Multiple Disadvantaged Statuses and Health The Role of Multiple Forms of Discrimination
Multiple Disadvantaged Statuses and Health The Role of Multiple Forms of Discrimination
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DOI：
10.1177/0022146514521215
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发表时间：
2014-03-01
影响因子：
5
通讯作者：
Grollman, Eric Anthony
中科院分区：
文献类型：
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作者：
Grollman, Eric Anthony
双重不利假设预测，拥有一个以上不利地位的成年人可能比他们的单一不利和特权同行经历更差的健康。检验这一论点的研究得出的结果喜忧参半，部分原因是未能审查歧视的作用。本文使用来自美国中年发展全国调查（N = 2，647）的数据来调查多种弱势地位与健康之间的关系，以及多种形式的人际歧视是否有助于这种关联。结果表明，多重弱势成年人更有可能经历严重抑郁症，身体健康状况不佳，功能限制比他们的单一弱势和特权同行。此外，多种形式的歧视在一定程度上介导了多种污名化状况与健康之间的关系。总而言之，这些发现表明，处于多重弱势的成年人确实在健康方面面临“双重劣势”，部分原因是他们不成比例地遭受歧视。
The double disadvantage hypothesis predicts that adults who hold more than one disadvantaged status may experience worse health than their singly disadvantaged and privileged counterparts. Research that has tested this thesis has yielded mixed findings due partly to a failure to examine the role of discrimination. This article uses data from the National Survey of Midlife Development in the United States (N = 2,647) to investigate the relationship between multiple disadvantaged statuses and health, and whether multiple forms of interpersonal discrimination contribute to this association. The results suggest that multiply disadvantaged adults are more likely to experience major depression, poor physical health, and functional limitations than their singly disadvantaged and privileged counterparts. Further, multiple forms of discrimination partially mediate the relationship between multiple stigmatized statuses and health. Taken together, these findings suggest that multiply disadvantaged adults do face a "double disadvantage" in health, in part, because of their disproportionate exposure to discrimination.