Racial discrimination and health: a prospective study of ethnic minorities in the United Kingdom.
Racial discrimination and health: a prospective study of ethnic minorities in the United Kingdom.
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DOI：
10.1186/s12889-020-09792-1
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发表时间：
2020-11-18
影响因子：
4.5
通讯作者：
Jackson SE
中科院分区：
文献类型：
--
作者：
Hackett RA;Ronaldson A;Bhui K;Steptoe A;Jackson SE
美国的研究表明，种族主义与健康状况不佳有关。人们对英国种族歧视与健康结果之间的潜在关联知之甚少。数据来自英国家庭纵向研究的 4883 名少数族裔（即非白人）参与者。 2009/2010 年报告了过去 12 个月内因种族或国籍而受到的歧视。 2009/10 年度和 2011/12 年度对心理困扰、精神功能、生活满意度、自我评价健康、身体功能和限制长期疾病的报告进行了评估。根据年龄、性别、收入、教育程度和种族进行线性和逻辑回归分析。前瞻性分析还根据所评估结果的基线状态进行了调整。 998 人（20.4%）的样本报告了种族歧视。从横截面来看，报告种族歧视的人平均比未报告种族歧视的人更有可能限制长期疾病（比值比 (OR) = 1.78，95% 置信区间 (CI) 1.49; 2.13）和自评健康状况一般/较差 (OR = 1.50; 95% CI 1.24; 1.82)。种族歧− 0.27），生活满意度较低（B = − 0.40，95% CI -0.52；− 0.27）。展望未来，与未报告种族歧视的人相比，报告种族歧视的人平均限制长期疾病的可能性更大（OR = 1.31，95% CI 1.01；1.69），自我评价健康状况一般/较差（OR = 1.30；95% CI 1.00；1.69）。调整基线分数后，在两年的随访中，种族歧视与心理困扰增加（B = 0.52，95% CI 0.20；0.85）和心理功能较差（B = − 1.77；95% CI -2.70；− 0.83）相关。认为种族歧视的英国少数族裔成年人的心理和身体健康状况比那些不认为种族歧视的人更差。这些结果强调需要采取有效的干预措施来打击种族歧视，以减少健康方面的不平等。在线版本包含可在 10.1186/s12889-020-09792-1 获取的补充材料。
Racism has been linked with poor health in studies in the United States. Little is known about prospective associations between racial discrimination and health outcomes in the United Kingdom (UK). Data were from 4883 ethnic minority (i.e. non-white) participants in the UK Household Longitudinal Study. Perceived discrimination in the last 12 months on the basis of ethnicity or nationality was reported in 2009/10. Psychological distress, mental functioning, life satisfaction, self-rated health, physical functioning and reports of limiting longstanding illness were assessed in 2009/10 and 2011/12. Linear and logistic regression analyses adjusted for age, sex, income, education and ethnicity. Prospective analyses also adjusted for baseline status on the outcome being evaluated. Racial discrimination was reported by 998 (20.4%) of the sample. Cross-sectionally, those who reported racial discrimination had a greater likelihood on average of limiting longstanding illness (odds ratio (OR) = 1.78, 95% confidence interval (CI) 1.49; 2.13) and fair/poor self-rated health (OR = 1.50; 95% CI 1.24; 1.82) than those who did not report racial discrimination. Racial discrimination was associated with greater psychological distress (B = 1.11, 95% CI 0.88; 1.34), poorer mental functioning (B = − 3.61; 95% CI -4.29; − 2.93), poorer physical functioning (B = − 0.86; 95% CI -1.50; − 0.27), and lower life satisfaction (B = − 0.40, 95% CI -0.52; − 0.27). Prospectively, those who reported racial discrimination had a greater likelihood on average of limiting longstanding illness (OR = 1.31, 95% CI 1.01; 1.69) and fair/poor self-rated health (OR = 1.30; 95% CI 1.00; 1.69), than those who did not report racial discrimination. Racial discrimination was associated increased psychological distress (B = 0.52, 95% CI 0.20; 0.85) and poorer mental functioning (B = − 1.77; 95% CI -2.70; − 0.83) over two-year follow-up, adjusting for baseline scores. UK adults belonging to ethnic minority groups who perceive racial discrimination experience poorer mental and physical health than those who do not. These results highlight the need for effective interventions to combat racial discrimination in order to reduce inequalities in health. The online version contains supplementary material available at 10.1186/s12889-020-09792-1.
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影响因子：
12.7
作者：
Bennett, GG;Wolin, KY;Edwards, CL
通讯作者：
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