Intersectionality matters for hispanic health: A replication study using the All of Us Research Program.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-09-30 DOI:10.1186/s12939-024-02280-7
Mariana Rodrigues, Emma Risner, Brennan Rhodes-Bratton, Stephanie H Cook, Adolfo Cuevas
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Abstract

Background: Despite research dedicated to understanding the health profiles and health-related outcomes of Hispanic individuals, the prevailing body of literature frequently homogenizes the Hispanic population, failing to address the role of race in Hispanic health discourse. Thus, the current study applies an intersectional lens to identify health differences and similarities among Hispanic subgroups.

Methods: Sociodemographic characteristics and health domain variables (i.e., health status, health services, and health behaviors) from participants (N = 11,192) were included in the analyses. Bivariate Chi-squared tests examined the relationship between sociodemographic and health domain variables Black Hispanic individuals, white Hispanic individuals, and non-Hispanic Black individuals.

Results: Findings suggest that Non-Hispanic Black American individuals reported the highest rates of hypertension (49.09%) and diabetes (19.62%) compared to Black-Hispanic individuals (22.45% and 12.98%) and white Hispanic individuals (22.22% and 8.02%). Black Hispanic individuals reported the greatest proportion of asthma diagnoses (35.10%) and those who saw a doctor in the previous year (95.52%) compared to white Hispanic individuals (26.84%, and 91.10%, respectively) and non-Hispanic Black individuals ( 21.74%, and 94.69%, respectively).

Conclusion: Specifically, we found that several health behaviors and health-related outcomes significantly varied across different racial/ethnic groups, demonstrating the advantage of an intersectional approach to identify health disparities among racially diverse ethnic groups.

Public health significance: We encourage the development of health care services with an awareness of the complexities resulting from racial differences within the Hispanic diaspora.

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交叉性对西班牙裔健康至关重要:利用 "我们所有人 "研究计划开展的一项复制研究。
背景:尽管有研究致力于了解西语裔个人的健康状况和与健康相关的结果,但主流文献经常将西语裔人口同质化,未能解决种族在西语裔健康讨论中的作用。因此,本研究采用交叉视角来识别西班牙裔亚群体之间的健康差异和相似性:分析包括参与者(人数 = 11,192)的社会人口特征和健康领域变量(即健康状况、健康服务和健康行为)。双变量卡方检验检验了社会人口学变量和健康领域变量之间的关系:西班牙裔黑人、西班牙裔白人和非西班牙裔黑人:研究结果表明,与西班牙裔黑人(22.45% 和 12.98%)和西班牙裔白人(22.22% 和 8.02%)相比,非西班牙裔美国黑人报告的高血压(49.09%)和糖尿病(19.62%)发病率最高。与西班牙裔白人(分别为 26.84% 和 91.10%)和非西班牙裔黑人(分别为 21.74% 和 94.69%)相比,西班牙裔黑人报告的哮喘诊断比例(35.10%)和前一年看过医生的比例(95.52%)最高:具体而言,我们发现不同种族/族裔群体的几种健康行为和健康相关结果存在显著差异,这表明采用交叉方法识别不同种族族裔群体之间的健康差异具有优势:公共卫生意义:我们鼓励在发展医疗保健服务时,认识到西班牙裔散居地的种族差异所带来的复杂性。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
期刊最新文献
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