除了吸烟:青少年喘率中的耻辱的作用
Benjamin Parchem1, Amy L Gower2, Marla E Eisenberg2
1Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School.
概括
喘差异与边缘化身份和欺凌有关,而不仅仅是物质使用. 解决耻辱是减少年轻人健康不平等的关键.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 喘影响了相当一部分青少年,在各种人口群体中观察到显著的差异.
- 了解社会人口因素,物质使用和社会耻辱的相互作用,对于解决这些健康不平等问题至关重要.
研究的目的:
- 在社会人口统计学特征,吸入物质使用和基于偏见的欺凌的交叉点调查喘差异.
- 根据社会和行为因素的结合,确定高患喘群体.
主要方法:
- 利用了2022年明尼苏达州学生调查 (N=90,367) 的数据,包括八年级,九年级和十一年级的学生.
- 采用Chi-square自动交互检测来分析性别认同,性取向,种族/民族认同,资源,吸入物质使用和基于偏见的欺凌的组合.
- 基于自我报告的喘诊断,预测相互排斥的群体.
主要成果:
- 大约15%的学生报告患有喘;性,性别和种族/种族多样化的年轻人显示出更高的比例.
- 高喘患病率 (24-41%) 集中在多个边缘化身份的群体中,经历了基于偏见的欺凌,并使用吸入物质.
- 高发病率喘群体的一个子集没有吸入物质使用,这表明了其他促成因素.
结论:
- 耻辱,特别是基于偏见的欺凌,可能会显著导致边缘化的年轻人的喘差异.
- 干预措施应解决像耻辱感这样的根本原因,而不是仅仅关注个人的健康行为.
- 未来的研究应该探索系统性炎症作为耻辱和喘之间的潜在生物联系.
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