根植于身份:种族中心性缓冲了慢性压力对美国黑人自杀结果的影响。

IF 2 3区 医学 Q1 ETHNIC STUDIES
Sean Darling-Hammond, Ángela Gutiérrez, Cindy Le, Christy Bryana Atangana, Courtney Thomas Tobin
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引用次数: 0

摘要

目的:美国黑人经历了自杀意念、计划和企图的快速增长,但很少有研究调查慢性压力(一种公认的心理健康差异驱动因素)是否导致了这些自杀结果。慢性压力指的是由结构性种族主义造成的持续、累积的日常生活负担,对美国黑人尤其有害。社会压力理论强调社会心理资源在减轻慢性压力影响中的重要性。种族中心性是一种基于文化的种族认同衡量标准,与无数的心理健康结果有关。我们回顾了纳什维尔压力与健康研究中627名黑人成年人的数据,以确定慢性压力、种族中心性和美国黑人自杀结果之间的关系,并评估种族中心性是否可能起到缓冲自杀的作用。设计:方差分析检验(ANOVA)探讨种族中心性是否与慢性应激有关。加权逻辑回归预测自杀结果是慢性压力、种族中心性和两者相互作用的函数。结果:种族中心性与慢性应激负相关。慢性压力可以预测自杀结果。种族中心性起到缓冲作用,负向调节慢性压力与自杀的关系。结论:这些发现强调了慢性压力是黑人自杀结果的一个关键的、未被充分研究的风险因素,并强调了种族中心是一个具有文化意义的保护因素,对身份确认预防策略具有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rooted in identity: racial centrality buffers the effects of chronic stress on suicide outcomes among Black Americans.

Objectives: Black Americans have experienced a rapid rise in suicidal ideation, plans, and attempts, yet little research has examined whether chronic stress, a well-established driver of mental health disparities, contributes to these suicide outcomes. Chronic stress refers to the persistent, cumulative burdens of daily life shaped by structural racism, making it particularly harmful for Black Americans. Social stress theory emphasizes the importance of psychosocial resources in mitigating the effects of chronic stress. Racial centrality is a culturally grounded measure of racial identity that is related to myriad mental health outcomes. We review data from 627 Black adults in the Nashville Stress and Health Study to ascertain relationships between chronic stress, racial centrality, and suicide outcomes among Black Americans and evaluate whether racial centrality might serve as a buffer against suicide.

Design: An analysis of variance test (ANOVA) explored whether racial centrality was related to chronic stress. Weighted logistic regressions predicted suicide outcomes as a function of chronic stress, racial centrality, and the interaction of the two.

Results: Racial centrality was negatively associated with chronic stress. Suicide outcomes were predicted by chronic stress. Racial centrality served as a buffer, negatively moderating the relationship between chronic stress and suicide.

Conclusion: These findings underscore chronic stress as a critical, understudied risk factor for Black suicide outcomes and highlight racial centrality as a culturally meaningful protective factor with implications for identity-affirming prevention strategies.

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来源期刊
Ethnicity & Health
Ethnicity & Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
0.00%
发文量
42
审稿时长
>12 weeks
期刊介绍: Ethnicity & Health is an international academic journal designed to meet the world-wide interest in the health of ethnic groups. It embraces original papers from the full range of disciplines concerned with investigating the relationship between ’ethnicity’ and ’health’ (including medicine and nursing, public health, epidemiology, social sciences, population sciences, and statistics). The journal also covers issues of culture, religion, gender, class, migration, lifestyle and racism, in so far as they relate to health and its anthropological and social aspects.
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