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家庭关系与拉丁裔健康悖论:探讨孤独在拉丁裔文化价值观家庭主义与健康之间关系中的中介作用。

Family Connections and the Latino Health Paradox: Exploring the Mediating Role of Loneliness in the Relationships Between the Latina/o Cultural Value of Familism and Health.

机构信息

Department of Communication Studies, California State University, Northridge.

Department of Communication, University of Arizona.

出版信息

Health Commun. 2022 Aug;37(9):1204-1214. doi: 10.1080/10410236.2021.1909244. Epub 2021 Apr 15.

Abstract

This study aims to understand Latina/o health from a social relationships perspective. Specifically, a major goal of the study is to explain how despite disadvantages (e.g., lower income and less education), Latinas/os in some cases have superior health compared to non-Latina/o whites, a phenomenon known as the Latino Health Paradox. Based on the central role of familial relationships in Latina/o culture, and utilizing Hawkley and Cacioppo's theoretical model of loneliness and health as a foundation for the study, the premise underlying this research is that the Latina/o cultural value of has a beneficial impact on health via reduced loneliness. Participants were 255 adults who identified as Latina/o ( 139) or non-Latina/o white ( = 116), ranging in age from 19-88. Results indicate that being Latina/o predicted strong endorsement of familism, that predicted lower loneliness, and lower loneliness subsequently predicted better overall health, mental health, and health practices. These results suggest that the cultural value of familism provides health-related benefits for Latinas/os, which contributes to understanding the Latino health paradox. Results also underscore the value of including loneliness in studies examining the impact of cultural values on health, as only loneliness had statistically significant direct associations with all three health outcomes.

摘要

本研究旨在从社会关系的角度理解拉丁裔健康。具体而言,研究的主要目标是解释为什么尽管存在劣势(例如,收入较低和受教育程度较低),但在某些情况下拉丁裔的健康状况却优于非拉丁裔白人,这一现象被称为拉丁裔健康悖论。基于家庭关系在拉丁裔文化中的核心作用,并以 Hawkley 和 Cacioppo 的孤独与健康理论模型为研究基础,本研究的前提是,拉丁裔文化中对家庭主义的重视通过减少孤独感对健康产生有益影响。参与者为 255 名自认为是拉丁裔(139 人)或非拉丁裔白人(= 116 人)的成年人,年龄从 19 岁到 88 岁不等。结果表明,拉丁裔身份预测了强烈的家庭主义认同,家庭主义认同又预测了较低的孤独感,而较低的孤独感又预测了更好的整体健康、心理健康和健康行为。这些结果表明,家庭主义的文化价值观为拉丁裔人提供了与健康相关的益处,这有助于理解拉丁裔健康悖论。结果还强调了在研究文化价值观对健康的影响时纳入孤独感的重要性,因为只有孤独感与所有三个健康结果都有统计学上显著的直接关联。

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