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歧视与健康:文化适应压力的中介作用。

Discrimination and Health: The Mediating Effect of Acculturative Stress.

作者信息

Urzúa Alfonso, Caqueo-Urízar Alejandra, Henríquez Diego, Williams David R

机构信息

Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1240000, Chile.

Instituto de Alta Investigación, Universidad de Tarapacá, Arica 1000000, Chile.

出版信息

Int J Environ Res Public Health. 2021 May 17;18(10):5312. doi: 10.3390/ijerph18105312.

DOI:10.3390/ijerph18105312
PMID:34067653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8156443/
Abstract

There is not much evidence on the effects of south-south migration and its consequences on physical and mental health. Our objective was to examine the mediating role of Acculturative Stress in the association between ethnic discrimination and racial discrimination with physical and mental health. This research is a non-experimental, analytical, cross-sectional study. A total of 976 adult Colombian migrants living in Chile were interviewed. We used the Everyday Discrimination Scale, the acculturative stress scale, and the Medical Outcomes Study Short Form (SF-12) for health status; we found that racial and ethnic discrimination had a negative effect on physical and mental health. In the simultaneous presence of both types of discrimination, racial discrimination was completely absorbed by ethnic discrimination, the latter becoming a total mediator of the effect of racial discrimination on mental and physical health. Our findings are consistent with the literature, which suggests that there are various types of discrimination which, individually or in their intersectionality, can have negative effects on health.

摘要

关于南南移民的影响及其对身心健康的后果,证据并不多。我们的目标是检验文化适应压力在种族歧视和民族歧视与身心健康之间的关联中所起的中介作用。本研究是一项非实验性、分析性横断面研究。共对976名居住在智利的成年哥伦比亚移民进行了访谈。我们使用日常歧视量表、文化适应压力量表和健康状况的医学结局研究简表(SF - 12);我们发现种族和民族歧视对身心健康有负面影响。在两种歧视同时存在的情况下,种族歧视完全被民族歧视所吸收,后者成为种族歧视对身心健康影响的完全中介。我们的研究结果与文献一致,文献表明存在各种类型的歧视,这些歧视单独或相互交织都可能对健康产生负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/8dd11a637404/ijerph-18-05312-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/0ded2d491cd4/ijerph-18-05312-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/062e26969d26/ijerph-18-05312-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/33060199f614/ijerph-18-05312-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/8dd11a637404/ijerph-18-05312-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/0ded2d491cd4/ijerph-18-05312-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/062e26969d26/ijerph-18-05312-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/33060199f614/ijerph-18-05312-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc46/8156443/8dd11a637404/ijerph-18-05312-g004.jpg

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本文引用的文献

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Ethnic Identity as a Mediator of the Relationship between Discrimination and Psychological Well-Being in South-South Migrant Populations.族裔认同在南南移民群体中歧视与心理健康之间关系的中介作用
Int J Environ Res Public Health. 2021 Feb 28;18(5):2359. doi: 10.3390/ijerph18052359.
2
Effect of Ethnic Identity on the Relationship Between Acculturation Stress and Abnormal Food Behaviors in Colombian Migrants in Chile.民族认同对智利哥伦比亚移民文化适应压力与异常饮食行为之间关系的影响。
J Racial Ethn Health Disparities. 2022 Apr;9(2):413-419. doi: 10.1007/s40615-021-00972-2. Epub 2021 Feb 8.
3
Validation of the brief scale for the evaluation of acculturation stress in migrant population (EBEA).
拉丁裔南南移民中的睡眠障碍:文化适应在失眠症状主观评估中的作用。
Healthcare (Basel). 2025 Apr 15;13(8):904. doi: 10.3390/healthcare13080904.
4
Sense of coherence is associated with the presence of healthy lifestyles in the migrant population.连贯感与移民人口中健康生活方式的存在有关。
Front Psychol. 2025 Mar 12;16:1543830. doi: 10.3389/fpsyg.2025.1543830. eCollection 2025.
5
The Sense of Coherence as a Mediator of the Negative Effect of Discrimination on the Quality of Life in the Migrant Population.连贯感作为歧视对移民人口生活质量负面影响的中介因素。
Healthcare (Basel). 2025 Feb 8;13(4):366. doi: 10.3390/healthcare13040366.
6
The impact of stigma and discrimination-based narratives in the health of migrants in Latin America and the Caribbean: a scoping review.基于污名和歧视的叙事对拉丁美洲和加勒比地区移民健康的影响:一项范围综述。
Lancet Reg Health Am. 2024 Jan 5;40:100660. doi: 10.1016/j.lana.2023.100660. eCollection 2024 Dec.
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Decoding acculturative stress and psychological distress in Mexican immigrant women: insights from a path mediation analysis.解读墨西哥移民女性的文化适应压力与心理困扰:路径中介分析的见解
BMC Womens Health. 2024 Dec 27;24(1):667. doi: 10.1186/s12905-024-03494-1.
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Intention to Use Primary Healthcare Services among South-South Migrants.南方国家流动人口对初级卫生保健服务的使用意向。
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Acculturation strategies and blood cortisol in colombian Migrants in Chile.哥伦比亚移民在智利的文化适应策略与血液皮质醇。
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Front Psychol. 2020 Dec 11;11:602537. doi: 10.3389/fpsyg.2020.602537. eCollection 2020.
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J Racial Ethn Health Disparities. 2021 Dec;8(6):1539-1550. doi: 10.1007/s40615-020-00917-1. Epub 2020 Nov 23.
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Anxiety and eating behaviors: Mediating effect of ethnic identity and acculturation stress.焦虑与饮食行为:民族认同和文化适应压力的中介作用。
Appetite. 2021 Feb 1;157:105006. doi: 10.1016/j.appet.2020.105006. Epub 2020 Oct 15.
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The effects of acculturation and environment on lifestyle behaviors in Korean immigrants: the mediating role of acculturative stress and body image discrepancy.文化适应和环境对韩裔移民生活方式行为的影响:文化适应压力和身体意象差异的中介作用。
Ethn Health. 2022 Jan;27(1):157-173. doi: 10.1080/13557858.2019.1658182. Epub 2019 Sep 19.
9
Rooting mediates the effect of stress by acculturation on the psychological well-being of immigrants living in Chile.文化适应对生活在智利的移民的心理幸福感的影响通过扎根来调节。
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10
Racism and Health: Evidence and Needed Research.种族主义与健康:证据与研究需求。
Annu Rev Public Health. 2019 Apr 1;40:105-125. doi: 10.1146/annurev-publhealth-040218-043750. Epub 2019 Feb 2.