Gender and Race Variations in the Intersection of Religious Involvement, Early Trauma, and Adult Health

被引:12
作者
Reinert, Katia G. [1 ]
Campbell, Jacquelyn C. [2 ]
Bandeen-Roche, Karen [3 ,4 ]
Sharps, Phyllis [2 ,5 ,6 ]
Lee, Jerry [7 ]
机构
[1] Johns Hopkins Univ, Sch Nursing, Kappa, Baltimore, MD USA
[2] Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA
[3] Johns Hopkins Univ, Sch Publ Hlth, Dept Biostat, Baltimore, MD USA
[4] Johns Hopkins Univ, Sch Publ Hlth, Baltimore, MD USA
[5] Johns Hopkins Univ, Sch Nursing, Community Program, Baltimore, MD USA
[6] Johns Hopkins Univ, Sch Nursing, Global Program, Baltimore, MD USA
[7] Loma Linda Sch Publ Hlth, Loma Linda, CA USA
基金
美国国家卫生研究院;
关键词
Cultural diversity; culture; gender differences; child abuse; neglect; trauma; violence; mental health; health disparities; public health; community health; spirituality; religious involvement; religious coping; gratitude; forgiveness; Adventists; CHILDHOOD SEXUAL-ABUSE; COHORT PROFILE; VIOLENCE; WOMEN; STRESS; SPIRITUALITY; EXPERIENCES; RESILIENCE; LIFE; PSYCHOBIOLOGY;
D O I
10.1111/jnu.12144
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
PurposeThis study aimed to determine gender and race variations in regards to the influence of religious involvement (RI) as a moderator of the effects of early traumatic stress (ETS) on health-related quality of life among adult survivors of child abuse. DesignA cross-sectional predictive design was used to study Seventh-day Adventist adults in North America (N = 10,283). MethodsA secondary analysis of data collected via questionnaires was done using multiple regression. ResultsData revealed that women had a significantly higher prevalence of any or all ETS subtypes, except for physical abuse prevalence, which was the same for both genders. Blacks reported a significantly higher prevalence of at least one ETS subtype than did Whites, except for neglect, where Whites had a higher prevalence. Exposure to at least one ETS subtype was associated with worse negative effect on mental health (B = 2.08, p < .0001 vs. B = 1.54, p < .0001) and physical health (B = 2.01, p < .0001 vs. B = 1.11, p < .0001) for women compared to men. Among those exposed to all ETS subtypes (n = 447), Whites had significant worse physical health, with White women having almost two times the negative effect on physical health (B = 4.50, p < .0001) than White men (B = 2.87, p < .05). As for RI moderation, based on tests of three-way interactions of race-RI-ETS, there were no associated differences. However, tests of three-way interactions of gender-RI-ETS showed a significant buffering effect. Among those with high levels of negative religious coping (RC), women exposed to ETS had significantly worse physical health (B = 1.28) than men. ConclusionsResults give evidence of gender and racial differences on the magnitude of the ETS-health effect, as well as gender differences in ETS-health buffering by RC. Clinical RelevanceFindings suggest gender and racial differences must be considered when devising holistic nursing interventions for improving health outcomes of early trauma survivors.
引用
收藏
页码:318 / 327
页数:10
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