Abstract

Objective

Black women experience pronounced inequalities in alcohol use and sexual risk outcomes. Racial discrimination is a known contributor to health inequalities. However, Black women face unique and intersectional forms of discrimination beyond racial discrimination. The current study investigates how exclusion from four distinct social groups effects Black women’s negative affect and risky health cognitions.

Design

Black women (N = 124; ages 18-29) were randomly assigned to be excluded in Cyberball by Black women, Black men, White women, or White men.

Main Outcome Measures

Participants responded to measures of internalising (depressive, anxious) and externalising (anger) affect, heavy alcohol use willingness, and risky sex expectations.

Results

Participants primarily attributed exclusion from White women to racial discrimination, exclusion from Black men to gender discrimination, and exclusion from White men to both gender and racial discrimination. When excluded by White women, participants reported the highest levels of anger, depressive affect, and anxiety. Exclusion by White men predicted the greatest heavy drinking willingness, though exclusion by Black men predicted the greatest risky sex expectations.

Conclusion

This study is the first to demonstrate that exclusion from different social groups leads to differing patterns of negative affect and risky health cognitions in young adult Black women.

中文翻译：

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来自黑人女性、白人女性、黑人男性或白人男性的交叉歧视影响年轻成年黑人女性的情感状态和风险健康认知

摘要

客观的

黑人女性在饮酒和性风险结果方面存在明显的不平等。种族歧视是造成健康不平等的一个众所周知的因素。然而，除了种族歧视之外，黑人女性还面临着独特的、交叉形式的歧视。目前的研究调查了四个不同社会群体的排斥如何影响黑人女性的负面影响和危险的健康认知。

设计

黑人女性（N = 124；年龄在 18-29 岁之间）被随机分配到被黑人女性、黑人男性、白人女性或白人男性排除在 Cyber​​ball 之外的人群。

主要观察指标

参与者对内化（抑郁、焦虑）和外化（愤怒）影响、大量饮酒意愿和有风险的性期望的措施做出回应。

结果

参与者主要将白人女性排斥归因于种族歧视，将黑人男性排斥归因于性别歧视，将白人男性排斥归因于性别和种族歧视。当被白人女性排除在外时，参与者报告了最高水平的愤怒、抑郁情绪和焦虑。被白人排斥预示着最大的酗酒意愿，尽管被黑人排斥预示着最大的危险性期望。

结论

这项研究首次证明，被不同社会群体排斥会导致年轻成年黑人女性产生不同的负面影响模式和风险健康认知。