Dhalimi Abir, Wright A Michelle, Yamin Jolin, Jamil Hikmet, Arnetz Bengt B
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Office of the Vice President for Research, Western Michigan University, Kalamazoo, MI, USA.
Stigma Health. 2018 Nov;3(4):325-329. doi: 10.1037/sah0000068. Epub 2017 Sep 14.
Unemployment is associated with poor health among refugees and immigrants; however, the degree to which discrimination in employment contributes to poor health remains unclear because of methodological limitations. This cross-sectional study aims to investigate factors associated with perceived discrimination, ethnicity and migration status, and their implication on health (self-rated health & depression). Perceived discrimination was investigated in 273 Iraqi skilled-workers, refugees and immigrants, who are members of a professional scientific organization. It was hypothesized that unemployment, ethnicity (Arab), and migration status (refugee) would be associated with perceived discrimination. Additionally, it was hypothesized that participants who endorse discrimination are more likely to report poor health. Results reveal that more individuals who were unemployed (46.4%), reported perceived discrimination ( (1, N=273) =6.63, <.05), however, when linear regression modeling was applied, age [OR=1.36], gender [OR=2.13], and ethnicity [OR=2.15], not migration status became significant predictors of discrimination. With respect to health, age [OR=2.25], length of residency [OR.93], language skills [OR=3.00], and perception of discrimination [OR=2.12] were predictors of SRH, while ethnicity [OR=3.93], age [OR=1.39], and discrimination [OR=3.26] were significant predictors of depression. Notably, perceived discrimination was a predictor in both health variables. In conclusion, there appears to be a link between discrimination and health in a homogenous refugee and immigrant sample.
失业与难民和移民的健康状况不佳有关;然而,由于方法上的局限性,就业歧视对健康状况不佳的影响程度尚不清楚。这项横断面研究旨在调查与感知到的歧视、种族和移民身份相关的因素,以及它们对健康(自评健康和抑郁)的影响。对273名伊拉克技术工人、难民和移民进行了感知歧视调查,他们都是一个专业科学组织的成员。研究假设失业、种族(阿拉伯人)和移民身份(难民)与感知到的歧视有关。此外,研究假设认可歧视的参与者更有可能报告健康状况不佳。结果显示,更多失业者(46.4%)报告了感知到的歧视((1, N = 273) = 6.63, <.05),然而,当应用线性回归模型时,年龄[比值比 = 1.36]、性别[比值比 = 2.13]和种族[比值比 = 2.15],而非移民身份,成为歧视的显著预测因素。关于健康,年龄[比值比 = 2.25]、居住时间长度[比值比 = 0.93]、语言技能[比值比 = 3.00]和对歧视的感知[比值比 = 2.12]是自评健康的预测因素,而种族[比值比 = 3.93]、年龄[比值比 = 1.39]和歧视[比值比 = 3.26]是抑郁的显著预测因素。值得注意的是,感知到的歧视是两个健康变量的预测因素。总之,在一个同质化的难民和移民样本中,歧视与健康之间似乎存在联系。