Population Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48106-1248, USA.
Am J Public Health. 2011 Jul;101(7):1314-21. doi: 10.2105/AJPH.2009.190462. Epub 2010 Dec 16.
We explored whether a White ethnic group with a history of structural disadvantage, Jewish Americans, shows evidence of continuing health impact independent of socioeconomic position (SEP), whether coethnic social ties appear health protective, and whether the strength of any protection varies by SEP.
In a series of ordered logistic regressions, we analyzed data from the National Jewish Population Survey, 2000-2001, regressing self-rated health on race/ethnicity, education, and income for US Blacks, Jews, and other Whites and, for Jews alone, indicators of coethnic social ties.
controlling for SEP indicators, the self-rated health of Jews converged with that of Blacks and was significantly worse than that of other Whites. Access to coethnic social ties was associated with better self-rated health among Jews, with the strongest estimated association among those of lower SEP.
The finding that a White ethnic group with a favorable socioeconomic profile reported significantly worse health than did other Whites, after controlling for SEP, calls for better understanding of the complex interplay of cultural, psychosocial, and socioeconomic resources in shaping population health.
我们探讨了一个历史上处于结构性劣势的白人族群,即美籍犹太人,是否存在独立于社会经济地位(SEP)的持续健康影响的证据,以及同种族社会关系是否具有保护健康的作用,以及任何保护作用的强度是否因 SEP 而异。
在一系列有序逻辑回归中,我们分析了 2000-2001 年全国犹太人口调查的数据,将自我评估的健康状况与种族/族裔、教育和收入相关联,针对美国黑人、犹太人以及其他白人进行回归分析,并且仅针对犹太人,分析了同种族社会关系的指标。
在控制了 SEP 指标后,犹太人的自我评估健康状况与黑人趋同,并且明显劣于其他白人。获得同种族社会关系与犹太人的自我评估健康状况较好相关,在社会经济地位较低的人群中,这种关联最强。
在控制了 SEP 后,一个社会经济地位有利的白人群体报告的健康状况明显差于其他白人,这一发现要求更好地理解文化、心理社会和社会经济资源在塑造人口健康方面的复杂相互作用。