Racism-related stress and mental health among black women living in Los Angeles County, California: A comparison of postpartum mood and anxiety disorder screening scales

被引：1

作者：

James, Kortney Floyd ^{[1
,2
]}

Chen, Keren ^{[3
]}

Hindra, Sasha S. ^{[4
]}

Gray, Sydney ^{[5
]}

Robinson, Milllicent N. ^{[5
]}

Tobin, Courtney S. Thomas ^{[6
]}

Choi, Kristen ^{[1
,7
]}

St Arnault, Denise ^{[8
]}

机构：

[1] Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90095 USA

[2] RAND Corp, Santa Monica, CA 90401 USA

[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med Stat Core, Los Angeles, CA USA

[4] Univ Calif Irvine, Sue & Bill Gross Sch Nursing, Irvine, CA USA

[5] Univ North Carolina Chapel Hill, Sch Social Work, Chapel Hill, NC USA

[6] Univ Calif Los Angeles, Jonathan & Karin Fielding Sch Publ Hlth, Dept Community Hlth Sci, Los Angeles, CA USA

[7] Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Hlth Policy & Management, Los Angeles, CA USA

[8] Univ Michigan, Sch Nursing, Dept Hlth Behav & Biol Sci, Ann Arbor, MI USA

来源：

ARCHIVES OF WOMENS MENTAL HEALTH | 2024年 / 27卷 / 05期

关键词：

Black women; Mental health; Racism; Postpartum; Motherhood; AFRICAN-AMERICAN WOMEN; DEPRESSIVE SYMPTOMS; RISK-FACTORS; DISCRIMINATION;

D O I：

10.1007/s00737-024-01458-w

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Purpose To assess Black women's exposure to and appraisal of racism-related stress during the postpartum period and to distinguish its impact on three indicators of postpartum mood and anxiety disorders (PMADs) symptoms. Methods Data from the Black Mothers' Mental Wellness Study (N = 231) and linear regression models estimated the associations between racism-related stress and the PMAD indicators: 3-item Edinburgh Postnatal Depression Scale (EPDS-3), 8-item Patient Health Questionnaire (PHQ-8), and PHQ-15. Results The majority of participants (80.5%, N = 186) experienced racism a few times a year or more, of which 37.1% (N = 69) were bothered somewhat and 19.3% (N = 36) a lot. Racism-related stress, income, level of education, and history of mental health diagnosis explained greater variance in PMAD symptoms as measured by the PHQ-8 score (R-2 = 0.58, p = < 0.001) compared to the EPDS-3 (R-2 = 0.46, p = < 0.001) or the PHQ-15 (R-2 = 0.14, p = 0.035). Conclusions Racism is a stressor for Black women living in Los Angeles County, California. Racism-related stress and emotional expression of PMAD symptoms were salient to the postpartum mental health of the Black women in this study. Findings from this study suggest that the PHQ-8 should be used to assess how racism impacts Black women's postpartum mental health.

引用

页码：817 / 826

页数：10