PURPOSE To investigate whether emotional and physical reactions to perceived discrimination are associated with health-related quality of life (HRQOL) among whites and Latinos (by language preference) in Arizona. METHODS A cross-sectional analysis using the Arizona Behavioral Risk Factor Surveillance System (2012-2014) was restricted to non-Hispanic white and Latino (grouped by English- or Spanish-language preference) participants who completed the Reactions to Race optional module (N = 14,623). Four core items from the Centers for Disease Control and Prevention's Healthy Days Measures were included: self-rated health; physically unhealthy, mentally unhealthy; and functionally limited days. Poisson regression models estimated prevalence ratios and 95% confidence intervals (CIs) for poor self-rated health. Multinomial logistic models estimated odds ratios and 95% CI for poor mental, physical, and functionally limited days (defined as 14 + more days). Models were adjusted for sociodemographics, health behaviors, and multimorbidity. RESULTS Reports of emotional and physical reactions to perceived discrimination were highest among Spanish-language preference Latinos. Both Spanish- and English-language preference Latinos were more likely to report poor self-rated health in comparison to whites. In separate fully adjusted models, physical reactions were positively associated with each HRQOL measure. Emotional reactions were only associated with reporting 14 + mental unhealthy (aOR 3.16; 95% CI 1.82; 5.48) and functionally limited days (aOR 1.93; 95% CI 1.04, 3.58). CONCLUSIONS Findings from this study suggest that physical and emotional reactions to perceived discrimination can manifest as diminished HRQOL. Consistent collection of population-based measures of perceived discrimination is warranted to track and monitor differential health vulnerability that affect Latinos.

中文翻译：

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拉丁裔和白人对感知的歧视，语言偏爱以及与健康相关的生活质量的情绪和身体反应。

目的调查亚利桑那州的白人和拉丁裔（根据语言偏爱）对感知歧视的情绪和身体反应是否与健康相关的生活质量（HRQOL）相关。方法采用亚利桑那州行为危险因素监测系统（2012-2014）进行的横断面分析仅限于完成了“竞赛反应”可选模块（N）的非西班牙裔白人和拉丁裔（按英语或西班牙语偏好分组） = 14,623）。疾病控制和预防中心的“健康日措施”包括四个核心项目：自我评估健康；身体不健康，精神不健康；和功能有限的日子。泊松回归模型估计了不良自我评价的患病率和95％的置信区间（CI）。多项逻辑模型估计了精神，身体和功能有限的日子（定义为14天以上）的赔率和95％CI。针对社会人口统计学，健康行为和多发病率对模型进行了调整。结果在西班牙语偏爱拉丁裔中，对感知歧视的情绪和身体反应的报告最高。与白人相比，西班牙语和英语偏爱的拉丁美洲人更有可能报告自我评估的健康状况较差。在单独的完全调整的模型中，身体反应与每个HRQOL量度均呈正相关。情绪反应仅与报告14 +精神不健康（aOR 3.16; 95％CI 1.82; 5.48）和功能受限的天数（aOR 1.93; 95％CI 1.04，3.58）相关。结论从这项研究中发现，对感知到的歧视的身体和情感反应可以表现为HRQOL降低。必须一致收集基于人口的感知歧视措施，以追踪和监测影响拉美裔的不同健康脆弱性。