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联邦合格医疗中心中经济弱势拉丁裔人群所感知到的种族歧视与疼痛强度/残疾状况:焦虑敏感性的作用

Perceived Racial Discrimination and Pain Intensity/Disability Among Economically Disadvantaged Latinos in a Federally Qualified Health Center: The Role of Anxiety Sensitivity.

作者信息

Bakhshaie Jafar, Rogers Andrew H, Mayorga Nubia A, Ditre Joseph, Rodríguez-Cano Rubén, Ruiz Ana C, Viana Andres G, Garza Monica, Lemaire Chad, Ochoa-Perez Melissa, Bogiaizian Daniel, Zvolensky Michael J

机构信息

Department of Psychology, University of Houston, Houston, TX, USA.

Department of Psychology, Syracuse University, Syracuse, NY, USA.

出版信息

J Immigr Minor Health. 2019 Feb;21(1):21-29. doi: 10.1007/s10903-018-0715-8.

Abstract

The present study examined the role of anxiety sensitivity (AS; fear of the negative consequences of anxiety) in the relation between perceived racial discrimination and pain-related problems among Latinos seeking health services at a Federally Qualified Health Center. Participants included 145 adult Latinos (87.80% female, M = 38.07 years, SD = 11.98, and 96.2% reported Spanish as their first language). Results indicated that perceived racial discrimination was indirectly related to the pain intensity and pain disability through AS. These effects were evident above and beyond the variance accounted for by gender, age, marital status, educational status, employment status, years living in the United States, and number of axis I diagnoses. Overall, the present findings highlight the merit in focusing further scientific attention on the interplay between perceived racial discrimination and AS to better understand and inform interventions to reduce pain problems among Latinos in primary care.

摘要

本研究考察了焦虑敏感性(即害怕焦虑产生的负面后果)在联邦合格健康中心寻求医疗服务的拉丁裔人群中,感知到的种族歧视与疼痛相关问题之间的关系。参与者包括145名成年拉丁裔(87.80%为女性,平均年龄M = 38.07岁,标准差SD = 11.98,96.2%报告称西班牙语是其母语)。结果表明,感知到的种族歧视通过焦虑敏感性与疼痛强度和疼痛残疾间接相关。这些影响在控制了性别、年龄、婚姻状况、教育程度、就业状况、在美国居住年限以及轴I诊断数量所解释的方差之后仍然显著。总体而言,本研究结果凸显了进一步科学关注感知到的种族歧视与焦虑敏感性之间相互作用的价值,以便更好地理解并为减少初级保健中拉丁裔人群疼痛问题的干预措施提供依据。

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