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探讨拉丁裔日工的社会融合、社会孤立、自评健康和人口统计学之间的关系。

Exploring relationships among social integration, social isolation, self-rated health, and demographics among Latino day laborers.

机构信息

a Maricopa County Department of Public Health , Office of Public Health Policy , Phoenix , AZ , USA.

b Department of Health Promotion and Behavioral Sciences , Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, School of Public Health , Houston , TX , USA.

出版信息

Ethn Health. 2018 May;23(4):425-441. doi: 10.1080/13557858.2017.1280130. Epub 2017 Jan 19.

Abstract

OBJECTIVES

Research indicates social integration and social isolation are related to health, and Latino day laborers (LDLs) tend to be socially isolated and, thus, at high risk for adverse health consequences. relationships among social isolation, social integration, self-rated health (SRH), and demographics were examined in a sample of LDLs to contribute to the literature on social networks and health in this and other migrant populations.

DESIGN

We analyzed data from 324 LDLs who participated in Proyecto SHILOS (Salud del Hombre Inmigrante Latino), a Houston-based survey of Latino immigrant men's health. Based on the literature, we hypothesized SRH would be (1) positively associated with social integration and (2) negatively associated with social isolation. All proposed measures were first entered into a correlation matrix to identify significant bivariate relationships (p ≤ .05, two-tailed). Associations between variables that were directly correlated with SRH and variables that were, in turn, proximally associated with these variables were then used to develop a structural equation path model of SRH. Individual paths in the model were measured for significance, and goodness of fit was assessed by the model chi-square, the Comparative Fit Index, and the Root Mean Square Error of Approximation.

RESULTS

Inconsistent with the first hypothesis, SRH was negatively associated with social integration, as measured by the number of trusted friends. Consistent with the second hypothesis, SRH was negatively associated with social isolation, as measured by needing someone to talk to. More frequent contact with family was also negatively associated with social isolation.

DISCUSSION

Our findings suggest social integration may not always protect and promote health. Therefore, assessing the quality of LDLs' different relationships, not just the quantity, is vital. Future studies should further analyze the effects that social resources have on perceptions of social isolation and health in LDLs and other migrant populations.

摘要

目的

研究表明,社会融合和社会孤立与健康有关,而拉丁裔日工(LDL)往往处于社会孤立状态,因此面临不良健康后果的风险很高。本研究旨在探讨社会孤立、社会融合、自我评估健康(SRH)和人口统计学因素在 LDL 样本中的关系,为社会网络和该人群及其他移民人群健康方面的文献做出贡献。

设计

我们分析了参与 Proyecto SHILOS(拉丁裔移民男性健康)的 324 名 LDL 数据,该研究是休斯顿一项针对拉丁裔移民男性健康的调查。根据文献,我们假设 SRH 将与(1)社会融合呈正相关,(2)与社会孤立呈负相关。首先,我们将所有提议的措施纳入相关矩阵,以确定显著的双变量关系(p≤.05,双侧)。然后,将与 SRH 直接相关的变量与这些变量在时间上相关的变量之间的关系用于开发 SRH 的结构方程路径模型。模型中的个体路径进行显著性测量,并通过模型卡方、比较拟合指数和近似均方根误差评估拟合优度。

结果

与第一个假设不一致,SRH 与社会融合呈负相关,这是通过信任朋友的数量来衡量的。与第二个假设一致,SRH 与社会孤立呈负相关,这是通过需要有人交谈来衡量的。与家人更频繁的接触也与社会孤立呈负相关。

讨论

我们的研究结果表明,社会融合并不总是保护和促进健康。因此,评估 LDL 不同关系的质量,而不仅仅是数量,至关重要。未来的研究应进一步分析社会资源对 LDL 和其他移民人群对社会孤立和健康的看法的影响。

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