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Understanding the impact of discrimination on health and wellbeing

了解歧视对健康和福祉的影响

基本信息

批准号：
ES/R005990/1
负责人：
Andrew Steptoe
金额：
$ 20.35万
依托单位：
University College London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2018
资助国家：
英国
起止时间：
2018 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FR005990%2F1
关键词：
Understanding impact discrimination health wellbeing

项目摘要

Growing evidence suggests that people who experience discrimination suffer poorer mental health and may even be at increased risk of physical health conditions, including cardiovascular disease and obesity. Discrimination, as a social stressor, may adversely affect health and wellbeing through biological stress pathways, promotion of unhealthy behaviours as a means to cope with or escape negative affect, and/or restricted access to or uptake of healthcare and disease prevention services. Research in this field has been dominated by studies of racism in the USA, and the current evidence base on the impact of discrimination on health lacks high-quality longitudinal data, and consideration of varied types of discrimination (e.g. discrimination on the basis of age, sex, ethnic group, nationality, religion, language, sexual orientation, health condition, disability and weight). Examining the influence of social factors on mental health is one of the ESRC's core strategic priorities. Discrimination is a topical issue in Europe with the migrant crisis, UK 'Brexit' vote and recent terrorist attacks in England and elsewhere fuelling negative attitudes towards social minority groups. Moreover, addressing health inequalities is a major policy focus, so it is crucial to understand how discrimination affects health and wellbeing in vulnerable groups and to identify the policy levers that can reduce inequalities in health that occur as a direct result of discrimination. This study is a collaboration between an academic group at University College London and several charities working on issues of discrimination and wellbeing (Age UK, Leonard Cheshire Disability and Weight Concern), and will clarify these relationships using data from large cohorts of adults from the UK and across Europe. Our partner charities have a specific focus on discrimination based on age, disability and obesity, but we shall also address issues related to gender, ethnicity/nationality, and religion. Our specific objectives are: 1) To estimate the impact of perceived discrimination on health and wellbeing, including the extent to which effects vary according to the type of discrimination, health outcome, and European country; 2) To examine health impacts in relation to the frequency and pervasiveness of discrimination; 3) To explore mechanisms through which the multi-faceted nature of discrimination affects health and wellbeing. We anticipate that findings from this study will help policy-makers and practitioners develop policies and interventions that can help improve health and wellbeing in the different groups that experience discrimination.

越来越多的证据表明，遭受歧视的人心理健康状况较差，甚至可能面临更大的身体健康风险，包括心血管疾病和肥胖症。歧视作为一种社会压力源，可能会通过生物压力途径、促进不健康行为作为科普或逃避负面影响的手段和/或限制获得或接受保健和疾病预防服务，对健康和福祉产生不利影响。这一领域的研究一直以美国的种族主义研究为主，目前关于歧视对健康影响的证据基础缺乏高质量的纵向数据，也没有考虑到各种类型的歧视（例如基于年龄、性别、族裔群体、国籍、宗教、语言、性取向、健康状况、残疾和体重的歧视）。研究社会因素对心理健康的影响是ESRC的核心战略重点之一。歧视是欧洲的一个热门问题，移民危机，英国“脱欧”投票以及最近在英格兰和其他地方发生的恐怖袭击助长了对社会少数群体的负面态度。此外，解决健康不平等问题是一个主要的政策重点，因此，至关重要的是要了解歧视如何影响弱势群体的健康和福祉，并确定可以减少歧视直接导致的健康不平等的政策杠杆。这项研究是伦敦大学学院的一个学术团体与几个致力于歧视和福祉问题的慈善机构（英国年龄，伦纳德柴郡残疾和体重关注）之间的合作，并将使用来自英国和欧洲各地的成年人的大队列数据来澄清这些关系。我们的合作伙伴慈善机构特别关注基于年龄，残疾和肥胖的歧视，但我们也将解决与性别，种族/国籍和宗教有关的问题。我们的具体目标是：1）估计感知到的歧视对健康和福祉的影响，包括影响因歧视类型、健康结果和欧洲国家而异的程度; 2）研究与歧视频率和普遍性有关的健康影响; 3）探索歧视的多面性影响健康和福祉的机制。我们预计，这项研究的结果将有助于政策制定者和从业人员制定政策和干预措施，帮助改善遭受歧视的不同群体的健康和福祉。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Additional file 1 of Racial discrimination and health: a prospective study of ethnic minorities in the United Kingdom

附加文件 1 种族歧视与健康：英国少数民族的前瞻性研究

DOI：
10.6084/m9.figshare.13250813
发表时间：
2020
期刊：
影响因子：
0
作者：
Hackett R
通讯作者：
Hackett R

Racial discrimination and health: a prospective study of ethnic minorities in the United Kingdom.

DOI：
10.1186/s12889-020-09792-1
发表时间：
2020-11-18
期刊：
BMC public health
影响因子：
4.5
作者：
Hackett RA;Ronaldson A;Bhui K;Steptoe A;Jackson SE
通讯作者：
Jackson SE

The role of stress and health behaviour in linking weight discrimination and health: a secondary data analysis in England.

压力和健康行为在联系体重歧视和健康中的作用：英格兰的二级数据分析。

DOI：
10.1136/bmjopen-2023-072043
发表时间：
2023-09-14
期刊：
BMJ OPEN
影响因子：
2.9
作者：
Hackett, Ruth A.;Jackson, Sarah E.;Corker, Elizabeth;Steptoe, Andrew
通讯作者：
Steptoe, Andrew

Independent Associations Between Different Measures of Socioeconomic Position and Smoking Status: A Cross-Sectional Study of Adults in England.

DOI：
10.1093/ntr/ntaa030
发表时间：
2021-01-07
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
0
作者：
Beard E;Brown J;Jackson SE;West R;Kock L;Boniface S;Shahab L
通讯作者：
Shahab L

Disability discrimination and well-being in the United Kingdom: a prospective cohort study