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Persistent distress related to systemic racism among black veterans in the United States.
Whealin, Julia M; Jegede, Oluwole; Na, Peter J; Haeny, Angela M; Pietrzak, Robert H.
Afiliação
  • Whealin JM; VA Pacific Islands Health Care Center, Pacific Island Health Care System, 459 Patterson Road, E-Wing, Honolulu, HI 96819, USA; Department of Psychiatry, John A. Burns School of Medicine, Manoa, HI, USA. Electronic address: Julia.Whealin@va.gov.
  • Jegede O; Department of Psychiatry, Yale School of Medicine, 950 Campbell Avenue 151E, West Haven, CT 06516, USA.
  • Na PJ; Department of Psychiatry, Yale School of Medicine, 950 Campbell Avenue 151E, West Haven, CT 06516, USA; VA Connecticut Healthcare System, 950 Campbell Avenue 151E, West Haven, CT 06516, USA.
  • Haeny AM; Department of Psychiatry, Yale School of Medicine, 950 Campbell Avenue 151E, West Haven, CT 06516, USA.
  • Pietrzak RH; Department of Psychiatry, Yale School of Medicine, 950 Campbell Avenue 151E, West Haven, CT 06516, USA; U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, 950 Campbell Avenue 151E, West Haven, CT 06516, USA; Department of Social and Behavioral Sciences, Yale Schoo
J Affect Disord ; 365: 375-378, 2024 Nov 15.
Article em En | MEDLINE | ID: mdl-39147153
ABSTRACT

BACKGROUND:

Distress related to systemic racism in the public service and healthcare systems is linked to adverse mental health sequelae in racial and ethnic minority populations. Emerging research has found that distress related to racism may impact military veterans, an increasingly racially and ethnically diverse segment of the US population who are at increased risk of mental health problems relative to non-veterans. To date, however, no known study has examined longitudinal trends in distress related to systemic racism in this population.

METHODS:

A nationally representative sample of 2361 US military veterans completed a baseline assessment in 2020 and a 2-year follow-up in 2022. A multinomial logistic regression analysis was conducted to examine longitudinal courses and baseline predictors of systemic racism-related distress.

RESULTS:

Relative to the veterans with no racism-related distress, those who reported racism-related distress across the 2-year study period were older, more likely to be female, Black, or Hispanic, and to have completed college or higher education, and reported more lifetime traumas and stressors. Nearly 4-of-5 of Black veterans endorsed distress related to systemic racism over the 2-year study period.

LIMITATIONS:

Use of self-report and abbreviated measures of distress related to systemic racism.

CONCLUSIONS:

Results suggest that distress related to systemic racism may pose a significant emotional burden on subgroups of US veterans. They further underscore the importance of training clinicians to provide culturally-informed assessments and treatments for Black and other racial and ethnic minority veterans who bear the weight of racial discrimination.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Veteranos / Negro ou Afro-Americano / Racismo Sistêmico Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Affect Disord Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Veteranos / Negro ou Afro-Americano / Racismo Sistêmico Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Affect Disord Ano de publicação: 2024 Tipo de documento: Article