Associations Between Racial Discrimination, Limited English Proficiency, and Health-Related Quality of Life Among 6 Asian Ethnic Groups in California
Associations Between Racial Discrimination, Limited English Proficiency, and Health-Related Quality of Life Among 6 Asian Ethnic Groups in California
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DOI：
10.2105/ajph.2009.178012
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发表时间：
2010-05-01
影响因子：
12.7
通讯作者：
Ponce, Ninez
中科院分区：
文献类型：
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作者：
Gee, Gilbert C.;Ponce, Ninez
目标.我们研究了种族歧视和有限的英语能力与健康相关的生活质量在加利福尼亚州的亚裔美国人之间的关联。我们研究了2003年和2005年参加加州健康访谈调查的中国人（n = 2576）、菲律宾人（n = 1426）、日本人（n = 833）、韩国人（n = 1128）、南亚人（n = 822）和越南人（n = 938）。我们用疾病控制和预防中心的自测健康、活动限制天数和不健康天数的措施评估健康相关的生活质量。总体而言，在调整人口统计学特征后，报告种族歧视或英语水平有限的亚洲人更有可能生活质量差。报告受到歧视的南亚参与者每年的活动限制天数估计比没有报告受到歧视的南亚人多14.4天。其他组的结果相似。我们观察到类似的，但不太一致的协会有限的英语能力。种族歧视，以及在较小程度上有限的英语能力，似乎是亚洲族裔群体生活质量的关键相关因素。(Am J公共卫生。2010;100：888-895。doi：10.2105/AJPH.2009.178012）
Objectives. We examined the association of racial discrimination and limited English proficiency with health-related quality of life among Asian Americans in California.Methods. We studied Chinese (n = 2576), Filipino (n = 1426), Japanese (n = 833), Korean (n = 1128), South Asian (n = 822), and Vietnamese (n = 938) respondents to the California Health Interview Survey in 2003 and 2005. We assessed health-related quality of life with the Centers for Disease Control and Prevention's measures of self-rated health, activity limitation days, and unhealthy days.Results. Overall, Asians who reported racial discrimination or who had limited English proficiency were more likely to have poor quality of life, after adjustment for demographic characteristics. South Asian participants who reported discrimination had an estimated 14.4 more activity limitation days annually than South Asians who did not report discrimination. Results were similar among other groups. We observed similar but less consistent associations for limited English proficiency.Conclusions. Racial discrimination, and to a lesser extent limited English proficiency, appear to be key correlates of quality of life among Asian ethnic groups. (Am J Public Health. 2010;100:888-895. doi:10.2105/AJPH.2009.178012)