School of Public Health, University of Sydney, Sydney, NSW.
Med J Aust. 2010 Feb 1;192(3):158-62. doi: 10.5694/j.1326-5377.2010.tb03456.x.
To describe the prevalence of depressive symptoms in older male Italian-born Australian immigrants.
DESIGN, PARTICIPANTS AND SETTING: Cross-sectional study of 335 Italian-born and 849 Australian-born men aged 70 years and over who completed written questionnaires and were interviewed in the baseline phase of the Concord Health and Ageing in Men Project (CHAMP).
Depressive symptoms assessed by the short (15-item) form of the Geriatric Depression Scale; associations between depressive symptoms and country of birth.
The prevalence of depressive symptoms in Italian-born men was 18%, almost twice the prevalence of 10% in Australian-born men (odds ratio [OR], 1.9; 95% CI, 1.2-3.0). After adjusting for socioeconomic and health factors, the relationship between country of birth and depressive symptoms was attenuated and no longer statistically significant (OR, 1.7; 95% CI, 0.9-3.0). The strongest confounders of the relationship between country of birth and depressive symptoms were source of income and satisfaction with social support.
Male Italian-born immigrants aged over 70 years report more depressive symptoms than their Australian-born counterparts. This association appears to be explained by increased reliance on a government pension as the sole source of income and lower satisfaction with social support among Italian-born men. However, these findings need to be confirmed longitudinally.
描述老年意大利裔澳大利亚男性移民中抑郁症状的流行情况。
设计、参与者和设置：横断面研究，共纳入 335 名意大利裔和 849 名澳大利亚裔 70 岁及以上的男性，他们完成了书面问卷并在“老年男性健康与衰老项目（CHAMP）”的基线阶段接受了访谈。
使用老年抑郁量表的简短（15 项）形式评估抑郁症状；抑郁症状与出生地之间的关联。
意大利裔男性的抑郁症状患病率为 18%，几乎是澳大利亚裔男性（10%）的两倍（比值比[OR]，1.9；95%可信区间，1.2-3.0）。在调整了社会经济和健康因素后，出生地与抑郁症状之间的关系减弱，不再具有统计学意义（OR，1.7；95%可信区间，0.9-3.0）。影响出生地与抑郁症状之间关系的最强混杂因素是收入来源和对社会支持的满意度。
70 岁以上的意大利裔男性移民比澳大利亚裔男性报告更多的抑郁症状。这种关联似乎可以通过以下因素来解释：意大利裔男性更多地依赖政府养老金作为唯一的收入来源，并且对社会支持的满意度较低。然而，这些发现需要纵向确认。
