Finch Brian Karl, Vega William A
RAND Corporation, Santa Monica, California 90405, USA.
J Immigr Health. 2003 Jul;5(3):109-17. doi: 10.1023/a:1023987717921.
This study looks at the effect of social support mechanisms as potential moderators and mediators of the relationship between stressful acculturation experiences and self-ratings of physical health. Data are from a sample of 3012 Mexican-origin adults aged 18-59 sampled under a probabilistic, stratified, cluster sampling design in Fresno County, California. While acculturation stressors (i.e., discrimination, legal status, and language conflict) all had a gross positive effect on the likelihood of rating oneself in fair/poor health, only legal status stress had a net effect. In addition, greater numbers of peers and family members in the United States, and a higher reliance on religious support mechanisms decreased the likelihood of reporting fair/poor health. However, levels of both instrumental social support and religious support seeking moderated the (nonsignificant, main) effects of discrimination on physical health. This study indicates that physical health is negatively associated with acculturation stressors and positively associated with social support; discrimination is only associated with poorer physical health among those for whom social support is lacking.
本研究探讨社会支持机制作为潜在调节变量和中介变量，对压力性文化适应经历与身体健康自评之间关系的影响。数据来自于在加利福尼亚州弗雷斯诺县采用概率分层整群抽样设计抽取的3012名18 - 59岁的墨西哥裔成年人样本。虽然文化适应压力源（即歧视、法律身份和语言冲突）对自评健康状况为“一般/较差”的可能性均有总体正向影响，但只有法律身份压力有净效应。此外，在美国的同龄人和家庭成员数量越多，以及对宗教支持机制的依赖程度越高，报告“一般/较差”健康状况的可能性就越低。然而，工具性社会支持水平和寻求宗教支持这两个因素都调节了歧视对身体健康的（不显著的主要）影响。本研究表明，身体健康与文化适应压力源呈负相关，与社会支持呈正相关；歧视仅与缺乏社会支持的人群中较差的身体健康状况相关。
