Rodriguez Espinosa Patricia, Patel Michele L, King Abby C, Campero Ines, Freeman Mark, Garcia Dulce M, Winter Sandra J, Heaney Catherine A
Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Department of Epidemiology & Population Health, Stanford University School of Medicine.
Prev Med Rep. 2021 Aug 3;24:101513. doi: 10.1016/j.pmedr.2021.101513. eCollection 2021 Dec.
Understanding how to optimize the health and well-being of Latinxs is crucial and will aid in informing actions to address inequities. Latinxs' unique cultural backgrounds and lived experiences could have implications for their well-being, which may differ from other racial/ethnic groups. We compared overall and domain-specific well-being and their socio-demographic correlates among two samples of Latinxs and a sample of non-Latinx Whites. Cross-sectional samples were independently drawn from the Stanford WELL Initiative (n = 217 Latinxs, n = 943 non-Latinx Whites) and the On the Move Trial (n = 238 Latinxs), both recruiting in Northern California. Well-being was assessed using the Stanford WELL scale, a novel multifaceted measure. Propensity score matching and mixed effect regressions were employed to compare well-being between samples. Overall well-being levels did not differ between groups. However, when examining constituent domains of well-being, several differences were found. Both Latinx samples reported experiencing more stress, having worse physical health, and being more religious than did the matched non-Latinx White sample. However, on four other well-being domains, only one of the Latinx samples differed from the non-Latinx White sample. Moreover, the two Latinx samples differed from each other in four out of nine domains examined. When evaluating well-being across racial/ethnic groups, we recommend employing multidimensional measures and multiple samples to promote greater confidence in the conclusions. This approach can better inform future research and the tailoring of public health efforts by furthering our understanding of the nature of group well-being differences. Our methods offer a blueprint for similar studies examining well-being in multi-ethnic groups.
了解如何优化拉丁裔的健康和福祉至关重要，这将有助于为解决不平等问题的行动提供信息。拉丁裔独特的文化背景和生活经历可能会对他们的福祉产生影响，这可能与其他种族/族裔群体不同。我们比较了两个拉丁裔样本和一个非拉丁裔白人样本的总体福祉和特定领域福祉及其社会人口学相关因素。横断面样本分别取自斯坦福健康倡议（n = 217名拉丁裔，n = 943名非拉丁裔白人）和“行动中”试验（n = 238名拉丁裔），两者均在北加利福尼亚招募。使用斯坦福健康量表评估福祉，这是一种新颖的多方面测量方法。采用倾向得分匹配和混合效应回归来比较样本之间的福祉。两组之间的总体福祉水平没有差异。然而，在检查福祉的组成领域时，发现了一些差异。两个拉丁裔样本都报告说比匹配的非拉丁裔白人样本经历了更多压力、身体健康更差且更虔诚。然而，在其他四个福祉领域，只有一个拉丁裔样本与非拉丁裔白人样本不同。此外，在九个检查领域中的四个领域，两个拉丁裔样本彼此不同。在跨种族/族裔群体评估福祉时，我们建议采用多维测量方法和多个样本，以增强对结论的信心。这种方法可以通过加深我们对群体福祉差异本质的理解，更好地为未来研究和公共卫生工作的调整提供信息。我们的方法为在多民族群体中研究福祉的类似研究提供了蓝图。
