密歇根州的阿拉伯裔和迦勒底裔美国人的社会经济地位与身心健康。

Socioeconomic Status and the Physical and Mental Health of Arab and Chaldean Americans in Michigan.

机构信息

Department of Obstetrics, Gynecology & Reproductive Sciences, Advancing New Standards in Reproductive Health, University of California San Francisco, Oakland, CA, USA.

Community Evaluation and Research Collaborative, Michigan State University, East Lansing, MI, USA.

出版信息

J Immigr Minor Health. 2019 Jun;21(3):497-507. doi: 10.1007/s10903-018-0768-8.

DOI:10.1007/s10903-018-0768-8

PMID:29869731

Abstract

Research that explains health of Arab and Chaldean Americans relative to the health of non-Arab White Americans is limited but steadily increasing. This study considers whether socioeconomic status moderates the relationship between race/ethnicity and physical and mental health. Data come from a state representative sample of Arab and Chaldean Americans-the 2013 Michigan Behavioral Risk Factor Survey and the 2013 Michigan Arab/Chaldean Behavioral Risk Factor Survey (N = 12,837 adults with 536 Arab/Chaldean Americans). Structural equation models examine whether socioeconomic status, operationalized as educational attainment, moderates the relationship between Arab/Chaldean identity and health, and whether physical activity, access to healthcare, and depression mediate the relationship between educational attainment and health. Results indicate that while Arab/Chaldean Americans have poor health relative to non-Arab White Americans, these differences are largely explained by educational differences. Depression, access to healthcare, and physical activity mediate the relationship between socioeconomic status and health of Arab/Chaldean Americans.

摘要

针对阿拉伯裔和迦勒底裔美国人的健康与非阿拉伯裔白种人健康之间的关系的研究有限，但正在稳步增加。本研究探讨了社会经济地位是否调节了种族/民族与身心健康之间的关系。数据来自于对阿拉伯裔和迦勒底裔美国人的具有代表性的州样本 - 2013 年密歇根州行为风险因素调查和 2013 年密歇根阿拉伯/迦勒底行为风险因素调查（N=12837 名成年人，其中 536 名为阿拉伯/迦勒底裔美国人）。结构方程模型检验了社会经济地位（以受教育程度来衡量）是否调节了阿拉伯/迦勒底身份与健康之间的关系，以及体育活动、获得医疗保健和抑郁是否调节了教育程度与健康之间的关系。结果表明，尽管阿拉伯裔和迦勒底裔美国人的健康状况相对非阿拉伯裔白种人较差，但这些差异在很大程度上可以用教育差异来解释。抑郁、获得医疗保健和体育活动调节了阿拉伯裔和迦勒底裔美国人的社会经济地位与健康之间的关系。