Acculturation stress, social support, and self-rated health among Latinos in California.
Acculturation stress, social support, and self-rated health among Latinos in California.
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DOI：
10.1023/a:1023987717921
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发表时间：
2003-07-01
期刊：
影响因子：
--
通讯作者：
Vega, William A
中科院分区：
文献类型：
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作者：
Finch, Brian Karl;Vega, William A
本研究探讨了社会支持机制在压力文化适应体验与身体健康自我评价之间的潜在调节和中介作用。数据来自加利福尼亚州弗雷斯诺县3012名年龄在18-59岁的墨西哥裔成年人，采用概率分层整群抽样设计。虽然文化适应压力源（即歧视、法律地位和语言冲突）都对评定自己健康状况尚可/不佳的可能性有总体积极影响，但只有法律地位压力有净影响。此外，美国同龄人和家庭成员人数较多，对宗教支持机制的依赖程度较高，降低了报告健康状况尚可/不佳的可能性。然而，工具性社会支持和寻求宗教支持的水平缓和了歧视对身体健康的（不显著的，主要的）影响。本研究发现，身体健康与文化适应压力源呈负相关，与社会支持呈正相关；歧视只与缺乏社会支持的人身体健康状况较差有关。
This study looks at the effect of social support mechanisms as potential moderators and mediators of the relationship between stressful acculturation experiences and self-ratings of physical health. Data are from a sample of 3012 Mexican-origin adults aged 18-59 sampled under a probabilistic, stratified, cluster sampling design in Fresno County, California. While acculturation stressors (i.e., discrimination, legal status, and language conflict) all had a gross positive effect on the likelihood of rating oneself in fair/poor health, only legal status stress had a net effect. In addition, greater numbers of peers and family members in the United States, and a higher reliance on religious support mechanisms decreased the likelihood of reporting fair/poor health. However, levels of both instrumental social support and religious support seeking moderated the (nonsignificant, main) effects of discrimination on physical health. This study indicates that physical health is negatively associated with acculturation stressors and positively associated with social support; discrimination is only associated with poorer physical health among those for whom social support is lacking.