Sachs-Ericsson N, Plant E A, Blazer D G
Department of Psychology, Florida State University, Tallahassee, FL 32306-1270, USA.
Aging Ment Health. 2005 May;9(3):201-9. doi: 10.1080/13607860500114480.
In a biracial sample of community dwelling elders (n=4162, the Duke EPESE), African-Americans endorsed more items than Whites on a standardized depression scale, the CES-D, in unadjusted, cross-sectional analyses. However, indices of socioeconomic status (e.g., education and problems meeting needs) were found to mediate the relationship between race and depression. When these socioeconomic variables were included in cross-sectional analyses, the association between depressive symptoms and race reversed such that Whites were significantly more likely to endorse depressive symptoms than African-Americans. Further, whereas in unadjusted, longitudinal analyses, race was unrelated to changes in depressive symptoms over time, with the inclusion of the socioeconomic variables Whites were found to endorse more depressive symptoms than African-Americans. We conclude that socioeconomic variables influence the size and direction of racial differences in the endorsement of depressive symptoms in community dwelling elders.
在一个社区居住老年人的双种族样本（n = 4162，杜克老年纵向研究）中，在未经调整的横断面分析中，非裔美国人在标准化抑郁量表（CES - D）上认可的项目比白人更多。然而，社会经济地位指标（如教育程度和满足需求方面的问题）被发现可调节种族与抑郁之间的关系。当这些社会经济变量纳入横断面分析时，抑郁症状与种族之间的关联发生逆转，白人比非裔美国人更有可能认可抑郁症状。此外，在未经调整的纵向分析中，种族与抑郁症状随时间的变化无关，但纳入社会经济变量后，发现白人比非裔美国人认可更多的抑郁症状。我们得出结论，社会经济变量影响社区居住老年人在抑郁症状认可方面种族差异的大小和方向。
