Levecque Katia, Lodewyckx Ina, Vranken Jan
University of Antwerp, Faculty of Political and Social Sciences-Research Unit on Poverty, Social Exclusion and the City (OASeS), Belgium.
J Affect Disord. 2007 Jan;97(1-3):229-39. doi: 10.1016/j.jad.2006.06.022. Epub 2006 Aug 9.
Knowledge of the mental health status of the general population in Belgium is limited. Only recently have prevalence rates and risk factors for depression and generalised anxiety been identified. However, the question remains whether there are statistically significant differences between foreign origin groups and the native population.
Basing our study on data from the Belgian Health Interview Survey 2001 and focusing on the adult population aged 18-65 (N=7224), we consider eight risk factors for depression and generalised anxiety as assessed by the Symptom Checklist 90-subscales. The risk factors are region of origin, gender, age, household type, labour market position, educational level, household income and home ownership. Our approach involves weighted logistic regression.
Analysis shows that most depressive symptoms are more prevalent among persons of Turkish or Moroccan origin than among Belgians or people from other EU Member States. This is not the case, though, for anxiety symptoms. However, if we consider depression and generalised anxiety as a syndrome, we find significantly more of the 10% highest SCL-scores in Turkish and Moroccan immigrants. Multivariate analysis indicates that their higher prevalence rate of anxiety is entirely attributable to their lower socioeconomic position. In the case of depression, the risk decreases only partly, leaving a significant association with Turkish or Moroccan origin.
In Belgium, depression and generalised anxiety are more prevalent in the population originating from Turkey and Morocco than in population groups originating from within the European Union.
对比利时普通人群心理健康状况的了解有限。直到最近才确定了抑郁症和广泛性焦虑症的患病率及风险因素。然而,外国裔群体与本地人口之间是否存在统计学上的显著差异仍是个问题。
我们的研究基于2001年比利时健康访谈调查的数据,重点关注18 - 65岁的成年人口(N = 7224),我们将症状自评量表90分量表评估的八个抑郁症和广泛性焦虑症风险因素纳入考虑。这些风险因素包括原籍地区、性别、年龄、家庭类型、劳动力市场地位、教育水平、家庭收入和住房所有权。我们采用加权逻辑回归方法。
分析表明,大多数抑郁症状在土耳其或摩洛哥裔人群中比在比利时人或其他欧盟成员国人群中更为普遍。然而,焦虑症状并非如此。但是,如果我们将抑郁症和广泛性焦虑症视为一种综合征,我们发现在土耳其和摩洛哥移民中,症状自评量表得分最高的10%人群比例显著更高。多变量分析表明,他们较高的焦虑患病率完全归因于其较低的社会经济地位。就抑郁症而言,风险仅部分降低,与土耳其或摩洛哥裔仍存在显著关联。
在比利时,抑郁症和广泛性焦虑症在来自土耳其和摩洛哥的人群中比在来自欧盟内部的人群中更为普遍。