婚姻状况与身体健康：种族差异
Marital Status and Physical Health: Racial Differences.
作者信息
Assari Shervin, Bazargan Mohsen
机构信息
Department of Family Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA.
Department of Family Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
出版信息
Int J Epidemiol Res. 2019 Summer;6(3):108-113.
BACKGROUND AND OBJECTIVES
As suggested by the Minorities' Diminished Return theory, the association between socioeconomic status and health is weaker for racial and ethnic minorities compared to Whites. The current study compared Blacks and Whites in terms of the association between marital status and physical health.
METHODS
The State of the State Survey (2017) included 881 adults (92 Blacks and 782 Whites) generalizable to the state of Michigan, the United States. The marital status and self-rated physical health (SRPH), which was measured using a single item, were considered as independent and dependent variables, respectively. In addition, age, gender, education, and employment were covariates. Race/ethnicity was regarded as the moderating factor. Logistic regression was used for data analysis.
RESULTS
Based on the results, being married was associated with better SRPH, the net of all confounders. A significant interaction was found between race and marital status on SRPH, suggesting a larger association for Blacks compared to Whites. In race stratified models, marital status was related to better SRPH for Whites and Blacks, but the magnitude of this link was larger for Blacks compared to Whites.
CONCLUSION
Overall, marital status was differently linked to SRPM for Whites and Blacks. Accordingly, policymakers should be cautious while not assuming that diverse racial and ethnic groups with similar economic resources have similar health status.
背景与目的
正如少数群体回报递减理论所表明的，与白人相比，种族和少数族裔群体的社会经济地位与健康之间的关联较弱。本研究比较了黑人和白人在婚姻状况与身体健康之间的关联。
方法
2017年的州情调查涵盖了881名成年人（92名黑人及782名白人），可推广至美国密歇根州。婚姻状况和使用单一项目测量的自评身体健康（SRPH）分别被视为自变量和因变量。此外，年龄、性别、教育程度和就业情况为协变量。种族/族裔被视为调节因素。采用逻辑回归进行数据分析。
结果
结果显示，在排除所有混杂因素后，已婚与更好的自评身体健康相关。在自评身体健康方面，发现种族与婚姻状况之间存在显著交互作用，表明黑人的关联比白人更大。在按种族分层的模型中，婚姻状况与白人和黑人更好的自评身体健康相关，但与白人相比，黑人的这种关联程度更大。
结论
总体而言，婚姻状况与白人和黑人的自评身体健康的关联有所不同。因此，政策制定者在不假定具有相似经济资源的不同种族和族裔群体具有相似健康状况时应谨慎行事。
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