Department of Sociology and Criminology & Law, University of Florida, Gainesville, FL.
Department of Sociology, University of Utah, Salt Lake City, UT.
Ann Epidemiol. 2021 Jul;59:5-9. doi: 10.1016/j.annepidem.2021.03.011. Epub 2021 Apr 15.
We examined the associations between major and everyday discrimination and self-rated health among a national sample of ten Asian ethnic subgroups, including Vietnamese, Chinese, Hmong, Cambodians, Pakistanis, Indians, Bangladeshis, Japanese, Filipinos, and Koreans.
We used data from the 2016 National Asian American Survey (n = 4427). Logistic regression analyses were conducted to explore the associations between major and everyday discrimination and self-rated health among ten Asian ethnic subgroups, controlling for relevant sociodemographic factors.
Findings showed that major discrimination was associated with higher odds of poorer self-rated health among Asians as a group. Subgroup analyses revealed that encounters with major discrimination were associated with poorer self-rated health among Vietnamese, Filipinos, Cambodians, and Hmong. Everyday discrimination was associated with poorer self-rated health only among Hmong.
Overall, the negative health consequences of everyday and major discrimination vary by Asian ethnic subgroup. Targeting certain forms of discrimination facing specific Asian ethnic groups is needed to reduce their risk of adverse health outcomes.
我们考察了在包括越南人、中国人、苗族、柬埔寨人、巴基斯坦人、印度人、孟加拉国人、日本人、菲律宾人和韩国人在内的十个亚裔亚群的全国样本中,主要歧视和日常歧视与自我报告健康之间的关联。
我们使用了 2016 年全美亚裔美国人调查(n=4427)的数据。采用逻辑回归分析,在控制相关社会人口因素的情况下,探讨了十个亚裔亚群中主要歧视和日常歧视与自我报告健康之间的关联。
研究结果表明,主要歧视与亚裔整体较差的自我报告健康状况之间存在较高的关联。亚群分析显示,遭遇主要歧视与越南人、菲律宾人、柬埔寨人和苗族的较差自我报告健康状况之间存在关联。日常歧视仅与苗族的较差自我报告健康状况之间存在关联。
总体而言,日常和主要歧视对健康的负面影响因亚裔亚群而异。需要针对特定的亚裔族群面临的某些形式的歧视,以降低他们不良健康结果的风险。