Although recent studies have linked discrimination frequency among Black and Latinx individuals to PTSD symptom severity, to our knowledge, these associations have yet to be examined among a diverse sample of recent rape survivors. The current secondary analysis of existing data examined the role of discrimination experiences in post-traumatic stress disorder (PTSD) symptoms, depression, and alcohol and drug problems among a racially and ethnically diverse sample of recent rape survivors. Participants were 139 Black (48.2%; n = 67), American Indian (18.7%; n = 26), Hispanic (15.1%; n = 21), and mixed race (17.3%; n = 24) girls and women age 15 or older who presented to the emergency department (ED) for a sexual assault forensic medical exam. They were randomly assigned to one of three intervention conditions, and completed a six-month postrape follow-up, including questions about mental health, substance use problems, and discrimination experiences. Regression analyses revealed that Black women experienced discrimination in significantly more situations and with greater frequency compared to American Indian and Hispanic women. Discrimination frequency was positively associated with PTSD and depression symptoms even after controlling for age, education, race, and intervention condition, but was not associated with alcohol or drug problems. Findings highlight the importance of attending to the heterogeneous experiences of discrimination among racial and ethnic minority women. Future work should adapt evidence-based early interventions to be maximally effective at combating both racial and sexual trauma exposures.

尽管最近的研究已将黑人和拉丁裔个体之间的歧视频率与 PTSD 症状严重程度联系起来，但据我们所知，这些关联尚未在近期强奸幸存者的不同样本中进行检验。目前对现有数据的二次分析检查了歧视经历在创伤后应激障碍 (PTSD) 症状、抑郁症、酒精和毒品问题中的作用，这些问题是对近期强奸幸存者的种族和民族多样化样本进行的。参与者是 139 名黑人（48.2%；n = 67）、美洲印第安人（18.7%；n = 26）、西班牙裔（15.1%；n = 21）和混血儿（17.3%；n= 24) 到急诊科 (ED) 进行性侵犯法医检查的 15 岁或以上的女孩和妇女。他们被随机分配到三种干预条件之一，并完成了为期六个月的强奸后随访，包括有关心理健康、药物使用问题和歧视经历的问题。回归分析显示，与美洲印第安人和西班牙裔女性相比，黑人女性在更多情况下遭受歧视的频率更高。即使在控制了年龄、教育、种族和干预条件后，歧视频率与 PTSD 和抑郁症状呈正相关，但与酒精或药物问题无关。调查结果强调了关注种族和少数族裔妇女的不同歧视经历的重要性。未来的工作应该调整以证据为基础的早期干预措施，以最大限度地有效对抗种族和性创伤暴露。