Guided by an intersectionality framework, this study examined intersectional discrimination attributions and their associations with health outcomes. Older respondents (aged ≥50) from the Health and Retirement Study in 2014-2015 were included (N = 6286). Their reasons for discrimination (age, gender, sexual orientation, race, national origin, religion, financial status, weight, physical appearance, disability, and others) were examined. Latent class analysis examined the subgroup profiles. Six classes were identified: class 1 (54.52% of the sample) had no/minimal discrimination; Class 2 (21.89%) experienced primarily ageism; class 3 (8.81%) reported discrimination based on age/gender/national origin/race; class 4 (7.99%) attributed discrimination to financial/other reasons; class 5 (5.87%) experienced discrimination based on age/weight/physical appearance/disability; and class 6 (0.92%) perceived high discrimination. Intersectional discrimination was associated with poorer self-rated health and higher depressive symptoms compared to the no/minimal discrimination group. Multiple marginalized identities co-occur and contribute to discrimination. An intersectional approach is recommended to understand discrimination in later life.

在交叉性框架的指导下，本研究检查了交叉性歧视归因及其与健康结果的关联。纳入 2014-2015 年健康与退休研究的老年受访者（年龄≥50 岁）（N = 6286）。对他们的歧视原因（年龄、性别、性取向、种族、国籍、宗教、经济状况、体重、外貌、残疾等）进行了调查。潜在类别分析检查了亚组概况。确定了六个类别：类别 1（占样本的 54.52%）没有/最小的歧视；2 级 (21.89%) 主要经历了年龄歧视；第 3 类（8.81%）报告了基于年龄/性别/国籍/种族的歧视；第 4 类（7.99%）将歧视归因于经济/其他原因；第 5 类（5.87%）经历过基于年龄/体重/外貌/残疾的歧视；和第 6 级（0.92%）认为高度歧视。与没有/最小歧视组相比，交叉歧视与较差的自评健康和较高的抑郁症状有关。多种边缘化身份同时出现并助长了歧视。建议采用交叉方法来了解晚年生活中的歧视。