Ethnic variation in health and the determinants of health among Latinos

Ethnic variation in health and the determinants of health among Latinos
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DOI:
10.1016/j.socscimed.2004.11.040
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发表时间:
2005-07-01
影响因子:
5.4
通讯作者:
Fennell, D
Fennell, D
中科院分区:
医学2区
文献类型:
--
作者:
Zsembik, BA;Fennell, D

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这项研究的目的是记录和解释美国拉丁裔成年人在健康方面的种族差异。对1997-2001年国家健康访谈调查收集的数据的分析结果表明,拉丁裔族裔群体的健康模式明显不同。墨西哥人具有健康优势,而波多黎各人则存在健康差距。古巴人和多米尼加人表现出健康差距和优势的混合,这取决于健康结果。健康的社会决定因素的影响也取决于种族。例如,健康状况较差与墨西哥人的社会经济地位和文化适应程度较高有关,但与来自加勒比海岛屿的拉美裔人的社会经济地位和文化适应程度较低有关。我们的结论是,种族/民族比较健康研究应该避免泛种族分组,并明确承认种族群体的差异性。(C)2004爱思唯尔有限公司。保留所有权利。
The purpose of this research is to document and explain ethnic variation in health among Latino adults in the United States. Results of analyses of data pooled from the 1997-2001 National Health Interview surveys reveal that health patterns are clearly different among Latino ethnic groups. Mexicans have health advantages, whereas Puerto Ricans experience health disparities. Cubans and Dominicans reveal a mix of health disparities and advantages, depending on the health outcome. The effects of social determinants of health are also contingent upon ethnicity. For example, worse health is associated with higher levels of socioeconomic status (SES) and acculturation among Mexicans, but with lower levels of SES and acculturation among Latinos whose origins are from Caribbean islands. We conclude that racial/ethnic comparative health research should avoid pan-ethnic groupings, and explicitly acknowledge ethnic group distinctiveness. (c) 2004 Elsevier Ltd. All rights reserved.