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当代健康差异研究中的缺失环节:多族裔青年成年人的心理与自评健康概况

The Missing Link in Contemporary Health Disparities Research: A Profile of the Mental and Self-Rated Health of Multiracial Young Adults.

作者信息

Miller Byron, Rocks Sara, Catalina Savanah, Zemaitis Nicole, Daniels Kia, Londono Jaime

机构信息

University of South Florida St. Petersburg.

出版信息

Health Sociol Rev. 2019;28(2):209-227. doi: 10.1080/14461242.2019.1607524. Epub 2019 Apr 29.

DOI:10.1080/14461242.2019.1607524
PMID:32982579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7518507/
Abstract

This study compared the mental and self-rated health of monoracial and multiracial young adults using data from Wave 3 of the National Longitudinal Adolescent to Adult study. Our analytic sample consisted of 10,535 men and women ages 18-25 that self-identified as monoracial (Asian, Black, Native American, and White) or multiracial (White-Nonwhite and Nonwhite-Nonwhite). We find that when comparing aggregated racial groups, multiracials have poorer mental health than monoracials. However, differences emerge when multiracials are disaggregated into their two primary pairings of White-Nonwhite and Nonwhite-Nonwhite and compared to monoracials collectively and individually. We find that White-Nonwhites have poorer mental and self-rated health relative to monoracials generally and Whites specifically. In contrast, Nonwhite-Nonwhites have greater self-esteem and self-rated health than Whites as well as the aggregated monoracial group. Our findings highlight the complexities of examining multiracial health without researchers using consistent multiracial categories and reference groups. The results are discussed using three new perspectives that are introduced to explain health disparities between monoracial and multiracial persons.

摘要

本研究利用全国青少年到成人纵向研究第三波的数据,比较了单一种族和多种族年轻人的心理和自评健康状况。我们的分析样本包括10535名年龄在18至25岁之间的男性和女性,他们自我认定为单一种族(亚裔、黑人、美洲原住民和白人)或多种族(白人-非白人以及非白人-非白人)。我们发现,在比较总体种族群体时,多种族人群的心理健康状况比单一种族人群差。然而,当将多种族人群细分为白人-非白人以及非白人-非白人这两个主要类别,并与单一种族人群进行总体和个体比较时,差异就会显现出来。我们发现,白人-非白人相对于一般单一种族人群,特别是相对于白人,其心理和自评健康状况较差。相比之下,非白人-非白人比白人以及总体单一种族群体具有更高的自尊和自评健康水平。我们的研究结果凸显了在研究人员未使用一致的多种族类别和参照群体的情况下,考察多种族健康状况的复杂性。我们使用三种新的视角来讨论这些结果,这些视角旨在解释单一种族和多种族人群之间的健康差异。

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本文引用的文献

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The Role of Social and Personal Identities in Self-Esteem Among Ethnic Minority College Students.社会和个人身份在少数民族大学生自尊中的作用。
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