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白人、黑人和墨西哥裔及中美洲人自报的歧视与健康相关生活质量。

Self-reported discrimination and health-related quality of life among Whites, Blacks, Mexicans and Central Americans.

机构信息

School of Public Health, Community Health Sciences, University of California, Los Angeles, Los Angeles, CA, USA.

出版信息

J Immigr Minor Health. 2012 Apr;14(2):189-97. doi: 10.1007/s10903-011-9473-6.

Abstract

This study investigates whether self-reported racial discrimination is related to poor health-related quality of life (HRQoL). Analyses focused on Whites (n = 52,571), Blacks (n = 4,343), Mexicans (n = 12,336), Central Americans (n = 1,504), Multi-ethnic Latinos (n = 1,102), and Other Latinos (n = 1,828) who participated in the 2003 and 2005 California Health Interview survey. Logistic and negative binomial regression was used to examine the association between HRQoL (assessed with the CDC unhealthy days measures) and self-reported racial discrimination. Discrimination was reported by 10% of Whites, 57% of Blacks, and 24-31% of the Latino groups. These reports were associated with increased number of unhealthy days, disability days, and poor self-rated health, even after, controlling for education and other factors. This association did not consistently vary by race/ethnicity. Racial discrimination may be a risk factor for poor HRQoL among diverse groups. Future research should examine the factors that may reduce potential exposure to racial discrimination.

摘要

本研究旨在调查自我报告的种族歧视是否与较差的健康相关生活质量(HRQoL)有关。分析集中在白人(n = 52571)、黑人(n = 4343)、墨西哥裔(n = 12336)、中美洲人(n = 1504)、多种族拉丁裔(n = 1102)和其他拉丁裔(n = 1828)参与者中,这些人参加了 2003 年和 2005 年的加利福尼亚健康访谈调查。使用逻辑回归和负二项回归检验 HRQoL(用疾病预防控制中心不健康天数测量)与自我报告的种族歧视之间的关联。10%的白人、57%的黑人以及 24-31%的拉丁裔群体报告了歧视。即使在控制了教育和其他因素后,这些报告仍与不健康天数、残疾天数和较差的自我健康评估增加有关。这种关联并不因种族/族裔而异。种族歧视可能是不同群体 HRQoL 较差的一个风险因素。未来的研究应该研究可能减少潜在种族歧视暴露的因素。

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