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黑人内部的健康差异:非裔特征和不公平待遇的影响。

Within-group health disparities among Blacks: the effects of Afrocentric features and unfair treatment.

机构信息

Department of Psychology.

出版信息

Cultur Divers Ethnic Minor Psychol. 2013 Oct;19(4):477-80. doi: 10.1037/a0032566. Epub 2013 Aug 5.

DOI:10.1037/a0032566
PMID:23914746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3818459/
Abstract

Prior research on the impact of Afrocentric features on health has focused primarily on a single feature, skin color. We explored the effects of two other Afrocentric features (lip thickness, nose width) on Blacks' health status and whether unfair treatment mediates any relationship between these features and health. A secondary analysis of a prior study of Black patients' health was conducted. Patients with strong (high lip and high nose ratios) and weak (low lip and low nose ratios) Afrocentric features (i.e., congruent features) had poorer health than patients with incongruent features. Unlike findings for skin color, congruence of features rather than strength predicted health. Congruence predicted perceived unfair treatment in the same manner. Importantly, perceived unfair treatment mediated the relation between Afrocentric features and health. The study suggests that even subtle differences in Afrocentric features can have serious long-term health consequences among Blacks. Clinical implications of the findings are discussed.

摘要

先前关于非裔特征对健康影响的研究主要集中在单一特征上,即肤色。我们探讨了另外两个非裔特征(嘴唇厚度、鼻子宽度)对黑人健康状况的影响,以及这些特征与健康之间的关系是否存在不公平待遇的中介作用。我们对黑人患者健康状况的先前研究进行了二次分析。具有强烈(高嘴唇和高鼻子比例)和弱(低嘴唇和低鼻子比例)非裔特征(即一致特征)的患者比具有不一致特征的患者健康状况更差。与肤色的研究结果不同的是,特征的一致性而非强度预测了健康状况。特征的一致性以同样的方式预测了感知到的不公平待遇。重要的是,感知到的不公平待遇中介了非裔特征与健康之间的关系。该研究表明,即使非裔特征存在细微差异,也会对黑人的长期健康产生严重后果。讨论了这些发现的临床意义。

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