Racial Discrimination and Health-Related Quality of Life: An Examination Among Asian American Immigrants.

Adult Asian / psychology Cross-Sectional Studies Emigrants and Immigrants Humans Male Quality of Life / psychology Racism / psychology
Asian Americans Health-related quality of life Racial discrimination

Journal

Journal of racial and ethnic health disparities
ISSN: 2196-8837
Titre abrégé: J Racial Ethn Health Disparities
Pays: Switzerland
ID NLM: 101628476

Informations de publication

Date de publication:
08 2022
Historique:
received: 13 12 2020
accepted: 18 05 2021
revised: 25 04 2021
pubmed: 5 6 2021
medline: 7 7 2022
entrez: 4 6 2021
Statut: ppublish

Résumé

We aimed to examine the relationship between everyday and major racial discrimination with health-related quality of life (HRQOL), which consists of self-rated health, days of poor physical health, mental health, and activity limitation. In a cross-sectional analytic sample of 524 foreign-born Asian adults, aged 18 years and older, we conducted multivariable logistic regression and multivariable negative binomial regression to examine associations between discrimination and HRQOL. Furthermore, potential effect modification was tested by gender, ethnicity, and social support. Associations were found between everyday racial discrimination and days of poor physical health (incidence rate ratio, IRR = 1.05), mental health (IRR = 1.03), and activity limitation (IRR = 1.05). Stronger significant associations were observed between major racial discrimination and days of poor physical health (IRR = 1.21), mental health (IRR = 1.16), and activity limitation (IRR = 1.53), adjusting for all covariates. Racial discrimination was not associated with poor self-rated health. In addition, gender significantly modified the relationship between continuous racial discrimination and activity limitation days with associations of greater magnitude among men, while social support significantly modified the association between categorized major racial discrimination and physically unhealthy days. When stratified, the association was only significant among those with low social support (IRR = 3.04; 95% CI: 1.60, 5.79) as opposed to high social support. This study supports the association between racial discrimination and worse HRQOL among Asian Americans, which can inform future interventions, especially among men and those with low social support, aimed at improving the quality of life in this population.

Identifiants

DOI: 10.1007/s40615-021-01067-8 PMID: 34086197 PMC: PMC8176876
pubmed: 34086197
doi: 10.1007/s40615-021-01067-8
pii: 10.1007/s40615-021-01067-8
pmc: PMC8176876
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1262-1275

Subventions

Organisme : NCI NIH HHS
ID : R01CA163805
Pays : United States

Informations de copyright

© 2021. W. Montague Cobb-NMA Health Institute.

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Auteurs

Mary Y Jung (MY)

Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD, 20742, USA. mjung@terpmail.umd.edu.
ORCID: 0000-0003-2330-5985

Hee-Soon Juon (HS)

Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, 834 Chestnut Street, Philadelphia, PA, 19107, USA.

Natalie Slopen (N)

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.

Xin He (X)

Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD, 20742, USA.

Stephen B Thomas (SB)

Department of Health Policy and Management, University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD, 20742, USA.

Sunmin Lee (S)

Department of Medicine, School of Medicine, University of California, Irvine, 653 E Peltason Drive, Irvine, CA, 92697, USA.

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questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Racial Discrimination and Health-Related...
questionsmedicales.fr › Personnes › Nord-Américains › Groupes de population aux États-Unis › Populations d'origine continentale › Américain origine asiatique › Racial Discrimination and Health-Related...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Racial Discrimination and Health-Related...
questionsmedicales.fr › Personnes › Émigrants et immigrants › Racial Discrimination and Health-Related...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Racial Discrimination and Health-Related...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Racial Discrimination and Health-Related...
questionsmedicales.fr › Sciences sociales › Sociologie › Problèmes sociaux › Ségrégation sociale › Relations raciales › Racisme › Racial Discrimination and Health-Related...