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焦虑敏感性与年龄:在理解初级保健中低收入成年拉丁裔的主观社会地位方面的作用。

Anxiety Sensitivity and Age: Roles in Understanding Subjective Social Status among Low Income Adult Latinos in Primary Care.

作者信息

Zvolensky Michael J, Paulus Daniel J, Bakhshaie Jafar, Garza Monica, Manning Kara, Lemaire Chad, Reitzel Lorraine R, Smith Lia J, Ochoa-Perez Melissa

机构信息

Department of Psychology, University of Houston, 126 Heyne Building, Suite 104, Houston, TX, 77204-5502, USA.

Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

J Immigr Minor Health. 2018 Jun;20(3):632-640. doi: 10.1007/s10903-017-0623-3.

Abstract

One social determinant of health construct that is reliably related to health disparities among the Latino population is subjective social status, reflecting subjective ratings of social standing. Yet, little research has explored factors that may undergird variability in subjective social status among this population or in general. Accordingly, the present investigation examined one possible etiological model wherein age moderates the relation between individual differences in anxiety sensitivity (fear of the negative consequences of stress sensations) and subjective social status among a Latino primary care sample. Participants included Spanish-speaking Latino adults (n = 394; 86.5% female; average age = 39.0 years). Results demonstrated an interaction between the anxiety sensitivity and age for subjective social status among the Latino sample. Inspection of the form of the significant interaction indicated that the association between anxiety sensitivity and subjective social status was evident among older, but not younger, persons. The current findings suggest that decreasing anxiety sensitivity, especially among older Latinos, may be one possible viable therapeutic approach to change subjective social status in order to help offset health disparities among this group.

摘要

健康结构的一个社会决定因素与拉丁裔人群的健康差异可靠相关,即主观社会地位,它反映了社会地位的主观评级。然而,很少有研究探讨可能支撑该人群或一般人群主观社会地位差异的因素。因此,本调查研究了一种可能的病因模型,其中年龄调节了拉丁裔初级保健样本中焦虑敏感性(对压力感觉的负面后果的恐惧)个体差异与主观社会地位之间的关系。参与者包括讲西班牙语的拉丁裔成年人(n = 394;86.5% 为女性;平均年龄 = 39.0 岁)。结果表明,拉丁裔样本中焦虑敏感性和年龄在主观社会地位方面存在交互作用。对显著交互作用形式的检验表明,焦虑敏感性与主观社会地位之间的关联在老年人而非年轻人中明显。当前研究结果表明,降低焦虑敏感性,尤其是在年长的拉丁裔人群中,可能是改变主观社会地位以帮助抵消该群体健康差异的一种可行治疗方法。

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