Race, life course socioeconomic position, racial discrimination, depressive symptoms and self-rated health
Race, life course socioeconomic position, racial discrimination, depressive symptoms and self-rated health
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DOI：
10.1016/j.socscimed.2013.07.031
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发表时间：
2013-11-01
影响因子：
5.4
通讯作者：
Adler, Nancy E.
中科院分区：
文献类型：
--
作者：
Hudson, Darrell L.;Puterrnan, Eli;Adler, Nancy E.
较高的社会经济地位（SEP）通常与较好的健康状况有关。然而，以前的研究结果因种族/民族和健康结果而异。此外，以往的研究大多没有考虑生命历程SEP对健康的影响，也没有考虑种族歧视的影响，这可能会缓和SEP对健康的影响。使用来自年轻人冠状动脉风险发展（CARDIA）研究的数据，我们检验了生命过程中抑郁症状的SEP测量与自评健康之间的关系。本研究以父母教育程度、职业及受访者最高教育程度、职业为框架，建构每位受访者的生命历程SEP。在生命历程SEP与种族歧视之间建立交互项，以确定SEP与健康之间的关联是否受到种族歧视经历的调节。分析显示，较高的生命过程SEP水平与抑郁症状呈负相关。较高的生命过程SEP与良好的自我评价健康呈正相关。种族歧视与更多的抑郁症状和较差的自我评价健康有关。分析表明，在整个样本中，生命历程SEP和种族歧视对抑郁症状有显著的相互作用。这表明，对于SEP水平较高的受访者，种族歧视与更多抑郁症状的报告有关。今后的研究工作应审查个人在人际和结构两级对种族歧视的看法和经历是否限制了他们获得人力资本的能力以及他们在教育和职业地位方面的进步。(C) 2013 Elsevier Ltd.版权所有。
Greater levels of socioeconomic position (SEP) are generally associated with better health. However results from previous studies vary across race/ethnicity and health outcomes. Further, the majority of previous studies do not account for the effects of life course SEP on health nor the effects of racial discrimination, which could moderate the effects of SEP on health. Using data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, we examined the relationship between a life course SEP measure on depressive symptoms and self-rated health. A life course SEP was constructed for each participant, using a framework that included parental education and occupation along with respondents' highest level of education and occupation. Interaction terms were created between life course SEP and racial discrimination to determine whether the association between SEP and health was moderated by experiences of racial discrimination. Analyses revealed that higher levels of life course SEP were inversely related to depressive symptoms. Greater life course SEP was positively associated with favorable self-rated health. Racial discrimination was associated with more depressive symptoms and poorer self-rated health. Analyses indicated a significant interaction between life course SEP and racial discrimination on depressive symptoms in the full sample. This suggested that for respondents with greater levels of SEP, racial discrimination was associated with reports of more depressive symptoms. Future research efforts should be made to examine whether individuals' perceptions and experiences of racial discrimination at the interpersonal and structural levels limits their ability to acquire human capital as well as their advancement in education and occupational status. (C) 2013 Elsevier Ltd. All rights reserved.