Perrino Tatiana, Brown Scott C, Mason Craig A, Szapocznik José
University of Miami's Miller School of Medicine, Miami, Florida, USA.
Clin Gerontol. 2009 Jan 1;32(1):26-43. doi: 10.1080/07317110802478024.
This study documents a 35% prevalence of clinically relevant depressive symptoms in a population-based sample of mostly Cuban older adults residing in a low-income, urban Miami neighborhood. This rate is comparable to, or higher than, prevalence rates reported by most other population-based samples of U.S. older adults. Logistic regression analyses indicate that perceived financial strain was the only sociodemographic factor associated with greater odds of clinically relevant symptoms when other sociodemographic factors were statistically controlled. Gender, age, and marital status were not related to elevated depressive symptoms. A case study illustrates the impact of financial strain on older adults' mental health. Findings highlight the need for mental health screening and case management services among these older adults, particularly those who experience financial strain.
本研究记录了居住在迈阿密低收入城市社区、以古巴老年人为主的人群样本中，具有临床相关性抑郁症状的患病率为35%。这一比率与大多数其他以美国老年人群为基础的样本报告的患病率相当，或更高。逻辑回归分析表明，在对其他社会人口学因素进行统计学控制后，感知到的经济压力是与出现具有临床相关性症状的较高几率相关的唯一社会人口学因素。性别、年龄和婚姻状况与抑郁症状加重无关。一个案例研究说明了经济压力对老年人心理健康的影响。研究结果强调了在这些老年人中，尤其是那些经历经济压力的老年人中，进行心理健康筛查和病例管理服务的必要性。
