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美国穆斯林群体日常生活及医疗场所中的歧视与宗教和社会人口学特征之间的关联:一项全国性调查的结果

Associations Between Every day and Medical Setting-Based Discrimination and Religious and Sociodemographic Characteristics of Muslim Americans: Findings from a National Survey.

作者信息

Padela Aasim I, Abdulbaseer Ummesalmah, Sad Sondos Al, Alemam Fatima, Afreen Maleeha

机构信息

Department of Emergency Medicine, The Medical College of Wisconsin, Milwaukee, WI, USA.

Center for Bioethics and the Medical Humanities, Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

J Immigr Minor Health. 2025 Feb;27(1):24-33. doi: 10.1007/s10903-024-01633-2. Epub 2024 Oct 3.

Abstract

We investigated the associations between sociodemographic factors, religiosity traits, and the perception of discrimination among Muslim Americans in both everyday life and medical settings. A self-administered web-based questionnaire, comprising validated measures of discrimination and religiosity, was completed by a convenience sample of English-speaking adult Muslim Americans, recruited through both in-person and online channels. Among the 1281 respondents, less than half were born in the USA (46%), and a significant portion displayed visible religious markers, such as wearing a hijab or having a beard (61%). Only 154 (12%) reported never experiencing everyday discrimination, while 358 (28%) reported not experiencing discrimination in medical settings. In a multivariable linear regression model, greater perceived everyday discrimination (β = 1.053, p < 0.01) was positively associated with greater discrimination in medical settings. Participants more comfortable self-identifying as Muslim in hospital settings (β = -0.395, p < 0.05) were less likely to perceive healthcare discrimination. Those visibly expressing their religiosity (β = 0.779, p < 0.01) and those with greater intrinsic religiosity (β = 0.231, p < 0.05) were more likely to encounter everyday discrimination. Conversely, older participants (β = -0.015, p < 0.05), adult immigrants to the US (β = -0.375, p < 0.05), those in better health (β = -0.157, p < 0.05), and those more comfortable identifying as Muslim (β = -0.305, p < 0.05) had lower perceptions of everyday discrimination. This study underscores the significance of the relationship between religiosity characteristics and experiences of both hospital and everyday discrimination for Muslim Americans.

摘要

我们调查了社会人口因素、宗教信仰特征与美国穆斯林在日常生活和医疗环境中对歧视的认知之间的关联。通过面对面和在线渠道招募了讲英语的成年美国穆斯林组成的便利样本,他们完成了一份基于网络的自填式问卷,其中包括经过验证的歧视和宗教信仰测量指标。在1281名受访者中,不到一半在美国出生(46%),相当一部分人有明显的宗教标志,如戴着头巾或留着胡须(61%)。只有154人(12%)表示从未经历过日常歧视,而358人(28%)表示在医疗环境中未经历过歧视。在多变量线性回归模型中,更高的日常歧视认知(β = 1.053,p < 0.01)与更高的医疗环境歧视呈正相关。在医院环境中更愿意自我认同为穆斯林的参与者(β = -0.395,p < 0.05)不太可能察觉到医疗歧视。那些明显表达宗教信仰的人(β = 0.779,p < 0.01)和那些内在宗教信仰更强的人(β = 0.231,p < 0.05)更有可能遭遇日常歧视。相反,年龄较大的参与者(β = -0.015,p < 0.05)、成年美国移民(β = -0.375,p < 0.05)、健康状况较好的人(β = -0.157,p < 0.05)以及更愿意认同为穆斯林的人(β = -0.305,p < 0.05)对日常歧视的认知较低。这项研究强调了宗教信仰特征与美国穆斯林在医院和日常环境中的歧视经历之间关系的重要性。

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