Suleiman Abdul-Rahman M, Javanbakht Arash, Whitfield Keith E
Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA.
Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA.
J Family Community Med. 2021 Sep-Dec;28(3):175-180. doi: 10.4103/jfcm.jfcm_150_21. Epub 2021 Sep 7.
The self-rated health of Arab Americans has been found to be worse than non-Hispanic whites. Psychosocial factors such as stress and acculturation may explain this disparity. As a result, we designed this survey to better understand the effects of stress and acculturation on the self-rated health of the Arab-American community.
Using a convenience sample, we surveyed 142 self-identified Arab Americans regarding demographics, stress, acculturation, and self-rated health. Stress was measured using instruments assessing perceived stress, everyday discrimination, and acculturative stress. Acculturation was measured using a modified Vancouver Index of Acculturation. To measure self-rated health, participants were asked to rate their current health on a scale of 1 (very poor) to 5 (very good).
A logistic regression model adjusted for age, sex, body mass index, and education did not find that stress significantly affected the odds of having poor self-rated health in Arab Americans. Heritage identity was associated with lower odds of having poor self-rated health (odds ratio = 0.37, 95% confidence interval [CI] 0.15, 0.94, < 0.05). No association was found between acculturation and poor self-rated health.
Greater levels of stress were not significantly associated with greater odds of poor self-rated health in Arab Americans. We also found that greater heritage identity significantly decreased the odds of poor self-rated health in Arab Americans. The effects of everyday discrimination, perceived stress, and acculturation on self-rated health in Arab Americans remain unclear and need to be examined further.
研究发现，阿拉伯裔美国人的自评健康状况比非西班牙裔白人更差。压力和文化适应等社会心理因素可能解释了这种差异。因此，我们设计了这项调查，以更好地了解压力和文化适应对阿拉伯裔美国人社区自评健康的影响。
我们采用便利抽样法，对142名自我认定为阿拉伯裔美国人的受访者进行了调查，内容涉及人口统计学、压力、文化适应和自评健康。使用评估感知压力、日常歧视和文化适应压力的工具来测量压力。使用改良的温哥华文化适应指数来测量文化适应。为了测量自评健康，要求参与者在1（非常差）至5（非常好）的量表上对自己当前的健康状况进行评分。
在对年龄、性别、体重指数和教育程度进行调整的逻辑回归模型中，未发现压力对阿拉伯裔美国人自评健康状况差的几率有显著影响。文化传承身份与自评健康状况差的几率较低相关（优势比 = 0.37，95%置信区间[CI] 0.15，0.94，P < 0.05）。未发现文化适应与自评健康状况差之间存在关联。
在阿拉伯裔美国人中，较高水平的压力与自评健康状况差的较高几率没有显著关联。我们还发现，较高的文化传承身份显著降低了阿拉伯裔美国人自评健康状况差的几率。日常歧视、感知压力和文化适应对阿拉伯裔美国人自评健康的影响仍不明确，需要进一步研究。
