Social Support Is Protective Against the Effects of Discrimination on Parental Mental Health Outcomes

• Published in: Journal of the American Psychiatric Nurses Association Vol. 30; no. 6; pp. 953 - 965
• Main Authors: Alvarez, Dallis, Adynski, Harry, Harris, Rebeca, Zou, Baiming, Taylor, Jacquelyn Y., Santos, Hudson P.
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-11-2024
• Subjects: Original Research; stress; pregnancy and postpartum; family support; depression and depressive disorders
• ISSN: 1078-3903; 1532-5725; 1532-5725
• DOI: 10.1177/10783903241243092

BACKGROUND:
Discrimination, or unfair treatment based on individual characteristics such as gender, race, skin color, and or sexual orientation, is a pervasive social stressor that perpetuates health disparities by limiting social and economic opportunity and is associated with poor mental and physical health outcomes.
AIMS:
The purpose of the present study is to (1) examine the association between maternal experiences of discrimination and paternal experiences of discrimination; (2) explore how discrimination relates to parental (maternal and paternal) stress and depressive symptoms; and (3) examine whether social support exerts protective effects.
METHODS:
The sample was 2,510 mothers and 1,249 fathers from the Child Community Health Network study. Linear regression models were conducted to explore associations between maternal and paternal discrimination. In addition, mediation analyses were conducted to explore if social support functioned as a mediator between discrimination on parental stress and depressive symptoms.
RESULTS:
Most mothers (40.3%) and fathers (50.7%) identified race as the predominant reason for discrimination. Experiencing discrimination was significantly related to stress and depressive symptoms for both parents, and all forms of social support mediated these relationships. Our findings suggest that social support can act as a protective factor against the negative association between discrimination and both stress and depressive symptoms.
CONCLUSIONS:
These findings highlight the need to integrate social support into existing interventions and include fathers in mental health screenings in primary-care settings. Finally, we briefly describe the role of nurses and other allied health professionals in addressing discrimination in health care and health policy implications.