Agency and structure: the impact of ethnic identity and racism on the health of ethnic minority people
Agency and structure: the impact of ethnic identity and racism on the health of ethnic minority people
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DOI：
10.1111/1467-9566.00001
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发表时间：
2002-01-01
影响因子：
2.9
通讯作者：
Nazroo, JY
中科院分区：
文献类型：
--
作者：
Karlsen, S;Nazroo, JY
要理解健康方面的种族不平等，我们必须考虑到少数民族地位、结构性劣势和机构之间的关系。到目前为止，种族压迫对健康的直接影响，以及族裔作为身份的作用，这在一定程度上是代理的产物，一直被忽视。我们利用第四次全国少数民族普查的数据来纠正这种平衡。因素分析表明，各少数民族群体的民族认同的维度是一致的。最初，这些方面的种族身份似乎与健康有关，但在多变量模型中，与种族化身份有关的因素是唯一一个表现出与健康的关系。这些发现表明，种族认同与健康无关。相反，这里提出的多变量分析表明，健康和种族主义的经验，感知种族歧视和阶级之间有很强的独立关系。
To understand ethnic inequalities in health, we must take account of the relationship between ethnic minority status, structural disadvantage and agency. So far, the direct effects of racial oppression on health, and the role of ethnicity as identity, which is in part a product of agency, have been ignored. We set out to redress this balance using data from the Fourth National Survey of Ethnic Minorities. Factor analysis suggested that dimensions of ethnic identity were consistent across the various ethnic minority groups. Initially some of these dimensions of ethnic identity appeared to be related to health, but in a multivariate model the factor relating to a racialised identity was the only one that exhibited any relationship with health. These findings suggest that ethnic identity is not related to health. Rather, the multivariate analyses presented here showed strong independent relationships between health and experiences of racism, perceived racial discrimination and class.