印度中老年人群体感知歧视与健康结果：2017-2018 年全国调查结果。
Perceived discrimination and health outcomes among middle-aged and older adults in India: results of a national survey in 2017-2018.
机构信息
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand.
Department of Research Administration and Development, University of Limpopo, Turfloop, Polokwane, South Africa.
出版信息
BMC Geriatr. 2021 Oct 18;21(1):559. doi: 10.1186/s12877-021-02508-z.
BACKGROUND
The study aimed to estimate the associations between perceived discrimination and poor physical health, poor mental health, and health risk behaviours in middle-aged and older adults in a national population survey in India.
METHODS
The sample included 72,262 middle-aged and older adults from a cross-sectional national community dwelling survey in India in 2017-2018.
RESULTS
The prevalence of moderate (1-2 types) perceived discrimination was 10.7%, and high (3-6 types) perceived discrimination was 6.6%. In the final adjusted logistic, linear or Poisson regression analyses, moderate and/or high perceived discrimination was significantly positively associated with poor mental health (low life satisfaction, poor cognitive functioning, insomnia symptoms, and depressive symptoms), poor physical health (pain conditions count, and functional limitations), and health risk behaviours (heavy episodic drinking and physical inactivity).
CONCLUSION
Perceived discrimination is associated with poor mental health, poor physical health, and health risk behaviour, emphasising the need to consider perceived discrimination in various physical and mental health contexts.
背景
本研究旨在评估在印度全国人口调查中，中老年人群体感知歧视与身体健康不良、心理健康不良和健康风险行为之间的关联。
方法
该样本包括来自 2017-2018 年印度一项横断面全国社区居住调查的 72262 名中老年人群体。
结果
中度（1-2 种类型）感知歧视的患病率为 10.7%，高度（3-6 种类型）感知歧视的患病率为 6.6%。在最终调整后的逻辑、线性或泊松回归分析中，中度和/或高度感知歧视与心理健康不良（生活满意度低、认知功能差、失眠症状和抑郁症状）、身体健康不良（疼痛状况计数和功能受限）以及健康风险行为（重度间歇性饮酒和身体活动不足）显著正相关。
结论
感知歧视与心理健康不良、身体健康不良和健康风险行为有关，这强调了在各种身体和心理健康背景下需要考虑感知歧视的必要性。
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