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种族-民族与健康轨迹:跨多个群体和健康结果检验三种假说。

Race-ethnicity and health trajectories: tests of three hypotheses across multiple groups and health outcomes.

机构信息

Vanderbilt University, Department of Sociology, Nashville, TN 37235, USA.

出版信息

J Health Soc Behav. 2012 Sep;53(3):359-77. doi: 10.1177/0022146512455333.


DOI:10.1177/0022146512455333
PMID:22940814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3668643/
Abstract

Racial-ethnic disparities in static levels of health are well documented. Less is known about racial-ethnic differences in age trajectories of health. The few studies on this topic have examined only single health outcomes and focused on black-white disparities. This study extends prior research by using a life course perspective, panel data from the Health and Retirement Study, and multilevel growth curve models to investigate racial-ethnic differences in the trajectories of serious conditions and functional limitations among blacks, Mexican Americans, and whites. We test three hypotheses on the nature of racial-ethnic disparities in health across the life course (aging-as-leveler, persistent inequality, and cumulative disadvantage). Results controlling for mortality selection reveal that support for the hypotheses varies by health outcome, racial-ethnic group, and life stage. Controlling for childhood socioeconomic status, adult social and economic resources, and health behaviors reduces but does not eliminate racial-ethnic disparities in health trajectories.

摘要

健康静态水平的种族差异是有据可查的。关于健康的种族差异在年龄轨迹上的差异,人们知之甚少。关于这个主题的少数研究只考察了单一的健康结果,并侧重于黑人和白人之间的差异。本研究通过使用生命历程视角、来自健康与退休研究的面板数据以及多层次增长曲线模型,扩展了先前的研究,以调查黑人、墨西哥裔美国人和白人在严重疾病和功能障碍轨迹上的种族差异。我们对生命历程中健康的种族差异的本质提出了三个假设(老龄化均等、持续不平等和累积劣势)。在控制死亡率选择的情况下,结果表明,这些假设的支持情况因健康结果、种族群体和生命阶段而异。在控制儿童期社会经济地位、成年期社会和经济资源以及健康行为的情况下,虽然减少了但并未消除健康轨迹上的种族差异。

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