Personal- vs. Group-Level Discrimination and Physical and Mental Health Outcomes Among Black Adolescents.

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-08-25 DOI:10.1007/s40615-023-01758-4
Nao Hagiwara, Jelaina Shipman-Lacewell, Danyel Smith, Heather A Jones, Tiffany L Green, Faye Belgrave, Cecelia Valrie
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Abstract

Background: The negative health consequences of personal experiences of racial discrimination (personal-level discrimination) has been well-documented across developmental stages, including adolescence, in Black individuals. There is also some evidence suggesting perceiving other Black individuals experiencing racial discrimination (group-level discrimination) can protect one's health in Black adults.

Methods: This study examined the role of personal- and group-level discrimination in Black adolescent health. The study was a secondary analysis of survey data collected from 186 Black adolescents that included reports of discrimination, physical function, anxiety, and depression.

Results: Black adolescents who reported greater, as opposed to lower, personal-level discrimination were more likely to experience poorer physical and mental health outcomes. While group-level discrimination was also associated with physical health outcomes, it was not directly associated with mental health outcomes. Importantly, across all three health outcomes, awareness of group-level discrimination mitigated the negative health consequences of personal-level discrimination. Among adolescents who reported low levels of group-level discrimination, personal-level discrimination was associated negatively with physical function and positively with anxiety and depressive symptoms. Among adolescents who reported high levels of group-level discrimination, there was no association between personal-level discrimination and any of the health outcomes.

Discussion: Consistent with prior research with Black adults, awareness of high group-level discrimination may protect Black adolescents from the negative health consequences of personal-level discrimination. The pattern of the results is also consistent with the literature of the personal-group discrimination discrepancy (PGDD) and psychological wellbeing. Future research should investigate the psychological mechanisms implicated in PGDD (e.g., external attribution of discrimination and intragroup comparison) as potential coping strategies for Black adolescents against the negative health consequences of personal-level discrimination.

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个人与群体层面的歧视与黑人青少年的身心健康结果。
背景:在黑人的各个发育阶段,包括青春期,个人遭受种族歧视(个人层面的歧视)对健康的负面影响已得到充分证明。也有证据表明,认为其他黑人遭受种族歧视(群体层面的歧视)可以保护黑人成年人的健康:本研究探讨了个人和群体层面的歧视对黑人青少年健康的影响。该研究对从 186 名黑人青少年那里收集到的调查数据进行了二次分析,这些数据包括歧视、身体机能、焦虑和抑郁报告:结果:报告个人层面歧视较多而非较少的黑人青少年更有可能经历较差的身心健康结果。虽然群体层面的歧视也与身体健康结果有关,但与心理健康结果没有直接关系。重要的是,在所有三种健康结果中,对群体歧视的认识减轻了个人歧视对健康的负面影响。在报告群体歧视程度较低的青少年中,个人歧视与身体机能呈负相关,与焦虑和抑郁症状呈正相关。在报告受到严重群体歧视的青少年中,个人层面的歧视与任何健康结果之间都没有关联:讨论:与之前对黑人成年人的研究一致,对群体高度歧视的认识可能会保护黑人青少年免受个人歧视对健康造成的负面影响。研究结果的模式也与有关个人-群体歧视差异(PGDD)和心理健康的文献一致。未来的研究应调查与 PGDD 有关的心理机制(如歧视的外部归因和群体内比较),将其作为黑人青少年应对个人层面歧视的负面健康后果的潜在策略。
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来源期刊
Journal of Racial and Ethnic Health Disparities
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.
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