دانلود مقاله ISI انگلیسی شماره 58601
ترجمه فارسی عنوان مقاله

از احساس تبعیض تا سلامت خودامتیاز دهی: بررسی نقش بی اعتمادی، سرمایه اجتماعی و رفتارهای بهداشتی

عنوان انگلیسی
The pathways from perceived discrimination to self-rated health: An investigation of the roles of distrust, social capital, and health behaviors
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
58601 2014 10 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Social Science & Medicine, Volume 104, March 2014, Pages 64–73

ترجمه کلمات کلیدی
ایالات متحده آمریکا؛سلامت خودامتیازدهی ؛ درک تبعیض؛ بی اعتمادی سیستم مراقبت های بهداشتی ؛ محله سرمایه اجتماعی؛ مدل معادلات ساختاری
کلمات کلیدی انگلیسی
USA; Self-rated health; Perceived discrimination; Health care system distrust; Neighborhood social capital; Structural equation model
پیش نمایش مقاله
پیش نمایش مقاله  از احساس تبعیض تا سلامت خودامتیاز دهی: بررسی نقش بی اعتمادی، سرمایه اجتماعی و رفتارهای بهداشتی

چکیده انگلیسی

Although there has been extensive research on the adverse impacts of perceived discrimination on health, it remains unclear how perceived discrimination gets under the skin. This paper develops a comprehensive structural equation model (SEM) by incorporating both the direct effects of perceived discrimination on self-rated health (SRH), a powerful predictor for many health outcomes, and the indirect effects of perceived discrimination on SRH through health care system distrust, neighborhood social capital, and health behaviors and health conditions. Applying SEM to 9880 adults (aged between 18 and 100) in the 2008 Southeastern Pennsylvania Household Health Survey, we not only confirmed the positive and direct association between discrimination and poor or fair SRH, but also verified two underlying mechanisms: 1) perceived discrimination is associated with lower neighborhood social capital, which further contributes to poor or fair SRH; and 2) perceived discrimination is related to risky behaviors (e.g., reduced physical activity and sleep quality, and intensified smoking) that lead to worse health conditions, and then result in poor or fair SRH. Moreover, we found that perceived discrimination is negatively associated with health care system distrust, but did not find a significant relationship between distrust and poor or fair SRH.