Race/Ethnicity and self-reported levels of discrimination and psychological distress, California, 2005.
Race/Ethnicity and self-reported levels of discrimination and psychological distress, California, 2005.
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DOI：
10.5888/pcd9.120042
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发表时间：
2012
影响因子：
5.5
通讯作者：
Byrd DR
中科院分区：
文献类型：
--
作者：
Byrd DR
人们对多个种族群体之间的歧视和痛苦之间的关系知之甚少，因为之前的研究主要集中在黑人或亚裔美国人身上。本研究的目的是评估加州 5 个种族/族裔群体自我报告的种族歧视经历与心理困扰症状之间的关联。我使用了 2005 年加州健康访谈调查的数据，该调查描述了 27,511 名非西班牙裔白人、8,020 名西班牙裔美国人、1,813 名非西班牙裔黑人、3,875 名非西班牙裔亚洲人和 1,660 名其他种族/族裔的成人样本。凯斯勒六项心理困扰量表确定了心理困扰的症状。我使用单项自我报告的方法来确定种族歧视的经历。关于种族歧视的报告在不同种族群体之间存在显着差异。在调整种族/民族、年龄、性别、教育水平、就业状况、一般健康状况、出生和公民身份、英语使用和熟练程度、上次就诊时理解医生的能力以及地理位置后，自我报告的歧视与心理困扰独立相关。歧视与心理困扰之间的关系因歧视与种族/族裔之间的相互作用而改变；歧视对少数群体（即黑人和其他种族/民族的人）的痛苦的影响比白人要弱。自我报告的歧视可能是加州种族/族裔群体心理困扰程度较高的一个关键预测因素，而种族似乎改变了这种关联。公共卫生从业人员应考虑种族歧视对少数群体健康的不利影响。
Little is known about the relationship between discrimination and distress among multiple racial groups because previous studies have focused primarily on either blacks or Asian Americans. The objective of this study was to assess the association between self-reported experiences of racial discrimination and symptoms of psychological distress among 5 racial/ethnic groups in California. I used data from the 2005 California Health Interview Survey describing an adult sample of 27,511 non-Hispanic whites, 8,020 Hispanics, 1,813 non-Hispanic blacks, 3,875 non-Hispanic Asians, and 1,660 people of other races/ethnicities. The Kessler 6-item Psychological Distress Scale determined symptoms of psychological distress. I used a single-item, self-reported measure to ascertain experiences of racial discrimination. Reports of racial discrimination differed significantly among racial groups. Self-reported discrimination was independently associated with psychological distress after adjusting for race/ethnicity, age, sex, education level, employment status, general health status, nativity and citizenship status, English use and proficiency, ability to understand the doctor at last visit, and geographic location. The relationship between discrimination and psychological distress was modified by the interaction between discrimination and race/ethnicity; the effect of discrimination on distress was weaker for minority groups (ie, blacks and people of other races/ethnicities) than for whites. Self-reported discrimination may be a key predictor of high levels of psychological distress among racial/ethnic groups in California, and race appears to modify this association. Public health practitioners should consider the adverse effects of racial discrimination on minority health.
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影响因子：
5
作者：
KESSLER, RC
通讯作者：
KESSLER, RC
影响因子：
2.5
作者：
Bonilla-silva, E
通讯作者：
Bonilla-silva, E
影响因子：
12.7
作者：
Gee, GC
通讯作者：
Gee, GC
影响因子：
12.7
作者：
Gee, Gilbert C.;Ponce, Ninez
通讯作者：
Ponce, Ninez
DOI：
10.1146/annurev.clinpsy.4.022007.141207
发表时间：
2008-01-01
影响因子：
18.4
作者：
Monroe, Scott M.
通讯作者：
Monroe, Scott M.