机构层面和个人层面的种族歧视与健康状况之间关系的多层次分析。
A multilevel analysis of the relationship between institutional and individual racial discrimination and health status.
作者信息
Gee Gilbert C
机构信息
Training Program in Identity, Self, Role, and Mental Health, Department of Sociology, Indiana University, Ballantine Hall 744, 1020 E Kirkwood Avenue, Bloomington, IN 47405-7103, USA.
出版信息
Am J Public Health. 2002 Apr;92(4):615-23. doi: 10.2105/ajph.92.4.615.
Abstract
OBJECTIVES
This study examined whether individual (self-perceived) and institutional (segregation and redlining) racial discrimination was associated with poor health status among members of an ethnic group.
METHODS
Adult respondents (n = 1503) in the cross-sectional Chinese American Psychiatric Epidemiologic Study were geocoded to the 1990 census and the 1995 Home Mortgage Disclosure Act database. Hierarchical linear modeling assessed the relationship between discrimination and scores on the Medical Outcomes Study Short-Form 36 and revised Symptom Checklist 90 health status measures.
RESULTS
Individual and institutional measures of racial discrimination were associated with health status after control for acculturation, sex, age, social support, income, health insurance, employment status, education, neighborhood poverty, and housing value.
CONCLUSIONS
The data support the hypothesis that discrimination at multiple levels influences the health of minority group members.
摘要
目的
本研究探讨个体（自我认知的）和机构（隔离与红线划定）层面的种族歧视是否与某一民族群体成员的健康状况不佳相关。
方法
华裔美国人精神病流行病学横断面研究中的成年受访者（n = 1503）被地理编码到1990年人口普查和1995年《住房抵押贷款披露法案》数据库。分层线性模型评估了歧视与医学结局研究简表36和修订版症状自评量表90健康状况指标得分之间的关系。
结果
在对文化适应、性别、年龄、社会支持、收入、医疗保险、就业状况、教育程度、邻里贫困和住房价值进行控制后，种族歧视的个体和机构层面指标与健康状况相关。
结论
数据支持这样的假设，即多个层面的歧视会影响少数群体成员的健康。
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