Assari Shervin, Zare Hossein
Department of Internal Medicine, Charles R Drew University of Medicine and Science, USA.
Department of Family Medicine, Charles R Drew University of Medicine and Science, USA.
J Rehabil Ther. 2024;6(2):1-11. doi: 10.29245/2767-5122/2024/2.1143. Epub 2024 Jun 19.
American Indian and Alaska Native (AIAN) communities face pronounced economic and health disparities compared to White Americans, a situation rooted in long-standing historical injustices and segregation. The theory of Minorities' Diminished Returns (MDR) provides insight beyond the traditional focus on socioeconomic status (SES) disparities, such as educational attainment. It suggests that the beneficial outcomes of educational achievements on health and economic status are less substantial for marginalized and racially non-White groups compared to White Americans.
This study investigates the applicability of the MDR theory to AIAN populations by examining whether the positive effects of education on poverty reduction and the decreased risk of disability benefit dependency are weaker for AIAN adults relative to their White counterparts.
Utilizing data from the 2022 National Health Interview Survey (NHIS), this cross-sectional study analyzed a cohort of 20,743 adults, comprising 20,474 White and 269 AIAN individuals. We assessed the relationships between educational attainment, poverty level, and the likelihood of receiving disability benefits. A structural equation model was employed, with receipt of disability benefits as a latent factor influenced by racial background (AIAN) as a potential moderator, education as the main predictor, and poverty level and self-rated health as mediators. Gender, age, employment status, marital status, and Hispanic ethnicity served as additional covariates.
Findings indicate that higher educational levels are generally associated with a lower likelihood of receiving disability benefits, mediated by improved health and economic status. Nonetheless, the interaction between race (AIAN) and education significantly influenced economic outcomes, subsequently affecting the risk of receiving disability benefits. This suggests that Whites benefit more economically from education than AIAN individuals do.
The study underscores the MDR theory's relevance to the disparities in educational outcomes related to poverty risk and receiving disability benefits among AIAN populations. The challenges AIAN individuals face in leveraging their educational achievements for economic gain relative to Whites may be attributed to pervasive racism and discrimination within various sectors, including employment and education. Addressing these disparities necessitates policy interventions that ensure educational returns are equitable across racial groups, with a focus on equal access to resources and opportunities.
与美国白人相比,美国印第安人和阿拉斯加原住民(AIAN)社区面临着明显的经济和健康差距,这种情况源于长期存在的历史不公和种族隔离。少数群体收益递减(MDR)理论提供了超越传统对社会经济地位(SES)差距(如教育程度)关注的见解。它表明,与美国白人相比,教育成就对边缘化和非白人种族群体的健康和经济状况的有益影响不那么显著。
本研究通过检验教育对减少贫困和降低残疾福利依赖风险的积极影响对AIAN成年人来说是否比对白人成年人更弱,来调查MDR理论对AIAN人群的适用性。
利用2022年全国健康访谈调查(NHIS)的数据,这项横断面研究分析了一组20,743名成年人,其中包括20,474名白人和269名AIAN个体。我们评估了教育程度、贫困水平和获得残疾福利的可能性之间的关系。采用结构方程模型,将获得残疾福利作为一个潜在因素,受种族背景(AIAN)作为潜在调节因素、教育作为主要预测因素、贫困水平和自我评估健康作为中介因素的影响。性别、年龄、就业状况、婚姻状况和西班牙裔种族作为额外的协变量。
研究结果表明,较高的教育水平通常与获得残疾福利的可能性较低相关,这是通过改善健康和经济状况来介导的。尽管如此,种族(AIAN)和教育之间的相互作用显著影响了经济结果,进而影响了获得残疾福利的风险。这表明白人从教育中获得的经济利益比AIAN个体更多。
该研究强调了MDR理论与AIAN人群中与贫困风险和获得残疾福利相关的教育成果差距的相关性。与白人相比,AIAN个体在利用其教育成就获得经济收益方面面临的挑战可能归因于包括就业和教育在内的各个部门普遍存在的种族主义和歧视。解决这些差距需要政策干预,以确保不同种族群体的教育回报公平,重点是平等获得资源和机会。