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美国出生及移民的拉丁裔人群的主观社会地位与自我报告健康状况

Subjective Social Status and Self-Reported Health Among US-born and Immigrant Latinos.

作者信息

Garza Jeremiah R, Glenn Beth A, Mistry Rashmita S, Ponce Ninez A, Zimmerman Frederick J

机构信息

Department of Health Policy and Management, UCLA Fielding School of Public Health, University of California, 650 Charles E. Young Drive South, Box 951772, Los Angeles, CA, 90095-1772, USA.

Jonsson Comprehensive Cancer Center, UCLA Fielding School of Public Health, University of California, Los Angeles, CA, USA.

出版信息

J Immigr Minor Health. 2017 Feb;19(1):108-119. doi: 10.1007/s10903-016-0346-x.

DOI:10.1007/s10903-016-0346-x
PMID:26895151
Abstract

Subjective social status is associated with a range of health outcomes. Few studies have tested the relevance of subjective social status among Latinos in the U.S.; those that have yielded mixed results. Data come from the Latino subsample of the 2003 National Latino and Asian American Study (N = 2554). Regression models adjusted for socioeconomic and demographic factors. Stratified analyses tested whether nativity status modifies the effect of subjective social status on health. Subjective social status was associated with better health. Income and education mattered more for health than subjective social status among U.S.-born Latinos. However, the picture was mixed among immigrant Latinos, with subjective social status more strongly predictive than income but less so than education. Subjective social status may tap into stressful immigrant experiences that affect one's perceived self-worth and capture psychosocial consequences and social disadvantage left out by conventional socioeconomic measures.

摘要

主观社会地位与一系列健康结果相关。很少有研究检验主观社会地位在美国拉丁裔中的相关性;已有的研究结果不一。数据来自2003年全国拉丁裔和亚裔美国人研究中的拉丁裔子样本(N = 2554)。回归模型对社会经济和人口因素进行了调整。分层分析检验了出生状态是否会改变主观社会地位对健康的影响。主观社会地位与更好的健康状况相关。在美国出生的拉丁裔中,收入和教育对健康的影响比主观社会地位更大。然而,在移民拉丁裔中情况较为复杂,主观社会地位比收入更能有力地预测健康,但比教育的预测力稍弱。主观社会地位可能反映了影响个人自我认知价值的压力性移民经历,并捕捉到了传统社会经济指标所遗漏的心理社会后果和社会劣势。

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