■要分析生命历程中感知到的歧视之间的关系,社会地位,和有限的健康素养(HL)。
■参加2023年种族主义和公共卫生调查的5040名成年人。我们应用了针对社会人口统计学特征进行调整的分层多水平模型。
■平均年龄47岁,48%的人被认定为白人,20%是拉丁裔,17%为黑色。在整个样本中,我们观察到感知歧视的关联(b=0.05,95%CI:0.01,0.09),主观社会地位(b=-0.16,95%CI:-0.23,-0.10),及其相互作用(b=0.02,95%CI:0.01,0.03)。在白人和多种族参与者中,更多的歧视与较低的HL相关。在白人和拉丁裔参与者中,较高的主观社会地位与较高的HL相关。在白人中,HL的感知歧视和主观社会地位之间存在统计上显著的相互作用,Latinx,和多种族参与者。
■这项分析对公共卫生实践有影响,这表明需要多层次的干预措施来解决有限的HL。
■我们的发现为确定关键的SDOH指标提供了新颖的见解,以在临床环境中进行评估,以提供健康素养护理。
UNASSIGNED: To analyze the relationship between perceived discrimination over the life course, social status, and limited health literacy (HL).
UNASSIGNED: 5040 adults who participated in the 2023 Survey of Racism and Public Health. We applied stratified multilevel models adjusted for sociodemographic characteristics.
UNASSIGNED: 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.
UNASSIGNED: This analysis has implications for public health practice, indicating that multi-level interventions are needed to address limited HL.
UNASSIGNED: Our findings provide novel insights for identifying key SDOH indicators to assess in clinical settings to provide health literate care.