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社会地位、歧视与少数群体个体的心理健康:对美国国家调查的二次分析。

Social Status, Discrimination, and Minority Individuals' Mental Health: a Secondary Analysis of US National Surveys.

机构信息

Department of Sociology and Social Work, Texas Woman's University, Box 425887, Denton, TX, 76204, USA.

Department of Social Work and Child Advocacy, Montclair State University, Montclair, NJ, 07043, USA.

出版信息

J Racial Ethn Health Disparities. 2018 Jun;5(3):485-494. doi: 10.1007/s40615-017-0390-9. Epub 2017 Aug 15.

Abstract

OBJECTIVES

Our study measured minority individuals' social status factors and frequency of discrimination experiences, in order to delineate social mechanisms linking race/ethnicity to mental status (specifically, to current mood/anxiety disorder and self-rated mental health).

METHODS

In this nationally representative secondary research, our data analyses drew on the cross-sectional "Collaborative Psychiatric Epidemiology Surveys," dating 2001-2003. The sample for the final model numbered 9368 respondents (2016 Asians, 2676 Latinos, 4676 blacks).

RESULTS

Across races/ethnicities, better mental health was associated with male gender, higher income, marriage, more education, and less-frequent discrimination experiences; discrimination experiences could impair health, especially among blacks. Marriage's strong contribution to Asians' mental health did not hold among blacks; education's contribution to Latinos' mental health did not hold among blacks either. Blacks' mental health was unaffected by immigration status, but Asian and Latino immigrants showed less-robust mental health than native-born counterparts.

CONCLUSIONS

Across the three racial/ethnic groups studied, differences were noted in relationships between self-reported mental health status and the employed social status and discrimination factors.

摘要

目的

本研究衡量了少数群体的社会地位因素和歧视经历频率,以阐明将种族/族裔与精神状态(具体而言,与当前情绪/焦虑障碍和自我评估的心理健康)联系起来的社会机制。

方法

在这项具有全国代表性的二次研究中,我们的数据分析借鉴了 2001-2003 年的横断面“合作精神流行病学调查”。最终模型的样本数量为 9368 名受访者(2016 名亚洲人、2676 名拉丁裔人、4676 名黑人)。

结果

在不同种族/族裔中,更好的心理健康状况与男性性别、更高的收入、婚姻、更高的教育程度和较少的歧视经历有关;歧视经历会损害健康,尤其是在黑人中。婚姻对亚洲人心理健康的强烈贡献在黑人中并不存在;教育对拉丁裔心理健康的贡献在黑人中也不存在。黑人的心理健康不受移民身份的影响,但亚洲和拉丁裔移民的心理健康不如土生土长的同龄人。

结论

在所研究的三个种族/族裔群体中,自我报告的心理健康状况与所采用的社会地位和歧视因素之间的关系存在差异。

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