Department of Psychology, University of Oregon, Eugene, OR, USA.
Ethn Health. 2013;18(1):97-113. doi: 10.1080/13557858.2012.700916. Epub 2012 Jun 25.
To evaluate ethnic group differences in the association between trauma exposure and health status among an ethnically diverse sample originating in Hawai'i.
Across a 10-year period (1998-2008), participants (N=833) completed five waves of questionnaire assessments. Trauma exposure was measured retrospectively at the most recent assessment (wave 5), socioeconomic resources (educational attainment and employment status) were measured at wave 1, and self-rated health was measured at each of the five waves.
Results indicated that greater exposure to trauma was associated with poorer self-rated health, as were lower educational attainment and lower work status. In addition, there was ethnic group variation in health ratings, as well as in how strongly trauma exposure predicted health status. Specifically, within Filipino American and Native Hawaiian ethnic groups, there was a stronger negative association between trauma exposure and self-rated health.
These results suggest complex interrelations among trauma, ethnicity, socioeconomic status, and physical health. Further understanding these relations may have implications for medical and behavioral interventions in vulnerable populations.
评估在一个源自夏威夷的多种族样本中，创伤暴露与健康状况之间的关联存在种族差异。
在 10 年期间（1998-2008 年），参与者（N=833）完成了五次问卷调查评估。创伤暴露在最近一次评估（第 5 波）中进行回顾性测量，社会经济资源（教育程度和就业状况）在第 1 波中进行测量，自我报告的健康状况在五次评估中都进行了测量。
结果表明，创伤暴露程度越高，自我报告的健康状况越差，教育程度越低，工作状况越低。此外，健康评分以及创伤暴露对健康状况的预测程度存在种族差异。具体而言，在菲律宾裔美国人和夏威夷原住民这两个种族群体中，创伤暴露与自我报告的健康状况之间存在更强的负相关关系。
这些结果表明创伤、种族、社会经济地位和身体健康之间存在复杂的相互关系。进一步了解这些关系可能对弱势人群的医疗和行为干预具有重要意义。
