Yale School of Medicine, Department of Psychiatry, VA CT Healthcare System: NEPEC/182, 950 Campbell Ave., New Haven, CT 06516, United States.
J Affect Disord. 2011 Apr;130(1-2):334-41. doi: 10.1016/j.jad.2010.10.013. Epub 2010 Nov 5.
Ethnic minorities in America will achieve majority by 2042, and due to their younger age distribution, will represent the largest proportion of women at risk for premenstrual dysphoric disorder (PMDD). Research has not addressed ethnic minority women's vulnerabilities to PMDD. The objective of this study was to examine the relationship between acculturation and PMDD.
An analysis of acculturation and PMDD among 3856 English-speaking, pre-menopausal Asian, Latina, and Black women from the National Latino and Asian American Survey and the National Survey of American Life was performed.
The lifetime prevalence of PMDD was 3.3%. Nativity status, duration of residence, and age at immigration were significantly associated with PMDD. Foreign-born women (OR=0.38; 95% confidence interval (CI)=0.21-0.68) and immigrants arriving to the US after age six (OR=0.33, 95% CI=0.18, 0.62) were less likely to have PMDD, compared to US-born women, and US-born women/immigrants who arrived before age six, respectively. The likelihood of PMDD increased as the duration of residence in the US lengthened.
The diagnosis of PMDD was provisional due to retrospective symptom reporting. Statements of causality could not be made because the study was cross-sectional.
A substantial percentage of ethnic minority women suffer from PMDD in their lifetimes. Exposure to American culture appeared to elevate ethnic minority women's likelihood for PMDD. The stressors that are associated with ethnic minority life in America-discrimination, poverty, pressures to assimilate, etc.-may contribute to ethnic minority women's vulnerability to PMDD, and clinicians should be sensitive to the special risks in this population.
到 2042 年，美国少数民族将成为多数族裔，由于他们的年龄分布更年轻，将成为经前期烦躁障碍（PMDD）风险最高的女性中比例最大的群体。研究尚未涉及少数民族妇女对 PMDD 的脆弱性。本研究旨在探讨文化适应与 PMDD 之间的关系。
对来自全国拉丁裔和亚裔美国人调查和全国生活调查的 3856 名讲英语的、绝经前的亚裔、拉丁裔和非裔美国女性的文化适应和 PMDD 进行了分析。
PMDD 的终生患病率为 3.3%。出生国地位、居住时间和移民年龄与 PMDD 显著相关。外国出生的女性（OR=0.38；95%置信区间（CI）=0.21-0.68）和移民在 6 岁以后到达美国（OR=0.33，95%CI=0.18，0.62）的可能性较小，与美国出生的女性和美国出生的女性/移民相比，他们分别在 6 岁前到达美国。在美国居住时间延长，PMDD 的可能性增加。
由于回顾性症状报告，PMDD 的诊断是暂定的。由于研究是横断面的，因此不能做出因果关系的陈述。
少数民族妇女一生中相当大的一部分患有 PMDD。接触美国文化似乎增加了少数民族妇女患 PMDD 的可能性。与美国少数民族生活相关的压力因素-歧视、贫困、同化压力等-可能导致少数民族妇女对 PMDD 的脆弱性，临床医生应该对这一人群的特殊风险保持敏感。
