret A Sheridan, Katie A McLaughlin","doi":"10.1037/hea0001592","DOIUrl":"10.1037/hea0001592","url":null,"abstract":"<p><strong>Objective: </strong>Early life adversity (ELA) has been associated with increased cardiometabolic disease risk in adulthood. This systematic review and meta-analysis evaluated whether cardiometabolic health outcomes differ based on adversity type (threat, deprivation, or cumulative exposure) and assessed the moderating role of sex and race.</p><p><strong>Method: </strong>A comprehensive search of PsycINFO, PubMed, and Web of Science identified 90 studies (82 independent samples) reporting associations between ELA and cardiometabolic outcomes in adults. Inclusion criteria required peer-reviewed, empirical studies linking ELA to disease biomarkers (e.g., cholesterol, hypertension, and atherosclerosis) and health events (e.g., cardiovascular disease, stroke, and diabetes). Random-effects meta-analyses were conducted using Comprehensive Meta-Analysis version 4. Publication bias and study heterogeneity were evaluated using Egger's tests and trim-and-fill procedures.</p><p><strong>Results: </strong>Results indicated that greater exposure to ELA, aggregated across all forms, was associated with increased total cardiometabolic health problems (<i>d</i> = .14), health events (<i>d</i> = .16), health biomarkers (<i>d</i> = .08), and five specific health outcomes, including cardiovascular disease (<i>d</i> = .18), diabetes (<i>d</i> = .12), cholesterol (<i>d</i> = .08), atherosclerosis (<i>d</i> = .06), and hypertension (<i>d</i> = .09). Metaregressions revealed that two categories, total cardiometabolic health problems and health events, were significantly moderated by ELA type, with cumulative adversity emerging as the strongest risk factor.</p><p><strong>Conclusions: </strong>Findings underscore the importance of cumulative ELA as a correlate of adult cardiometabolic health, while also highlighting emerging evidence for differential effects of cumulative adversity compared with threat and deprivation. Results highlight the potential value of comprehensive adversity assessment for identifying at-risk populations and for guiding mechanistic and preventive research. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"815-829"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between insulin habit automaticity and insulin adherence in people with type 1 diabetes using ecological momentary assessment.","authors":"Jenine Y Stone, Mary S Dietrich, Lindsay S Mayberry, Kate Clouse, Shelagh A Mulvaney","doi":"10.1037/hea0001599","DOIUrl":"10.1037/hea0001599","url":null,"abstract":"<p><strong>Objective: </strong>New ways to reduce the burden of insulin therapy for people living with type 1 diabetes (T1D) are needed. Habit formation may support this objective by reducing the cognitive demand associated with taking insulin. This study aimed to understand whether insulin habit automaticity is associated with insulin adherence at mealtimes, which are a frequent and important time for insulin administration.</p><p><strong>Method: </strong>Sixty-three adults with T1D completed momentary assessments three times daily for 7 days. Each assessment included questions related to the most recent meal context, cues, insulin use, and insulin habit automaticity using the Self-Report Behavioral Automaticity Index. Participants who reported not taking premeal insulin were prompted to explain their reason for omission. Momentary insulin adherence was assessed by self-report and review of device data.</p><p><strong>Results: </strong>Insulin habit automaticity was positively correlated with insulin adherence (<i>r</i> = .26, <i>p</i> < .04). Variability in insulin habit automaticity was negatively associated with insulin adherence (<i>r</i> = -.47, <i>p</i> < .001) and positively associated with variability in insulin adherence (<i>r</i> = .47, <i>p</i> < .001). With every one-point increase in momentary insulin automaticity score, the likelihood of insulin adherence for a given meal increased by approximately 10%.</p><p><strong>Conclusions: </strong>Our findings provide support that insulin habit automaticity may be important in more successful mealtime insulin adherence for people living with T1D and could be feasibly included in future ecological momentary assessment research. As insulin may be taken in a variety of contexts and in response to many cues, future studies are needed to understand factors that support the development of automaticity related to taking insulin. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"859-868"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early-life adversity before age 5 is associated with reduced cardiometabolic health characterized by increased arterial stiffness and inflammation in adolescence.","authors":"Brie M Reid, Christina Cantave, Danruo Zhong, Bonny Donzella, Aaron S Kelly, Donald R Dengel, Megan R Gunnar","doi":"10.1037/hea0001602","DOIUrl":"10.1037/hea0001602","url":null,"abstract":"<p><strong>Objective: </strong>Cardiometabolic disease may have roots in early-life adversity (ELA). Most studies linking harsh conditions in the first year of life are either retrospective or follow individuals who continue to live in harsh conditions. The present study identified the impact of ELA, operationalized as institutional care limited to infancy and early childhood, on cardiometabolic health in adolescence.</p><p><strong>Method: </strong>Participants were 190 youth aged 12-21, half adopted internationally from institutional care (previously institutionalized [PI]) into highly resourced homes and a comparison group of youth born into similarly resourced homes (birth-reared; BR). A comprehensive cardiometabolic health examination in-person included a fasted blood draw to measure insulin and lipids, a dual-energy X-ray absorptiometry scan, and vascular biomarkers assessment.</p><p><strong>Results: </strong>PI adolescents had higher aortic augmentation index (AIx; indexing arterial stiffness) and C-reactive protein levels and lower low-frequency to high-frequency (LF/HF) heart rate variability ratios compared with BR youth. PI youth had higher trunk tissue fat, though this was no longer significant after statistical correction. Post hoc analyses revealed significant interactions between groups and sex for body mass index (BMI) percentile and pulse wave velocity (PWV); PI boys had higher BMI percentiles than BR boys, and PI girls had higher PWV than BR girls. Only the PWV interaction remained significant after correction for multiple comparisons.</p><p><strong>Conclusions: </strong>These findings suggest that ELA may play increase the risk of future cardiometabolic health, especially related to inflammation and arterial stiffness, reinforcing the need for timely interventions during this sensitive developmental stage. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"881-891"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13175530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The costs and benefits of striving: Subclinical cardiovascular disease, depression, and hostility as children navigate adversity.","authors":"Brooks B Gump, Stefanie Pilkay, Xiafei Wang, Sara Vasilenko, Nader H Atallah-Yunes, Sarah Woolf-King, Stephen Maisto, Edith Chen, Craig K Ewart","doi":"10.1037/hea0001598","DOIUrl":"10.1037/hea0001598","url":null,"abstract":"<p><strong>Background: </strong>Adversity (e.g., poverty, discrimination, or stress) does not always produce harmful effects. \"Striving\" against adversity has been linked to positive psychological outcomes, such as lower depression, suggesting resilience; however, striving against severe adversity appears to simultaneously produce cardiovascular disease (CVD) risk (framed in the literature as \"John Henryism\").</p><p><strong>Method: </strong>We assessed striving (self-report survey) and adversity (nine indices, including socioeconomic status, discrimination, and city stress) in a sample of 9-11-year-old children (<i>N</i> = 283; 45.6% female; 54.4% self-identifying as Black and 45.6% as White). For outcomes, we assessed subclinical CVD indicators (left ventricular [LV] mass and resting blood pressure), as well as children's depressive symptoms and hostility (self-report survey).</p><p><strong>Results: </strong>After adjusting for covariates, we found a number of significant Striving × Adversity interactions (<i>p</i> values < .05) such that greater striving for children living in high adversity resulted in greater LV mass, higher systolic blood pressure, higher hostility, but lower depressive symptoms, whereas increasing striving for children living in moderate adversity resulted in lower LV mass, systolic blood pressure, and hostility, but no association with depressive symptoms.</p><p><strong>Conclusions: </strong>This pattern we observed is becoming consistent in the literature, whereby striving against adversity produces psychological and physical benefits when adversity is below a certain threshold but produces continued psychological benefits yet CVD risks when adversity rises beyond this threshold. Efforts to protect children living in severe adversity might benefit from interventions designed to maintain the psychological benefits associated with striving against adversity while simultaneously blocking any harm to the cardiovascular system. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"869-880"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population health: The critical role of psychological science-Introduction to a special series of commentaries.","authors":"Jeannette R Ickovics, Brendan Lam, Leslie B Hammer, Brian W Bauer, Kimberly Boller","doi":"10.1037/hea0001617","DOIUrl":"10.1037/hea0001617","url":null,"abstract":"<p><p>Consistent with a social-ecological framework, there is an urgent need to shift psychological science from an individual focus to one that addresses population-level health and mental health. Population health research necessitates transdisciplinary collaboration as well as advances in theory, methods, and analytic approaches to address the complex and interrelated determinants of human health. This commentary introduces a new monthly series in <i>Health Psychology</i> that will offer a critical perspective on contemporary issues and topics relevant to health psychology and the public. Our intent is to contribute to a deeper understanding of health, inspire innovative research, and ultimately improve health at the population level. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":"45 8","pages":"830-836"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discrimination in college, marginalization-related vigilance, and sleep in young adulthood.","authors":"Ghizlane Moustaid, Anne-Chanel Renald, Noelle M Hurd","doi":"10.1037/hea0001603","DOIUrl":"10.1037/hea0001603","url":null,"abstract":"<p><strong>Objective: </strong>The current study investigated how experiencing discrimination (e.g., based on race, ethnicity, gender, or sexual orientation) during the college years among a sample of underrepresented students attending a predominantly White institution may be related to poor sleep in young adulthood via greater marginalization-related vigilance.</p><p><strong>Method: </strong>The study sample (<i>N</i> = 340; 69% female) included students who identified as a member of a historically underrepresented racial or ethnic group, economically disadvantaged (i.e., eligible for the full amount of the Pell Grant), and/or as a first-generation college student. Data were collected during students' 4 years in college (Spring 2014, 2015, 2016, and 2017) and then again 6 years later as they transitioned into young adulthood (Spring 2023). Structural equation modeling was used to examine the associations between discrimination (aggregated across the college years) and marginalization-related vigilance and poor sleep during young adulthood. The final model accounted for maleness, whiteness, and economic disadvantage.</p><p><strong>Results: </strong>We found that discrimination across the college years indirectly predicted poor sleep 6 years later through greater marginalization-related vigilance.</p><p><strong>Conclusions: </strong>There may be a long-lasting psychological burden of persistent experiences of discrimination during the college years that may undermine sleep quality in young adulthood. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":"848-858"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}