Lifetime vicarious experiences of major discrimination and depressive symptoms among middle-aged and older black adults

Aging Ment Health. 2023 Jun;27(6):1103-1110. doi: 10.1080/13607863.2022.2117792. Epub 2022 Aug 29.

Abstract

Objectives: Racial disparities in later-life depression among Americans are well-documented. Perceived discrimination has been linked to depressive symptoms among aging Black adults, but little research has considered how vicarious exposure to discrimination shapes the mental health of middle-aged and older Black adults.

Methods: A subsample of Black adults aged 50-69 years (N = 273) were drawn from the Nashville Stress and Health Study. Lifetime vicarious exposures to major discrimination were assessed. Additionally, multivariate linear regression was employed to examine the association between vicarious experiences of major discrimination and depressive symptoms.

Results: Once the Black adults in the sample had reached ages 50 and older, the most common discriminatory events that they had vicariously experienced in their lifetime occurred as a result of their loved ones' unfair interactions with law enforcement and the job market, respectively. Furthermore, our findings revealed that vicarious experiences of major discrimination were associated with higher levels of depressive symptoms among middle-aged and older Black adults.

Conclusion: Vicarious, as well as personal, exposures to discrimination shape the mental health of Black Americans over the lifespan. The secondhand effects of discrimination must be considered for interventions aimed at reducing the mental health consequences of racism-related adversity as Black adults age.

Keywords: Black Americans; Vicarious racism; depressive symptoms; life course; middle-aged adults; older adults; perceived discrimination.

MeSH terms

  • Aged
  • Black or African American* / psychology
  • Depression* / epidemiology
  • Humans
  • Mental Health
  • Middle Aged
  • Racism*
  • United States