生命过程中感知到的歧视、主观社会地位和健康素养之间的关联：种族/民族分层分析

PEC innovation Pub Date : 2024-08-20 DOI:10.1016/j.pecinn.2024.100334

Jemar R. Bather , Adolfo G. Cuevas , Adrian Harris , Kimberly A. Kaphingst , Melody S. Goodman

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引用次数: 0

摘要

目的分析人生过程中感知到的歧视、社会地位和有限的健康素养（HL）之间的关系。方法5040名成年人参加了2023年种族主义和公共卫生调查。结果平均年龄为 47 岁，48% 为白人，20% 为拉丁裔，17% 为黑人。在总体样本中，我们观察到感知到的歧视（b = 0.05，95% CI：0.01，0.09）、主观社会地位（b = -0.16，95% CI：-0.23，-0.10）以及它们之间的交互作用（b = 0.02，95% CI：0.01，0.03）。在白人和多种族参与者中，感知到的歧视越多，HL 越低。在白人和拉丁裔参与者中，主观社会地位越高，HL 越高。在白人、拉美裔和多种族参与者中，感知到的歧视与主观社会地位对 HL 的影响之间存在统计学意义上的显著交互作用。

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Associations between perceived discrimination over the life course, subjective social status, and health literacy: A racial/ethnic stratification analysis

Objective

To analyze the relationship between perceived discrimination over the life course, social status, and limited health literacy (HL).

Methods

5040 adults who participated in the 2023 Survey of Racism and Public Health. We applied stratified multilevel models adjusted for sociodemographic characteristics.

Results

The average age was 47 years, 48% identified as White, 20% as Latinx, and 17% as Black. In the overall sample, we observed associations of perceived discrimination (b = 0.05, 95% CI: 0.01, 0.09), subjective social status (b = −0.16, 95% CI: −0.23, −0.10), and their interaction (b = 0.02, 95% CI: 0.01, 0.03). More perceived discrimination was associated with lower HL in the White and Multiracial participants. Higher subjective social status was associated with higher HL in the White and Latinx participants. There was a statistically significant interaction between perceived discrimination and subjective social status on HL among the White, Latinx, and Multiracial participants.