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歧视让我感到不适!对歧视与健康关系的考察。

Discrimination makes me sick! An examination of the discrimination-health relationship.

机构信息

Centre for Health Economics, Monash University, Australia.

出版信息

J Health Econ. 2012 Jan;31(1):99-111. doi: 10.1016/j.jhealeco.2011.12.002. Epub 2011 Dec 22.

DOI:10.1016/j.jhealeco.2011.12.002
PMID:22366167
Abstract

The attitudes of the general British population towards Muslims changed post 2001, and this change led to a significant increase in Anti-Muslim discrimination. We use this exogenous attitude change to estimate the causal impact of increased discrimination on a range of objective and subjective health outcomes. The difference-in-differences estimates indicate that discrimination worsens blood pressure, cholesterol, BMI and self-assessed general health. Thus, discrimination is a potentially important determinant of the large racial and ethnic health gaps observed in many countries. We also investigate the pathways through which discrimination impacts upon health, and find that discrimination has a negative effect on employment, perceived social support, and health-producing behaviours. Crucially, our results hold for different control groups and model specifications.

摘要

2001 年后,英国民众对穆斯林的态度发生了变化,这种变化导致了对穆斯林的歧视显著增加。我们利用这种外生的态度变化来估计歧视增加对一系列客观和主观健康结果的因果影响。双重差分估计表明,歧视会使血压、胆固醇、BMI 和自我评估的一般健康状况恶化。因此,歧视是许多国家观察到的巨大种族和族裔健康差距的一个潜在重要决定因素。我们还研究了歧视对健康的影响途径,发现歧视对就业、感知到的社会支持和促进健康的行为有负面影响。至关重要的是,我们的结果适用于不同的对照组和模型规格。

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