衡量所感知的歧视及其对拉丁裔健康的影响
1Department of Sociology, College of Arts and Sciences, Adelphi University, Garden City, NY 11530, USA.
概括
歧视会对健康产生负面影响,但研究往往忽略了拉丁裔的种族差异. 对歧视的精细测量揭示了与健康结果的更强有力的联系,突出了分离种族群体的必要性.
科学领域:
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
- 心理测量 心理测量
背景情况:
- 歧视是已知的健康的社会决定因素.
- 现有的研究经常使用单维尺度,掩盖种族差异和歧视的多维性质.
- 拉丁裔人口多样化,但在研究中经常被视为一个单一的群体.
研究的目的:
- 通过使用日常歧视量表 (EDS) 检查拉丁裔群体之间所感知歧视的种族差异.
- 通过确认因素分析,评估EDS在不同拉丁裔族群中的适应性和维度.
- 评估不同的歧视量化方法如何影响其与抑郁症和慢性健康状况的关系.
主要方法:
- 利用了国家拉丁裔和亚裔美国人研究的数据.
- 针对不同拉丁裔族群的EDS进行了确认因素分析 (CFA).
- 比较了歧视 (使用各种缩放方法) 和健康结果 (抑郁症,慢性疾病) 之间的关联.
主要成果:
- 在拉丁裔群体中发现了明显的种族差异.
- 一个二级因素模型,包括微妙和公开的歧视,在所有研究的拉丁裔族群中都表现出很好的匹配.
- 当使用二级因子模型测量歧视时,歧视与健康之间的关联更为强烈.
结论:
- 除了传统的阿尔法尺度之外,替代性缩放方法更适合用于测量歧视.
- 准确地衡量歧视,承认其多维性,对于准确评估其对健康的影响至关重要.
- 分解像"拉丁裔"这样的泛民族类别对于理解种族分层及其对健康的影响至关重要.
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