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种族和日常歧视能否预测死亡风险?来自健康与退休研究的证据。

Do Race and Everyday Discrimination Predict Mortality Risk? Evidence From the Health and Retirement Study.

作者信息

Farmer Heather R, Wray Linda A, Thomas Jason R

机构信息

The Pennsylvania State University, University Park, USA.

出版信息

Gerontol Geriatr Med. 2019 Jun 27;5:2333721419855665. doi: 10.1177/2333721419855665. eCollection 2019 Jan-Dec.

Abstract

Everyday discrimination is a potent source of stress for racial minorities, and is associated with a wide range of negative health outcomes, spanning both mental and physical health. Few studies have examined the relationships linking race and discrimination to mortality in later life. We examined the longitudinal association among race, everyday discrimination, and all-cause mortality in 12,081 respondents participating in the Health and Retirement Study. Cox proportional hazards models showed that everyday discrimination, but not race, was positively associated with mortality; depressive symptoms and lifestyle factors partially accounted for the relationship between everyday discrimination and mortality; and race did not moderate the association between everyday discrimination and mortality. These findings contribute to a growing body of evidence on the role that discrimination plays in shaping the life chances, resources, and health of people, and, in particular, minority members, who are continuously exposed to unfair treatment in their everyday lives.

摘要

日常歧视是少数族裔压力的一个重要来源,并且与广泛的负面健康结果相关,涵盖心理健康和身体健康。很少有研究探讨种族和歧视与晚年死亡率之间的关系。我们在参与健康与退休研究的12,081名受访者中考察了种族、日常歧视和全因死亡率之间的纵向关联。Cox比例风险模型显示,与死亡率呈正相关的是日常歧视,而非种族;抑郁症状和生活方式因素部分解释了日常歧视与死亡率之间的关系;并且种族并未调节日常歧视与死亡率之间的关联。这些发现为越来越多的证据做出了贡献,这些证据表明歧视在塑造人们,特别是少数群体成员的生活机会、资源和健康方面所起的作用,这些少数群体成员在日常生活中持续遭受不公平待遇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bba/6598315/01dc486d6c6d/10.1177_2333721419855665-fig1.jpg

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