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以色列 COVID-19 大流行期间移民的健康素养、韧性和感知压力。

Health literacy, resilience and perceived stress of migrants in Israel during the COVID-19 pandemic.

机构信息

Cheryl Spencer Department of Nursing, Faculty of Health & Welfare Science, University of Haifa, Haifa, Israel.

Rosemead School of Psychology, Biola University, La Mirada, CA, USA.

出版信息

Psychol Health. 2022 Sep;37(9):1076-1092. doi: 10.1080/08870446.2021.1921177. Epub 2021 May 12.

DOI:10.1080/08870446.2021.1921177
PMID:33980091
Abstract

OBJECTIVE

To examine perceived stress in migrants guided by Bornstein's Specificity Principle in Acculturation Science (BSPAS) theoretical framework.

DESIGN

Using a cross-sectional study, we recruited English-language migrants (n = 411) living in Israel to respond to an online questionnaire during the COVID-19 pandemic, from 3 April to 16 May 2020.

MAIN OUTCOME MEASURES

The dependent variable comprised the Perceived Stress Scale (PSS) scores, which attained an internal consistency of 0.91 in this sample.

RESULTS

PSS scores were related to lower age (p < 0.0001), being single (p = 0.0095), not possessing high (p = 0.0069) or medium resilience (p = 0.0002), reporting below average SES (p = 0.0196), being "extremely" worried about getting COVID-19 (p < 0.0001), and having high health literacy (p = 0.0007). Additionally, the interaction between health literacy and resilience (p < 0.0001) showed that migrants with high resilience and high health literacy had the lowest perceived stress; and migrants with low resilience and high health literacy had the highest perceived stress.

CONCLUSIONS

Interventions are needed to assist migrants during the COVID-19 pandemic. The optimal intervention will aim to address the psychological distress while increasing both health literacy and resilience.

摘要

目的

根据文化适应科学中的 Bornstein 特异性原则(BSPAS)理论框架,考察移民的感知压力。

设计

采用横断面研究,我们招募了居住在以色列的讲英语的移民(n=411),让他们在 2020 年 4 月 3 日至 5 月 16 日 COVID-19 大流行期间通过在线问卷回答问题。

主要观察指标

因变量包括感知压力量表(PSS)评分,该评分在本样本中的内部一致性为 0.91。

结果

PSS 评分与年龄较低(p<0.0001)、单身(p=0.0095)、没有高(p=0.0069)或中(p=0.0002)复原力、报告平均 SES 以下(p=0.0196)、对感染 COVID-19“非常”担心(p<0.0001)和具有较高健康素养(p=0.0007)有关。此外,健康素养和复原力之间的相互作用(p<0.0001)表明,高复原力和高健康素养的移民感知压力最低;而低复原力和高健康素养的移民感知压力最高。

结论

需要在 COVID-19 大流行期间为移民提供干预措施。最佳干预措施将旨在解决心理困扰,同时提高健康素养和复原力。

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