Objective and perceived ethnic density and health: findings from a United Kingdom general population survey.

Objective and perceived ethnic density and health: findings from a United Kingdom general population survey.
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客观和感知的种族密度和健康:英国一般人口调查的结果。

DOI:
10.1093/aje/kwp160
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发表时间:
2009
影响因子:
5
通讯作者:
Stafford M
Stafford M
中科院分区:
医学2区
文献类型:
--
作者:
Stafford M

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研究表明,族裔密度效应,即居住地区与自己同一族裔(同族裔)的人比例增加与少数族裔发病风险降低有关,但证据好坏参半。族裔密度的衡量标准通常取自小地区人口普查数据,使用预先确定的族裔类别。在联合王国的一项研究中,作者将这些措施与感知的种族密度进行了比较,该密度是基于该地区同种族的自我报告比例。使用2005年内政部公民调查数据与2001年联合王国人口普查,他们发现感知和测量的种族密度之间存在中等规模的相关性,这些相关性因种族而异(r= 0.34-0.65)。感知种族密度低估了白人的测量水平,高估了少数民族的测量水平。与不到一半居民是同种族的地区的参与者相比,在调整年龄,性别,社会经济地位,种族,地区剥夺和测量的种族密度后,那些报告感知种族密度超过一半的人往往具有较少的限制性长期疾病(对于所有少数民族组合,比值比= 0.81,95%置信区间:0.63,1.04)。调整后的感知种族密度,有没有证据的保护协会测量的种族密度,除了加勒比人。感知的种族密度可能反映了与同种族接触的频率和强度的个人经历,这可能解释了为什么它与较低的发病风险更一致。
Studies indicate an ethnic density effect, whereby an increasing proportion of persons of the same ethnicity as oneself (co-ethnics) in one's area of residence is associated with reduced risk of morbidity among ethnic minorities, though evidence is mixed. Measures of ethnic density are commonly taken from small-area census data using predefined categories of ethnicity. In a United Kingdom study, the authors compared these measures with perceived ethnic density, based on self-reported proportion of co-ethnics in the area. Using 2005 Home Office Citizenship Survey data linked to the 2001 United Kingdom Census, they found moderate-sized correlations between perceived and measured ethnic density which varied across ethnic groups (r= 0.34–0.65). Perceived ethnic density underestimated measured levels for whites and overestimated measured levels for ethnic minorities. Compared with participants in areas where less than half of residents were co-ethnics, those reporting a perceived ethnic density of more than half tended to have less limiting long-term illness (for all ethnic minorities combined, odds ratio = 0.81, 95% confidence interval: 0.63, 1.04) after adjustment for age, sex, socioeconomic position, ethnicity, area deprivation, and measured ethnic density. After adjustment for perceived ethnic density, there was no evidence of a protective association for measured ethnic density, except for Caribbeans. Perceived ethnic density may reflect individual experiences of frequency and intensity of contact with co-ethnics, which may explain why it was more consistently related to lower morbidity risk.
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