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身体残疾、感知歧视与抑郁症状之间的关系在种族/民族上的差异。

Racial/Ethnic Contrasts in the Relationships between Physical Disability, Perceived Discrimination, and Depressive Symptoms.

机构信息

Florida State University, Tallahassee, FL, USA.

出版信息

J Racial Ethn Health Disparities. 2018 Dec;5(6):1238-1246. doi: 10.1007/s40615-018-0470-5. Epub 2018 Feb 13.

DOI:10.1007/s40615-018-0470-5
PMID:29442236
Abstract

INTRODUCTION

The systematic deprivation of equal access to valued opportunities has greatly harmed the disadvantaged. Discrimination, whether it is based on gender, race, sexual orientation, or physical health exacts a high toll. This is especially true with respect to the role of race and equality in the USA today. This paper attempts to evaluate the significance of perceived discrimination among a multiethnic sample of physically disabled and non-disabled study participants.

METHODS

We employ survey data from a community-based multiethnic sample of study participants to assess whether physical disability increases perceptions of discrimination across racial/ethnic groups. Additionally, we assess whether physical disability impacts the relationship between discrimination and depressive symptoms and whether this relationship is consistent across race/ethnicity.

RESULTS

Descriptive and multivariate analyses indicate that disabled whites and Hispanics report higher levels of discrimination than their non-disabled counterparts. However, this pattern was not observed among black respondents who report high levels of discrimination regardless of their disability status. OLS models indicate that among Hispanics, physical disability moderates the relationship between discrimination and depressive symptoms. Among black and white study participants, physical disability does not moderate this relationship.

CONCLUSION

Taken together, the results demonstrate the continuing significance of race as a source of discrimination and a health risk.

摘要

简介

系统剥夺平等获得有价值机会的权利极大地伤害了弱势群体。歧视,无论是基于性别、种族、性取向还是身体健康,都会造成巨大的代价。在当今的美国,种族和公平的作用更是如此。本文试图评估在一个多民族的身体残疾和非残疾研究参与者样本中,感知到的歧视的重要性。

方法

我们利用基于社区的多民族研究参与者样本中的调查数据,评估身体残疾是否会增加不同种族/族裔群体对歧视的感知。此外,我们评估身体残疾是否会影响歧视和抑郁症状之间的关系,以及这种关系在种族/族裔之间是否一致。

结果

描述性和多变量分析表明,残疾白人和西班牙裔报告的歧视程度高于他们的非残疾同龄人。然而,这种模式在黑人受访者中并未观察到,无论他们是否残疾,黑人受访者都报告了高度的歧视。OLS 模型表明,在西班牙裔中,身体残疾调节了歧视与抑郁症状之间的关系。在黑人和白人研究参与者中,身体残疾并没有调节这种关系。

结论

总的来说,研究结果表明,种族仍然是歧视和健康风险的重要来源。

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