Perceived Discrimination and Health Outcomes: A Gender Comparison Among Asian-Americans Nationwide

Perceived Discrimination and Health Outcomes: A Gender Comparison Among Asian-Americans Nationwide
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DOI:
10.1016/j.whi.2010.05.002
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发表时间:
2010-09-01
影响因子:
3.2
通讯作者:
Sue, Stanley
Sue, Stanley
中科院分区:
医学3区
文献类型:
--
作者:
Hahm, Hyeouk Chris;Ozonoff, Al;Sue, Stanley

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目的:我们研究了亚裔美国成年女性和男性之间感知到的歧视与精神和身体健康状况不佳之间的关联是否存在相似性和差异。我们还测试了亚裔美国妇女是否会有一个较低的感知歧视阈值比Asian-Americanmen.Methods:数据来自全国拉丁裔和亚裔美国人的研究(2002-2003年)。一个具有全国代表性的亚裔美国成年人样本(1,075名女性和972名男性)examined.Results:有更多的性别相似性比歧视和健康之间的强关联的差异。在具体的歧视程度及其潜在的健康影响方面,发现性别差异更为显著。具体而言,对于亚洲女性和男性来说,高水平的歧视感与心理健康的关系比与身体健康结果的关系更强。然而,与男性相比,歧视的门槛是较低的妇女在影响心理和身体健康status.Conclusion:研究结果强调,高水平的歧视与负面的心理和身体健康结果的妇女和男子。然而,当妇女受到的歧视门槛低于男子时,她们的身心健康受到的负面影响更大。这些研究结果表明,在歧视研究中没有分别研究女性和男性可能不再适合亚裔美国人。今后的研究应侧重于减轻歧视对健康的不利影响的生物、社会和政治机制,以便制定一种更全面的办法来消除健康方面的差距。版权所有(C)2010年由雅各布妇女健康研究所。爱思唯尔公司出版
Objectives: We examined whether similarities and differences exist in the association between perceived discrimination and poor mental and physical health among Asian-American adult women and men. We also tested whether Asian-American women would have a lower perceived discrimination threshold for developing negative health outcomes than Asian-American men.Methods: Data were derived from the National Latino and Asian-American Study (2002-2003). A nationally representative sample of Asian-American adults (1,075 women and 972 men) was examined.Results: There were more gender similarities than differences in the strong association between discrimination and health. More prominent gender differences were found for the specific level of discrimination and its potential health effects. Specifically, for both Asian women and men, a high level of perceived discrimination showed stronger associations with mental health than with physical health outcomes. And yet, compared with men, the threshold of discrimination was lower for women in affecting mental and physical health status.Conclusion: The findings underscore that a high level of discrimination was associated with negative mental and physical health outcomes for both women and men. However, women had more negative, mental and physical health outcomes when exposed to a lower threshold of discrimination than men. These findings suggest that failing to examine women and men separately in discrimination research may no longer be appropriate among the Asian-American population. Future research should focus attention on the biological, social, and political mechanisms that mitigate the adverse health effects of discrimination in order to develop a more comprehensive approach to eliminate disparities in health. Copyright (C) 2010 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.