Parental support in adolescence: A potential moderator of the relationship between racial discrimination and adult suicidality

IF 3.9 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Pub Date : 2024-10-29 DOI:10.1016/j.puhe.2024.10.005
Natalie Guerrero , Fangqian Ouyang , Patrick Monahan , Steven A. Brown , Tamika C. Zapolski , Matthew C. Aalsma
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Abstract

Objectives

It is critical to understand supportive factors that may help mitigate the negative effects of racial discrimination on mental health. Supportive family environments positively impact adolescent health, yet less is known about the impact of family support on adult health outcomes as a consequence of experiences of racial discrimination. The primary objective of this study was to evaluate parental support in adolescence as a potential moderator of the relationship between racial discrimination and mental health, specifically stress and suicidality, in adulthood.

Study design

Secondary data analysis.

Methods

We performed a secondary data analysis using data from waves I (grades 7–12), IV (ages 24–32), and V (ages 32–42) of the National Longitudinal Study of Adolescent to Adult Health (N = 1523).

Results

Univariate logistic regression models showed that racial discrimination was significantly associated with an increased likelihood of suicidality in adulthood (Odds Ratio = 12.94, 95 % Confidence Interval = [4.69, 35.73]). Multivariate models showed similar findings. Racial discrimination was also significantly associated with increased stress scores in adulthood, though with a small effect. Maternal, paternal, and overall parental support in adolescence did not moderate these relationships. This remained true in racial and ethnic subgroup analyses.

Conclusions

Parental support includes a variety of behaviors that may not have been fully captured in the measures used in this study. Potential moderating effects should be evaluated using alternative measures of parental support that may better capture these behaviors.
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青春期父母的支持:种族歧视与成人自杀之间关系的潜在调节因素
目标 了解有助于减轻种族歧视对心理健康负面影响的支持性因素至关重要。支持性的家庭环境会对青少年的健康产生积极影响,然而,人们对家庭支持对因种族歧视经历而导致的成人健康结果的影响却知之甚少。本研究的主要目的是评估父母在青少年时期的支持对种族歧视与成年后心理健康(尤其是压力和自杀)之间关系的潜在调节作用。结果多元逻辑回归模型显示,种族歧视与成年后自杀可能性的增加显著相关(Odds Ratio = 12.94, 95 % Confidence Interval = [4.69, 35.73])。多变量模型显示了类似的结果。种族歧视也与成年后压力得分的增加有明显关系,但影响较小。母亲、父亲和父母在青少年时期的整体支持并没有缓和这些关系。结论:父母的支持包括多种行为,本研究采用的测量方法可能没有完全反映这些行为。应使用能更好地反映这些行为的其他父母支持测量方法来评估潜在的调节作用。
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来源期刊
Public Health
Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
0.00%
发文量
280
审稿时长
37 days
期刊介绍: Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.
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