A multilevel analysis of the relationship between institutional and individual racial discrimination and health status
A multilevel analysis of the relationship between institutional and individual racial discrimination and health status
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DOI：
10.2105/ajph.92.4.615
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发表时间：
2002-04-01
影响因子：
12.7
通讯作者：
Gee, GC
中科院分区：
文献类型：
--
作者：
Gee, GC
目的，本研究探讨是否个人（自我感知）和制度（隔离和红线）种族歧视与一个民族的成员之间的健康状况不佳，方法。以1990年美国人口普查和1995年住房抵押贷款披露法案数据库为地理编码，采用分层线性模型评估歧视与医学结局研究简表36和修订后的症状自评量表90健康状况测量得分之间的关系。在文化适应、性别、年龄、社会支持、收入、健康保险、就业状况、教育、社区贫困和住房价值等因素控制后，种族歧视的个人和机构措施与健康状况相关。结论：数据支持多层次歧视影响少数群体成员健康的假设。
Objectives, This study examined whether individual (self-perceived) and institutional (segregation and redlining) racial discrimination was associated with poor health status among members of an ethnic group,Methods. Adult respondents (n = 1503) in the cross-sectional Chinese American Psychiatric Epidemiologic Study were geocoded to the 1990 census and the 1995 Home Mortgage Disclosure Act database, Hierarchical linear modeling assessed the relationship between discrimination and scores on the Medical Outcomes Study Short-Form 36 and revised Symptom Checklist 90 health status measures.Results. Individual and institutional measures of racial discrimination were associated with health status after control for acculturation, sex, age, social support, income, health insurance, employment status, education, neighborhood poverty, and housing value,Conclusions, The data support the hypothesis that discrimination at multiple levels influences the health of minority group members.