Department of Public Health and Health Sciences, University of Michigan-Flint, Flint, MI 48502, USA.
Am J Mens Health. 2013 Jul;7(4 Suppl):58S-67S. doi: 10.1177/1557988313484960. Epub 2013 Apr 21.
Racial/ethnic differences in health are evident among men. Previous work suggests associations between mental and physical health but few studies have examined how mood/anxiety disorders and chronic physical health conditions covary by age, race, and ethnicity among men. Using data from 1,277 African American, 629 Caribbean Black, and 371 non-Hispanic White men from the National Survey of American Life, we examined associations between race/ethnicity and experiencing one or more chronic physical health conditions in logistic regression models stratified by age and 12-month mood/anxiety disorder status. Among men <45 years without mood/anxiety disorders, Caribbean Blacks had lower odds of chronic physical health conditions than Whites. Among men aged 45+ years with mood/anxiety disorders, African Americans had greater odds of chronic physical health conditions than Whites. Future studies should explore the underlying causes of such variation and how studying mental and chronic physical health problems together may help identify mechanisms that underlie racial disparities in life expectancy among men.
男性的健康在种族/民族方面存在差异。先前的研究表明心理健康和身体健康之间存在关联,但很少有研究调查情绪/焦虑障碍和慢性身体健康状况如何因年龄、种族和民族在男性中相互关联。本研究使用来自全国生活调查的 1277 名非裔美国男性、629 名加勒比裔黑人男性和 371 名非西班牙裔白人男性的数据,在按年龄和 12 个月情绪/焦虑障碍状况分层的逻辑回归模型中,检验了种族/民族与经历一种或多种慢性身体健康状况之间的关联。在没有情绪/焦虑障碍的<45 岁男性中,加勒比裔黑人患慢性身体健康状况的几率低于白人。在患有情绪/焦虑障碍的 45 岁以上男性中,非裔美国人患慢性身体健康状况的几率大于白人。未来的研究应该探索这种差异的根本原因,以及一起研究精神和慢性身体健康问题如何帮助确定导致男性预期寿命种族差异的机制。