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超越种族/族裔:美国黑人和西班牙裔的肤色与心脏代谢健康

Beyond Race/Ethnicity: Skin Color and Cardiometabolic Health Among Blacks and Hispanics in the United States.

作者信息

Wassink Joshua, Perreira Krista M, Harris Kathleen M

机构信息

Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, USA.

Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, USA.

出版信息

J Immigr Minor Health. 2017 Oct;19(5):1018-1026. doi: 10.1007/s10903-016-0495-y.

DOI:10.1007/s10903-016-0495-y
PMID:27651270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5359067/
Abstract

We investigated whether darker interviewer-ascribed skin color is associated with worse cardiometabolic health among young adult Blacks and Hispanics in the United States. Our sample was comprised of 2,128 non-Hispanic Blacks and 1603 Hispanics aged 24-32, who were in high school in the United States in 1994. We used logistic and OLS regression to predict obesity, hypertension, diabetes, and cardiometabolic risk. We tested the interaction between Hispanic immigrant generation and ascribed skin color. Darker ascribed skin color predicted worse cardiometabolic health among both young adult Blacks and Hispanics. Among Hispanics, the associations were strongest among third and higher generation respondents. Our findings suggest that among US Blacks and Hispanics how individuals are perceived by others via their skin color is significantly associated with their health and well-being. Gradients in cardiometabolic health in young adulthood will likely contribute to gradients in cardiovascular disease and all-cause mortality later in life.

摘要

我们调查了在美国年轻成年黑人和西班牙裔中,面试官所认定的较深肤色是否与较差的心脏代谢健康状况相关。我们的样本包括2128名非西班牙裔黑人以及1603名年龄在24至32岁之间的西班牙裔,他们于1994年在美国上高中。我们使用逻辑回归和普通最小二乘法回归来预测肥胖、高血压、糖尿病和心脏代谢风险。我们测试了西班牙裔移民代际与认定肤色之间的相互作用。认定的较深肤色预示着年轻成年黑人和西班牙裔的心脏代谢健康状况较差。在西班牙裔中,这种关联在第三代及以上受访者中最为明显。我们的研究结果表明,在美国黑人和西班牙裔中,他人通过肤色对个体的认知与他们的健康和幸福显著相关。年轻成年期心脏代谢健康的梯度可能会导致晚年心血管疾病和全因死亡率的梯度。

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