UCLA Fielding School of Public Health, Department of Health Policy and Management, University of California, Los Angeles, CA 90095-1772, USA.
Am J Public Health. 2013 Apr;103(4):e122-9. doi: 10.2105/AJPH.2012.300944. Epub 2013 Feb 14.
We investigated whether race/ethnicity moderates the association between homeownership and health and whether this association is the same for racial/ethnic minorities as for non-Latino Whites.
With data on US-born Latinos, African Americans, and non-Latino Whites from the 2003, 2005, 2007, and 2009 California Health Interview Survey, we used weighted multivariate regression techniques in fully adjusted models, controlling for socioeconomic and demographic factors, to test the association between homeownership and number of psychological health conditions, number of general health conditions, self-perceived health status, and health trade-offs.
Race/ethnicity significantly moderates the effect of homeownership on self-perceived health status, incidence of general health conditions, and health trade-offs, including delays in accessing medical care and delays in obtaining prescription medication. Although homeownership was a robust, independent predictor for each health outcome in the non-Latino White population, the association disappeared in statistical significance for racial/ethnic minorities.
The mechanisms that create a significant association between homeownership and health seem not to be operative for racial/ethnic minorities or are countervailed by other processes, such as possible housing insecurity, that may create an adverse association. Homeownership provides a baseline for future investigations.
我们调查了种族/民族是否会调节自有住房与健康之间的关系,以及这种关联对于少数族裔与非拉丁裔白人是否相同。
利用来自 2003、2005、2007 和 2009 年加利福尼亚州健康访谈调查的美国出生的拉丁裔、非裔美国人和非拉丁裔白人的数据,我们使用加权多元回归技术在完全调整的模型中,控制社会经济和人口统计学因素,检验自有住房与心理健康状况数量、一般健康状况数量、自我感知健康状况以及健康权衡之间的关联。
种族/民族显著调节了自有住房对自我感知健康状况、一般健康状况发生率和健康权衡的影响,包括延迟获得医疗保健和延迟获得处方药物。尽管自有住房是非拉丁裔白人人群中每个健康结果的强大、独立预测因素,但这种关联在少数族裔中失去了统计学意义。
创造自有住房与健康之间显著关联的机制似乎对少数族裔不起作用,或者被其他过程抵消,例如可能存在的住房不安全,这可能会产生不利的关联。自有住房为未来的研究提供了基础。