Health-related behaviours mediate the relation between ethnicity and (mental) health in the Netherlands

Autor: Özcan Erdem, Margot van der Doef, Elisa Riva, Alex Burdorf, Richard G. Prins
Přispěvatelé: Public Health
Rok vydání: 2019
Předmět:
Adult
Male
Cultural Studies
Gerontology
Mediation (statistics)
Alcohol Drinking
Turkey
ethnic inequalities
Inequality
media_common.quotation_subject
Health Behavior
Depression
psychological distress
self-rated health
ethnic inequalities
health-related behaviors
mediation analysis
Ethnic group
self-rated health
Diagnostic Self Evaluation
03 medical and health sciences
0302 clinical medicine
psychological distress
Arts and Humanities (miscellaneous)
SDG 3 - Good Health and Well-being
Risk Factors
Environmental health
Ethnicity
Humans
030212 general & internal medicine
mediation analysis
Socioeconomic status
Depression (differential diagnoses)
Aged
Netherlands
media_common
Self-rated health
030505 public health
Depression
Smoking
Public Health
Environmental and Occupational Health
Middle Aged
health-related behaviors
Health Surveys
Mental health
Morocco
Distress
Mental Health
Female
0305 other medical science
Psychology
Zdroj: Ethnicity & Health, 24(3), 287-300. Routledge
ISSN: 1355-7858
Popis: Objective: Ethnic minorities in the Netherlands experience worse (mental) health than Dutch natives. So far, socioeconomic factors, discrimination, and the migration process have been identified as underlying factors, neglecting the potential role of health-related behaviours. This study investigates the mediating effect of lack of physical activity, smoking and alcohol consumption on ethnic inequalities in (mental) health in the Netherlands.Design: Data from a municipal health survey (2012) in the four largest cities in the Netherlands, including 15,633 Dutch natives, 1,297 Surinamese, 850 Turks and 779 Moroccans were analysed. Mediation analyses were performed on the associations between ethnicity and psychological distress (range 10–50) and self-rated health (range 1–5).Results: Being from an ethnic minority was associated with higher distress and poorer self-rated health, especially for Turks (higher distress 4.69, 95%CI 4.22–5.16; poorer health 0.35, 95%CI 0.30–0.40). Moroccans and Turks were the least physically active, Turks smoked the most, and Dutch natives drank the most. Lack of physical activity partially mediated the association between Turks (6% respectively 11%) and Moroccans (13% respectively 9%) for psychological distress and self-rated health. Smoking played a mediating role (3%) in Turks.Conclusion: Lower physical activity and smoking more cigarettes partly explained ethnic health inequalities in the Netherlands. The current findings suggest that intervening and facilitating certain ethnic groups in engaging in health behaviours could contribute to improving their health and reduce ethnic health inequalities.
Databáze: OpenAIRE
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