Stuber Jennifer, Galea Sandro, Ahern Jennifer, Blaney Shannon, Fuller Crystal
Division of Health and Science Policy, The New York Academy of Medicine, New York 10029-5283, USA.
Health Serv Res. 2003 Dec;38(6 Pt 2):1735-59. doi: 10.1111/j.1475-6773.2003.00200.x.
This study examines the association between discrimination due to race and other attributes (e.g., sex, age) and self-assessed mental and physical health among Latinos and blacks.
Latino and black adult participants (n = 873) identified by random digit dialing were interviewed by telephone in four low-income neighborhoods in New York City: the South Bronx, East Harlem, Central Harlem, and Bedford-Stuyvesant.
In this cross-sectional study, generalized estimating equations were used to fit multilevel multivariable models to test the association between discrimination and poor mental and physical health while controlling for socioeconomic status, access to health care, social support, smoking, and the racial and ethnic composition of each neighborhood.
Discrimination due to race and discrimination due to other attributes were associated with poor self-assessed mental but not physical health in separate multivariable models. Persons who experienced multiple domains of discrimination had a greater probability of reporting poor mental health than persons who experienced no discrimination.
Discrimination due to race and other attributes was a significant correlate of mental health among Latinos and blacks independent of other accepted determinants of health.
本研究探讨种族歧视以及因其他属性（如性别、年龄）导致的歧视与拉丁裔和黑人自我评估的身心健康之间的关联。
通过随机数字拨号识别出的拉丁裔和黑人成年参与者（n = 873）在纽约市四个低收入社区接受了电话访谈，这些社区分别是南布朗克斯、东哈莱姆、中哈莱姆和贝德福德 - 斯图维森特。
在这项横断面研究中，使用广义估计方程来拟合多层次多变量模型，以检验歧视与身心健康不佳之间的关联，同时控制社会经济地位、获得医疗保健的机会、社会支持、吸烟情况以及每个社区的种族和族裔构成。
在单独的多变量模型中，种族歧视和因其他属性导致的歧视与自我评估的心理健康不佳相关，但与身体健康无关。经历多个歧视领域的人比未经历歧视的人报告心理健康不佳的可能性更大。
种族歧视和因其他属性导致的歧视是拉丁裔和黑人心理健康的一个重要相关因素，独立于其他公认的健康决定因素。
