Assari Shervin, Bazargan Mohsen
Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059, USA.
Department of Family Medicine, UCLA, Los Angeles, CA 90095, USA.
Behav Sci (Basel). 2019 Aug 22;9(9):90. doi: 10.3390/bs9090090.
Educational attainment is one of the strongest determinants of subjective health and well-being. Minorities' Diminished Returns, however, suggests that such an effect may be smaller for the members of racial/ethnic minorities such as Blacks and Hispanics relative to non-Hispanic Whites. Only one study has previously shown that minorities' diminished returns may also apply to lesbian, gay, and bisexual (LGB) individuals; however, that study has focused on other outcomes (i.e., obesity). To compare LGB and non-LGB American adults for the effects of educational attainment on subjective health and well-being. This cross-sectional study used baseline data of 31,480 adults in the Population Assessment of Tobacco and Health (PATH, 2013), a nationally representative study in the United States. The independent variable was educational attainment. The dependent variable was subjective health and well-being, measured using four items. Race, ethnicity, age, gender, poverty status, and employment were the covariates. LGB status was the moderator. Overall, individuals with higher educational attainment had better subjective health and well-being. We found a significant interaction between LGB status and educational attainment which was suggestive of that the boosting effect of high educational attainment on better subjective health and well-being was systemically smaller for LGB than non-LGB individuals. In the United States, highly educated LGB adults experience poor subjective health and well-being, a status that is disproportionate to their educational attainment.
受教育程度是主观健康和幸福感的最强决定因素之一。然而,“少数群体的回报递减”表明,相对于非西班牙裔白人,黑人、西班牙裔等种族/族裔少数群体成员的这种影响可能较小。此前只有一项研究表明,少数群体的回报递减也可能适用于女同性恋、男同性恋和双性恋(LGB)个体;然而,该研究关注的是其他结果(即肥胖)。为了比较LGB和非LGB美国成年人受教育程度对主观健康和幸福感的影响。这项横断面研究使用了美国全国代表性研究“烟草与健康人口评估(PATH,2013)”中31480名成年人的基线数据。自变量是受教育程度。因变量是主观健康和幸福感,通过四个项目进行测量。种族、族裔、年龄、性别、贫困状况和就业是协变量。LGB身份是调节变量。总体而言,受教育程度较高的个体主观健康和幸福感更好。我们发现LGB身份和受教育程度之间存在显著的交互作用,这表明高受教育程度对更好的主观健康和幸福感的促进作用在LGB个体中系统地小于非LGB个体。在美国,受过高等教育的LGB成年人主观健康和幸福感较差,这一状况与其受教育程度不相称。