a School of Social Work , University of Illinois , Urbana-Champaign , IL , USA.
b School of Social Work , University of Washington , Seattle , WA , USA.
Ethn Health. 2019 Jul;24(5):495-511. doi: 10.1080/13557858.2017.1346175. Epub 2017 Jun 28.
The multiracial adult population is one of the fastest growing segments of the U.S. population, yet much remains to be learned about multiracial health. Considerable research finds racial/ethnic disparities in self-rated health, however subgroups within the multiracial population have not been consistently described.
We use data from the National Longitudinal Survey of Adolescent Health (Add Health) and multivariate logistic regression analyses to compare self-rated health of multiracial and monoracial young adults (n = 7880).
Overall, there were no significant differences in poor self-rated health status of multiracial adults as a single group odds ratio 0.84 (95% CI: 0.52-1.36) compared to monoracial White adults. Analyses further revealed important variations in health-status by specific subgroups and show that some multiracial subgroups may not fit existing patterns of health disparities. For instance, Asian-White multiracial adults do not fit documented patterns of health disparities and report better health than monoracial Asian and monoracial White adults.
This study illustrates that the inclusion of specific multiracial categories provides evidence to enhance understanding of the pathways that are linked to health outcomes and the implications for health disparities.
多族裔成年人是美国人口增长最快的群体之一，但对于多族裔健康，仍有许多需要了解的地方。大量研究发现，自感健康状况存在种族/民族差异，但多族裔人群中的亚群并未得到一致描述。
我们使用来自青少年健康纵向研究（Add Health）的数据和多元逻辑回归分析，比较了多族裔和单种族年轻成年人（n=7880）的自感健康状况。
总体而言，多族裔成年人的自感健康状况不佳的比例与单一种族白人成年人相比没有显著差异（比值比 0.84，95%可信区间：0.52-1.36）。进一步的分析显示，健康状况存在重要的亚群差异，表明一些多族裔亚群可能不符合现有的健康差异模式。例如，亚裔-白人多族裔成年人不符合已记录的健康差异模式，他们的健康状况优于单一种族亚裔和单一种族白人成年人。
本研究表明，纳入特定的多族裔类别为增强对与健康结果相关的途径的理解以及对健康差异的影响提供了证据。
