Seo Jiyeong, Jivraj Stephen
Institute of Epidemiology and Health Care, University College London, London, UK.
J Racial Ethn Health Disparities. 2024 Jul 23. doi: 10.1007/s40615-024-02071-4.
The ethnic density thesis suggests a protective health benefit for ethnic minorities living in places with higher concentration of co-ethnic residents. This paper aims to make a step change in the examination of this thesis by proposing ethnic diversity rather than co-ethnic density will be more protective for mental health. The paper proposes ethnic diversity could be a community asset that benefits the health of all people in a neighbourhood regardless of their own ethnic group. Individual data is taken from the UK Household Longitudinal Study, 2009-2019 linked to aggregate data from the 2001 and 2011 Censuses to test the association between co-ethnic density, ethnic diversity and mental health using the General Health Questionnaire 12-item scale. The paper takes a novel approach by measuring pre-existing (in 2001) and change in (2001-2011) co-ethnic density and ethnic diversity. Moderating effects of individual ethnic group, neighbourhood deprivation and perceived social cohesion are tested. Results show lower pre-existing co-ethnic density is related to lower mental health amongst the White British ethnic group but not in most ethnic minority groups. Greater pre-existing ethnic diversity in more deprived neighbourhoods is associated with better mental health regardless of individual ethnic group. A point of contention in the findings is no association between change in ethnic diversity and mental health.
种族密度理论表明,对于居住在同种族居民高度集中地区的少数民族而言,存在一种健康保护益处。本文旨在通过提出种族多样性而非同种族密度对心理健康更具保护作用,在对该理论的研究上实现一个飞跃。本文提出,种族多样性可能是一种社区资产,能使邻里中所有人的健康受益,无论其所属种族群体如何。个体数据取自2009 - 2019年英国住户纵向研究,并与2001年和2011年人口普查的汇总数据相链接,以使用12项一般健康问卷来检验同种族密度、种族多样性与心理健康之间的关联。本文采用了一种新颖的方法,即测量既存的(2001年)以及(2001 - 2011年期间)同种族密度和种族多样性的变化情况。对个体种族群体、邻里贫困程度和感知到的社会凝聚力的调节作用进行了检验。结果显示,较低的既存同种族密度与英国白人种族群体中较低的心理健康水平相关,但在大多数少数民族群体中并非如此。在更贫困的社区中,更高的既存种族多样性与更好的心理健康状况相关,无论个体所属种族群体如何。研究结果中的一个争议点是种族多样性的变化与心理健康之间没有关联。