研究美国拉美裔的 "白人健康优势 "效应。

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Immigrant and Minority Health Pub Date : 2024-12-01 Epub Date: 2024-07-22 DOI:10.1007/s10903-024-01621-6
Daniel F López-Cevallos, Nicole Jones, Megan M Patton-Lopez
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引用次数: 0

摘要

关于美国种族(和族裔)概念的社会政治根源,人们已达成共识。无论如何武断,美国社会对种族的解释意味着少数种族/族裔承受着不成比例的健康负担。本研究通过对拉美裔(非白人和白人)与非拉美裔白人进行比较,在大量美国受访者样本中考察了所谓的 "白人健康优势 "效应。这项横断面研究使用的是 Dynata 全球 COVID 症状图项目的去身份数据,收集时间为 2020 年 7 月 7-14 日(n = 135,075)。受访者对任何 COVID-19 症状(呼吸困难、咳嗽、疲劳、发烧、味觉或嗅觉丧失)的回答为 "是"/"否",由此创建了一个二分健康状况变量。我们纳入了相关的诱发因素(年龄、性别、子女数量、种族、民族、婚姻状况和教育程度)和有利因素(住房条件、收入、就业状况、企业所有权和拥有汽车的数量--财富的替代衡量标准)。多变量逻辑回归模型显示,拉美裔(非白人、白人)与非拉美裔白人的健康状况(以 COVID-19 症状衡量)存在显著差异。例如,较高的社会经济地位只对非拉美裔白人有保护作用。反过来,已婚/与伴侣同居也只与拉美白人的 COVID-19 症状有关,这表明这种 "改善 "社会政治地位的明显益处是有限的。我们的研究发现,拉丁裔(非白人、白人)与非拉丁裔白人在 COVID-19 症状方面存在明显差异。我们的研究结果强调了进一步研究美国拉美裔种族身份健康结果的重要性,这有助于为未来的健康公平工作提供信息。
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Examining the "White Health Advantage" Effect among Latinos in the United States.

There is consensus regarding the socio-political roots of the concept of race (and ethnicity) in the United States (US). However arbitrary, the US societal constructions of race have meant racial/ethnic minorities experience disproportionate health burdens. The present study examined the so-called "white health advantage" effect in a large sample of US respondents, comparing Latinos (non-White and White) with non-Latino Whites. This cross-sectional study used deidentified data from the Dynata Global COVID Symptoms map project, collected between July 7-14, 2020 (n = 135,075). A dichotomous health status variable was created with respondents answering yes/no to any COVID-19 symptoms (difficulty breathing, coughing, fatigue, fever, and loss of taste or smell). We included relevant predisposing (age, gender, number of children, race, ethnicity, marital status, and education) and enabling factors (housing conditions, income, employment status, business ownership, and number of cars owned - a proxy measure for wealth). Multivariate logistic regression models showed significant differences in health status (as measured by COVID-19 symptoms) when comparing Latinos (non-White, White) and non-Latino Whites. For instance, higher socioeconomic status had a protective effect only among non-Latino Whites. In turn, being married/living with a partner was only associated with COVID-19 symptoms among White Latinos, indicating that the apparent benefits of this "improving" socio-political location are somewhat limited. Our study found significant differences in COVID-19 symptoms when comparing Latinos (non-White, White) and non-Latino Whites. Our findings underscore the importance of further examining health outcomes by racial identities of US Latinos, which can help inform future health equity efforts.

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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
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