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文化价值观在健康公平中起到作用吗?对拉丁裔母亲和女儿的一项研究。

Do cultural values have a role in health equity? A study of Latina mothers and daughters.

机构信息

Department of Psychological Science.

Department of Chicano/Latino Studies, University of California, Irvine.

出版信息

Cultur Divers Ethnic Minor Psychol. 2019 Jan;25(1):65-72. doi: 10.1037/cdp0000262.

Abstract

OBJECTIVES

Recently, there has been a call to better understand Latino health and arrive at effective approaches for achieving health equity via research focusing on the association between cultural factors and health. This study examined whether familism, a cultural value that emphasizes warm and close family relationships, would attenuate the negative effects that perceived stress, a psychological process that can worsen health, can have on two physical health indicators- number of health conditions and bodily pain.

METHOD

Latina mothers (n = 85, M = 52.68, SD = 6.60) with Type 2 diabetes and their daughters (n = 86, M = 27.69, SD = 7.61) whose weight put them at risk for also developing the condition were recruited to take part in a larger intervention study aimed at improving weight loss/dietary intake. Participants completed measures of familism, perceived stress, health conditions, and bodily pain.

RESULTS

Results indicated that in the daughters, familism and perceived stress interacted to predict health conditions and bodily pain. As familism decreased, stress was associated with more health conditions and more bodily pain. These interactions were not significant for the mothers.

CONCLUSIONS

First, familism has the potential to buffer the negative effect of stress in ways that are protective for health among Latinas at risk for diabetes. Second, this buffering effect has boundary conditions, suggesting that a better understanding is needed of how, for whom, and under what circumstances familism can be beneficial for health. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

目的

最近,人们呼吁通过关注文化因素与健康之间的关系来更好地了解拉丁裔的健康状况,并找到实现健康公平的有效方法。本研究检验了家庭主义(一种强调温暖亲密的家庭关系的文化价值观)是否会减轻感知压力(一种可能使健康恶化的心理过程)对两个身体健康指标(健康状况的数量和身体疼痛)的负面影响。

方法

招募了患有 2 型糖尿病的拉丁裔母亲(n=85,M=52.68,SD=6.60)及其有体重风险也患上这种疾病的女儿(n=86,M=27.69,SD=7.61)参加一项旨在改善减肥/饮食摄入的更大干预研究。参与者完成了家庭主义、感知压力、健康状况和身体疼痛的测量。

结果

结果表明,在女儿中,家庭主义和感知压力相互作用,预测健康状况和身体疼痛。随着家庭主义的减弱,压力与更多的健康状况和更多的身体疼痛有关。这些相互作用在母亲中并不显著。

结论

首先,家庭主义有可能以保护健康的方式缓冲压力的负面影响,这对有糖尿病风险的拉丁裔女性来说是有益的。其次,这种缓冲效应有其局限性,这表明需要更好地理解家庭主义如何、对谁、在什么情况下对健康有益。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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