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概念化族裔:族裔的维度如何影响美国拉丁裔健康结果的差异。

Conceptualizing Ethnicity: How Dimensions of Ethnicity Affect Disparities in Health Outcomes Among Latinxs in the United States.

机构信息

Department of Sociology, UC Merced, Merced, CA.

Department of Sociology, California State Polytechnic University, Ponoma, CA.

出版信息

Ethn Dis. 2020 Jul 9;30(3):489-500. doi: 10.18865/ed.30.3.489. eCollection 2020 Summer.

Abstract

METHODS

Using regression methods to analyze data from the 2006 Portraits of American Life Study, we examined how attributional and relational dimensions of ethnicity affect: 1) intragroup differences in Latinx mental and physical health status, as measured by feelings of worthlessness and self-rated health, respectively; and 2) intergroup differences between Latinxs and non-Hispanic Whites in these health outcomes.

RESULTS

Latinxs have higher odds of feelings of worthlessness and lower odds of self-reporting good/excellent health compared with non-Hispanic Whites. Additionally, intragroup differences in health are observed among Latinxs, conditioned on attributional or relational dimensions of ethnicity.

CONCLUSION

Multidimensional measures of ethnicity that distinguish between characteristics associated with ethnicity (attributional) or race (relational) offer a nuanced explanation of health disparities by revealing aspects of ethnicity that shape health outcomes differently, contributing to the goals of health equity.

摘要

方法

利用回归方法分析 2006 年“美国人生活写照”研究的数据,我们考察了种族的归因和关系维度如何影响:1)拉丁裔的心理健康和身体健康的组内差异,分别用无价值感和自我报告的健康状况来衡量;2)拉丁裔与非西班牙裔白人在这些健康结果方面的群体间差异。

结果

拉丁裔与非西班牙裔白人相比,无价值感的可能性更高,自我报告的健康状况良好/优秀的可能性更低。此外,在拉丁裔内部,根据种族的归因或关系维度,观察到健康的组内差异。

结论

区分与种族(归因)或种族(关系)相关的特征的多维种族衡量标准,通过揭示塑造健康结果的不同方面的种族特征,为健康差距提供了一个细致入微的解释,有助于实现健康公平的目标。

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本文引用的文献

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Race and Skin Color in Latino Health: An Analytic Review.拉丁裔健康中的种族与肤色:分析性综述
Am J Public Health. 2016 Dec;106(12):2131-2136. doi: 10.2105/AJPH.2016.303452. Epub 2016 Oct 13.

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