农村女性中的抑郁与贫困：社会因果关系还是社会选择关系？
Depression and poverty among rural women: a relationship of social causation or social selection?
作者信息
Simmons Leigh A, Braun Bonnie, Charnigo Richard, Havens Jennifer R, Wright David W
机构信息
Department of Family Studies, University of Kentucky, Lexington, Kentucky 40506-0054, USA.
出版信息
J Rural Health. 2008 Summer;24(3):292-8. doi: 10.1111/j.1748-0361.2008.00171.x.
CONTEXT AND PURPOSE
Depression among rural women is a major public health concern. The purpose of this study was to test the competing theories of social causation and social selection to assess the relationship between depression and economic status for a sample of rural, low-income women in the United States.
METHODS
Structural equation modeling was used to analyze data from Rural Families Speak, a US Department of Agriculture-funded multi-state, longitudinal study of rural low-income families (N = 413).
FINDINGS
Results indicated that the social causation theory yielded a better approximation of the relationship between economic status and depression (RMSEA = 0.50 for a model based on this theory) than the social selection theory (RMSEA = 0.067).
CONCLUSIONS
The association between lesser economic status and depressive symptoms is pressing in rural areas, given the high prevalence of both depression and poverty. These findings further emphasize the need for improved mental health services in this vulnerable population.
背景与目的
农村女性的抑郁症是一个重大的公共卫生问题。本研究的目的是检验社会因果关系和社会选择这两种相互竞争的理论，以评估美国农村低收入女性样本中抑郁症与经济状况之间的关系。
方法
采用结构方程模型分析来自“农村家庭发声”的数据，这是一项由美国农业部资助的多州农村低收入家庭纵向研究（N = 413）。
结果
结果表明，与社会选择理论（RMSEA = 0.067）相比，社会因果关系理论对经济状况与抑郁症之间的关系给出了更好的近似值（基于该理论的模型RMSEA = 0.50）。
结论
鉴于抑郁症和贫困的高患病率，农村地区经济状况较差与抑郁症状之间的关联十分紧迫。这些发现进一步强调了在这一弱势群体中改善心理健康服务的必要性。
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