Assari Shervin, Zare Hossein
Marginalized-Related Diminished Returns (MDRs) Research Center, Los Angeles, CA, USA.
Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.
Glob J Epidemol Infect Dis. 2024;4(1):92-104. doi: 10.31586/gjeid.2024.1096. Epub 2024 Nov 21.
Educational attainment is a well-established predictor of physical health outcomes, including body mass index (BMI). However, according to the theory of Minorities' Diminished Returns (MDRs), the health benefits of education tend to be weaker for ethnic minorities compared to non-Latino Whites, due to structural inequalities and social disadvantages.
This study examines whether the association between educational attainment and BMI is weaker among Latino individuals compared to non-Latino individuals, in line with the MDRs framework.
Data were drawn from the 2014 wave of the Understanding America Study (UAS), a nationally representative internet-based panel. Body mass index (BMI) was the outcome of interest. Linear regression models were used to analyze the association between educational attainment and BMI, with an interaction term for ethnicity to explore differences in the relationship between Latino and non-Latino people. Models were adjusted for age, sex, marital status, and labor market participation and results were presented as beta coefficients, p-values, and 95% confidence intervals (CIs).
Higher educational attainment was associated with lower BMI for both Latino and non-Latino participants (p < 0.001). However, the interaction between educational attainment and ethnicity was significant (p < 0.05), indicating that Latino individuals experienced smaller reductions in BMI because of higher education compared to non-Latino people.
This study provides evidence of diminished returns from educational attainment on BMI among Latino individuals. These findings support the MDRs framework, suggesting that structural barriers may limit the health benefits of education for Latino populations. While education is a key determinant of physical and mental health, its benefits are not equitably distributed across ethnic groups. Structural inequalities, chronic stress, poor neighborhood environments, and adverse educational and occupational conditions likely contribute to this disparity. Addressing these underlying factors through targeted policy interventions is necessary to promote health equity for Latino populations.
教育程度是身体健康状况(包括体重指数,BMI)的一个公认预测指标。然而,根据少数族裔收益递减理论(MDRs),由于结构不平等和社会劣势,与非拉丁裔白人相比,教育对少数族裔的健康益处往往较弱。
本研究根据MDRs框架,检验拉丁裔个体与非拉丁裔个体相比,教育程度与BMI之间的关联是否较弱。
数据取自2014年的美国理解研究(UAS),这是一个具有全国代表性的基于互联网的样本。体重指数(BMI)是感兴趣的结果指标。使用线性回归模型分析教育程度与BMI之间的关联,并使用种族交互项来探讨拉丁裔和非拉丁裔人群之间关系的差异。模型对年龄、性别、婚姻状况和劳动力市场参与情况进行了调整,结果以β系数、p值和95%置信区间(CIs)呈现。
拉丁裔和非拉丁裔参与者的教育程度越高,BMI越低(p < 0.001)。然而,教育程度与种族之间的交互作用显著(p < 0.05),这表明与非拉丁裔人群相比,拉丁裔个体因接受高等教育而导致的BMI降低幅度较小。
本研究提供了证据,表明拉丁裔个体在教育程度对BMI的影响方面存在收益递减。这些发现支持了MDRs框架,表明结构障碍可能会限制教育对拉丁裔人群的健康益处。虽然教育是身心健康的关键决定因素,但其益处并未在不同种族间公平分配。结构不平等、长期压力、恶劣的社区环境以及不利的教育和职业条件可能导致了这种差异。通过有针对性的政策干预来解决这些潜在因素,对于促进拉丁裔人群的健康公平至关重要。