Yoo Hyung Chol, Gee Gilbert C, Takeuchi David
Asian Pacific American Studies, Arizona State University, Tempe, AZ 85287-5503, USA.
Soc Sci Med. 2009 Feb;68(4):726-32. doi: 10.1016/j.socscimed.2008.11.013. Epub 2008 Dec 16.
We examined whether self-reported discrimination based on race and language was associated with the number of chronic health conditions among Asian American immigrants. We also examined whether these relationships were moderated by years in the United States. Data are from adults participating in an Asian American supplement to the 2001 Health Care Quality Survey. Language and racial discrimination in seeking health care were independently associated with increased number of chronic health conditions after controlling for age, sex, education, family income, health insurance, primary language, nativity, and ethnicity. Language discrimination was significantly associated with health conditions even with the presence of racial discrimination in the statistical model. Racial discrimination did not show a significant association in the full analytic model. The relationship between language discrimination and chronic conditions was stronger for Asian immigrants living in the USA 10 years or more compared to more recently arrived immigrants. Language discrimination may be an understudied type of discrimination associated with chronic illness among Asian Americans.
我们研究了基于种族和语言的自我报告的歧视是否与亚裔美国移民的慢性健康状况数量相关。我们还研究了这些关系是否受到在美国居住年限的调节。数据来自参与2001年医疗保健质量调查亚裔补充调查的成年人。在控制了年龄、性别、教育程度、家庭收入、医疗保险、主要语言、出生地和种族后,寻求医疗保健时的语言和种族歧视与慢性健康状况数量的增加独立相关。即使在统计模型中存在种族歧视,语言歧视仍与健康状况显著相关。在完整的分析模型中,种族歧视未显示出显著关联。与新近抵达的移民相比,在美国居住10年或更长时间的亚裔移民中,语言歧视与慢性病之间的关系更强。语言歧视可能是亚裔美国人中一种未得到充分研究的与慢性病相关的歧视类型。