The COVID-19/racial injustice syndemic and mental health among Black Americans: The roles of general and race-related COVID worry, cultural mistrust, and perceived discrimination

被引:37
作者
Cokley, Kevin [1 ]
Krueger, Nolan [1 ]
Cunningham, Suzanne R. [2 ]
Burlew, Kathleen [3 ]
Hall, Shaina [1 ]
Harris, Keoshia [1 ]
Castelin, Stephanie [3 ]
Coleman, Carly [1 ]
机构
[1] Univ Texas Austin, Dept Educ Psychol, Austin, TX 78712 USA
[2] MayaTech Corp, Silver Spring, MD USA
[3] Univ Cincinnati, Dept Psychol, Cincinnati, OH 45221 USA
关键词
COVID-19; cultural mistrust; mental health; perceived discrimination; AFRICAN-AMERICANS; RACIAL-DISCRIMINATION; SUBSTANCE USE; ANXIETY; PREVALENCE; DEPRESSION; DISORDERS; MEDIATION; STRESS; PEOPLE;
D O I
10.1002/jcop.22747
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study explored intersecting concerns about COVID-19 and racial injustice against Black people in the United States using a syndemic perspective. Findings from a multistate COVID-19 needs assessment project examined the association of general and race-related concerns about COVID-19 and concerns about police violence against Black people with mental health symptoms in a sample of 2480 Black Americans. The role of cultural mistrust in vaccination status was also examined. Concerns about COVID-19 were positively associated with concerns about police violence and associated with worse mental health. Nonvaccinated individuals were higher in cultural mistrust but lower in perceived discrimination than vaccinated individuals. Perceived discrimination partially mediated the relationship between race-related concerns about COVID-19 and mental health symptoms. Findings can inform the development of culturally responsive strategies to address the syndemic effects of COVID-19 and racial injustice.
引用
收藏
页码:2542 / 2561
页数:20
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