Dimensions of Perceived Racism and Self-Reported Health: Examination of Racial/Ethnic Differences and Potential Mediators
Dimensions of Perceived Racism and Self-Reported Health: Examination of Racial/Ethnic Differences and Potential Mediators
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DOI：
10.1007/s12160-011-9265-1
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发表时间：
2011-08-01
影响因子：
3.8
通讯作者：
Schwartz, Joseph
中科院分区：
文献类型：
--
作者：
Brondolo, Elizabeth;Hausmann, Leslie R. M.;Schwartz, Joseph
本研究的目的是考察种族/民族歧视与健康之间关系的种族/民族差异，找出驱动这种关系的歧视维度，并探索心理调节因素。方法亚裔、黑人和拉丁裔(A)成年人(N=734)完成了种族/民族歧视、自我报告健康、抑郁、焦虑和玩世不恭的敌意的测量。结果感觉歧视和不良的自我报告健康之间的关联显著，并且在种族/民族亚组之间没有差异。与种族有关的社会排斥和威胁/骚扰是造成所有群体健康状况不佳的唯一原因。抑郁、焦虑和愤世嫉俗的敌意完全中介了社会排斥对健康的影响，但不能完全解释威胁的影响。结论种族排斥和威胁的有害影响超越了歧视体验的组间差异。然而，与种族相关的排斥和对健康的威胁的影响可能通过不同的机制发挥作用。
Background Many details of the negative relationship between perceived racial/ethnic discrimination and health are poorly understood.Purpose The purpose of this study was to examine racial/ethnic differences in the relationship between perceived discrimination and self-reported health, identify dimensions of discrimination that drive this relationship, and explore psychological mediators.Methods Asian, Black, and Latino(a) adults (N = 734) completed measures of perceived racial/ethnic discrimination, self-reported health, depression, anxiety, and cynical hostility.Results The association between perceived discrimination and poor self-reported health was significant and did not differ across racial/ethnic subgroups. Race-related social exclusion and threat/harassment uniquely contributed to poor health for all groups. Depression, anxiety, and cynical hostility fully mediated the effect of social exclusion on health, but did not fully explain the effect of threat.Conclusions Our results suggest that noxious effects of race-related exclusion and threat transcend between-group differences in discriminatory experiences. The effects of race-related exclusion and threat on health, however, may operate through different mechanisms.