Within-Group Health Disparities Among Blacks: The Effects of Afrocentric Features and Unfair Treatment
Within-Group Health Disparities Among Blacks: The Effects of Afrocentric Features and Unfair Treatment
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DOI：
10.1037/a0032566
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发表时间：
2013-10-01
影响因子：
3.3
通讯作者：
Albrecht, Terrance L.
中科院分区：
文献类型：
--
作者：
Hagiwara, Nao;Penner, Louis A.;Albrecht, Terrance L.
先前关于非洲中心特征对健康影响的研究主要集中在一个特征上，即肤色。我们探讨了另外两个以非洲为中心的特征（嘴唇厚度、鼻子宽度）对黑人健康状况的影响，以及不公平待遇是否介导了这些特征与健康之间的关系。对先前的一项黑人患者健康研究进行了二次分析。强（高嘴唇和高鼻子比例）和弱（低嘴唇和低鼻子比例）非中心特征（即一致特征）的患者比不一致特征的患者健康状况较差。与肤色的研究结果不同，预测健康的是五官的一致性，而不是力量。一致性以同样的方式预测感知到的不公平待遇。重要的是，感知到的不公平待遇介导了非洲中心特征与健康之间的关系。这项研究表明，即使是非洲中心特征上的细微差异，也会对黑人的健康产生严重的长期影响。本文还讨论了研究结果的临床意义。
Prior research on the impact of Afrocentric features on health has focused primarily on a single feature, skin color. We explored the effects of two other Afrocentric features (lip thickness, nose width) on Blacks' health status and whether unfair treatment mediates any relationship between these features and health. A secondary analysis of a prior study of Black patients' health was conducted. Patients with strong (high lip and high nose ratios) and weak (low lip and low nose ratios) Afrocentric features (i.e., congruent features) had poorer health than patients with incongruent features. Unlike findings for skin color, congruence of features rather than strength predicted health. Congruence predicted perceived unfair treatment in the same manner. Importantly, perceived unfair treatment mediated the relation between Afrocentric features and health. The study suggests that even subtle differences in Afrocentric features can have serious long-term health consequences among Blacks. Clinical implications of the findings are discussed.