Perceived discrimination and health-related quality-of-life: gender differences among older African Americans.
Perceived discrimination and health-related quality-of-life: gender differences among older African Americans.
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DOI：
10.1007/s11136-017-1663-9
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Jacobs EA
中科院分区：
文献类型：
--
作者：
Coley SL;Mendes de Leon CF;Ward EC;Barnes LL;Skarupski KA;Jacobs EA
新出现的数据表明，非洲裔美国女性在健康相关生活质量（HRQOL）方面可能比非洲裔美国男性差。感知的歧视是一个重要的贡献者，整体健康状况不佳的非洲裔美国人，但很少有研究探讨的交叉效应感知的歧视和性别在解释HRQOL的差异。我们调查了HRQOL的性别差异，并测试了是否感知歧视占这些差异。我们研究了来自芝加哥健康与老龄化项目的数据，其中5652名65岁及以上的非洲裔美国成年人完成了关于人口统计学和社会经济特征、HRQOL、感知歧视和健康相关变量的结构化问卷。Logistic回归模型用于确定在控制其他变量时，HRQOL结果较差（定义为过去30天内总体、身体或心理健康不健康天数超过14天）的性别差异与感知歧视之间的关联。报告总体HRQOL较差的女性多于男性（分别为24%和16%）。较高的感知歧视与整体HRQOL较差显著相关（OR = 1.11; 95%CI：1.08，1.15），对女性的整体HRQOL和精神HRQOL的影响更大。这些性别差异仍然显着，直到控制潜在的混杂变量。感知歧视并不能解释身体HRQOL差的性别差异。感知歧视与老年非裔美国人的HRQOL较差相关，女性的HRQOL比男性的HRQOL更强。这些发现证明有必要进一步调查在总体健康方面的性别差异中感知到的歧视的影响，这种研究可以为减少这些差异的努力提供信息和指导。
Emerging data suggest that African-American women may fare worse than African-American men in health-related quality-of-life (HRQOL). Perceived discrimination is an important contributor to poor health overall among African Americans, but few studies examined the intersecting effects of perceived discrimination and gender in explaining HRQOL disparities. We investigated gender differences in HRQOL and tested whether perceived discrimination accounted for these differences. We examined data from the Chicago Health and Aging Project in which 5652 African-American adults age 65 and older completed structured questionnaires about demographic and socioeconomic characteristics, HRQOL, perceived discrimination, and health-related variables. Logistic regression models were used to identify associations between perceived discrimination and gender differences in poor HRQOL outcomes (defined as 14+ unhealthy days in overall, physical, or mental health over the past 30 days) when controlling for the other variables. More women reported poor overall HRQOL than men (24% vs. 16% respectively). Higher perceived discrimination was significantly associated with worse overall HRQOL (OR=1.11; 95% CI: 1.08, 1.15), with stronger effects for women in overall and mental HRQOL. These gender disparities remained significant until controlling for potentially confounding variables. Perceived discrimination did not account for gender differences in poor physical HRQOL. Perceived discrimination is associated with poor HRQOL in older African Americans, with this association appearing stronger in women than men for mental HRQOL. These findings warrant further investigation of effects of perceived discrimination in gender disparities in overall health, and such research can inform and guide efforts for reducing these disparities.
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影响因子：
3.5
作者：
Cherepanov, Dasha;Palta, Mari;Fryback, Dennis G.;Robert, Stephanie A.
通讯作者：
Robert, Stephanie A.
DOI：
10.1093/geronb/60.5.s263
发表时间：
2005-09-01
影响因子：
6.2
作者：
de Leon, CFM;Barnes, LL;Evans, DA
通讯作者：
Evans, DA
影响因子：
1
作者：
Hu, Jie
通讯作者：
Hu, Jie
影响因子：
12.7
作者：
Collins, JW;David, RJ;Andes, S
通讯作者：
Andes, S
影响因子：
15.1
作者：
Friedman, Elliot M.;Williams, David R.;Singer, Burton H.;Ryff, Carol D.
通讯作者：
Ryff, Carol D.