Racism and health: The relationship between experience of racial discrimination and health in New Zealand
Racism and health: The relationship between experience of racial discrimination and health in New Zealand
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DOI：
10.1016/j.socscimed.2006.04.009
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发表时间：
2006-09-01
影响因子：
5.4
通讯作者：
Nazroo, James
中科院分区：
文献类型：
--
作者：
Harris, Ricci;Tobias, Martin;Nazroo, James
越来越多的研究表明，种族主义可能是健康的一个主要决定因素。在这里，我们报告了新西兰人自我报告的种族歧视经历与健康之间的关系。分析了2002/2003年新西兰健康调查的数据，这是一项横断面调查，对12,500人进行了面对面的采访。为了从两个方面捕捉种族歧视，包括了五个项目：出于种族动机的攻击(身体或言语)的经历，或因族裔而受到的不公平待遇(保健专业人员、工作或获得住房时)。使用自我认同将族裔划分为四个民族之一：毛利人、太平洋人、亚洲人和欧洲人/其他人。考虑到调查设计、年龄、性别、种族和贫困，Logistic回归被用来估计优势比(OR)和95%的可信区间(CI)。毛利人报告称，经历任何形式种族歧视的患病率最高(34%)，紧随其后的是亚洲人(28%)和太平洋民族(25%)。毛利人遭受多种歧视的可能性几乎是欧洲人/其他人的10倍(4.5%比0.5%)。报告的种族歧视经历与所检查的每一项健康指标有关。这五种歧视中任何一种的经历都与自我评价较差或相当的健康状况、身体功能较差、心理健康较差、吸烟和心血管疾病显著相关。有强有力的证据表明，报告的歧视类型的数量与每项健康措施之间存在剂量-反应关系。这些结果突出表明，在努力消除保健方面的族裔不平等时，需要考虑到种族主义。(C)2006爱思唯尔有限公司。保留所有权利。
Accumulating research suggests that racism may be a major determinant of health. Here we report associations between self-reported experience of racial discrimination and health in New Zealand.Data from the 2002/2003 New Zealand Health Survey, a cross-sectional survey involving face-to-face interviews with 12,500 people, were analysed. Five items were included to capture racial discrimination in two dimensions: experience of ethnically motivated attack (physical or verbal), or unfair treatment because of ethnicity (by a health professional, in work or when gaining housing). Ethnicity was classified using self-identification to one of four ethnic groups: Maori, Pacific, Asian and European/Other peoples. Logistic regression, accounting for the survey design, age, sex, ethnicity and deprivation, was used to estimate odds ratios (OR) and 95% confidence intervals (CI).Maori reported the highest prevalence of "ever" experiencing any of the forms of racial discrimination (34%), followed by similar levels among Asian (28%) and Pacific peoples (25%). Maori were almost 10 times more likely to experience multiple types of discrimination compared to European/Others (4.5% vs. 0.5%).Reported experience of racial discrimination was associated with each of the measures of health examined. Experience of any one of the five types of discrimination was significantly associated with poor or fair self-rated health; lower physical functioning; lower mental health; smoking; and cardiovascular disease. There was strong evidence of a dose-response relationship between the number of reported types of discrimination and each health measure. These results highlight the need for racism to be considered in efforts to eliminate ethnic inequalities in health. (c) 2006 Elsevier Ltd. All rights reserved.