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感知到的歧视与健康:一项荟萃分析综述

Perceived discrimination and health: a meta-analytic review.

作者信息

Pascoe Elizabeth A, Smart Richman Laura

机构信息

Department of Psychology and Neuroscience, Duke University, Durham, NC 27708-0086, USA.

出版信息

Psychol Bull. 2009 Jul;135(4):531-54. doi: 10.1037/a0016059.

Abstract

Perceived discrimination has been studied with regard to its impact on several types of health effects. This meta-analysis provides a comprehensive account of the relationships between multiple forms of perceived discrimination and both mental and physical health outcomes. In addition, this meta-analysis examines potential mechanisms by which perceiving discrimination may affect health, including through psychological and physiological stress responses and health behaviors. Analysis of 134 samples suggests that when weighting each study's contribution by sample size, perceived discrimination has a significant negative effect on both mental and physical health. Perceived discrimination also produces significantly heightened stress responses and is related to participation in unhealthy and nonparticipation in healthy behaviors. These findings suggest potential pathways linking perceived discrimination to negative health outcomes.

摘要

关于感知到的歧视对几种健康影响的作用,已有研究。这项荟萃分析全面阐述了多种形式的感知到的歧视与心理健康和身体健康结果之间的关系。此外,这项荟萃分析还考察了感知到歧视可能影响健康的潜在机制,包括通过心理和生理应激反应以及健康行为。对134个样本的分析表明,在按样本量权衡每项研究的贡献时,感知到的歧视对心理健康和身体健康均有显著的负面影响。感知到的歧视还会显著加剧应激反应,并且与参与不健康行为以及不参与健康行为有关。这些发现揭示了将感知到的歧视与负面健康结果联系起来的潜在途径。

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