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加利福尼亚州女性的当前抑郁状况与居住在加利福尼亚-墨西哥边境地区有关。

Current depression among women in California according to residence in the California-Mexico border region.

机构信息

Survey Research Group, Public Health Institute, Sacramento, California, USA.

出版信息

Rev Panam Salud Publica. 2012 May;31(5):417-26. doi: 10.1590/s1020-49892012000500010.

DOI:10.1590/s1020-49892012000500010
PMID:22767043
Abstract

OBJECTIVE

To estimate the prevalence of current depression; examine the relationship between current depression and immigration, health status, health care access, and health behaviors; and assess differences by California-Mexico border region (Imperial and San Diego Counties) among women in California.

METHODS

Using a cross-sectional, representative sample of adult women from the California Women's Health Survey (n = 13 454), a statewide telephone survey, prevalence of current depression and predictors of depression were examined in California and according to border region residence. Depression was assessed with the eight-item Patient Health Questionnaire.

RESULTS

The prevalence of current depression for women in California was 12.0%. It was similar in the border (13.0%) and the nonborder (11.9%) regions. Odds of current depression in women were lower among recent immigrants (< 5 years or 5 to < 10 years in the United States) than in women born in the United States and in immigrants who had been living in the United States for 10 to < 15 years or longer (P < 0.05). Odds ratios for current depression and health status, health care access, and binge drinking were larger in the border region than outside the border region.

CONCLUSIONS

Similar prevalences of current depression were observed among those who live in the border region of California and in those who do not, but the relationship between depression and health status, health care access, and binge drinking varied by border region residence. Ideally, future surveillance of depression and its predictors along the Mexico-California border will be conducted binationally to inform interventions and tracking such as the Healthy Border Program's objectives.

摘要

目的

评估当前抑郁的患病率;研究当前抑郁与移民、健康状况、医疗保健获取和健康行为之间的关系;并评估加利福尼亚州女性中加利福尼亚-墨西哥边境地区(帝国和圣地亚哥县)之间的差异。

方法

使用加利福尼亚妇女健康调查(n = 13454)的横断面、代表性成年女性样本,这是一项全州范围的电话调查,在加利福尼亚州和根据边境地区居住情况检查了当前抑郁的患病率和抑郁的预测因素。抑郁采用 8 项患者健康问卷进行评估。

结果

加利福尼亚州女性当前抑郁的患病率为 12.0%。边境地区(13.0%)和非边境地区(11.9%)的患病率相似。与在美国出生的女性和在美国生活了 10 至<15 年或更长时间的移民相比,最近移民(在美国居住<5 年或 5 至<10 年)的女性当前抑郁的可能性较低(P <0.05)。在边境地区,当前抑郁和健康状况、医疗保健获取和狂饮的比值比高于边境地区以外的地区。

结论

在居住在加利福尼亚边境地区的人和不住在边境地区的人中观察到当前抑郁的患病率相似,但抑郁与健康状况、医疗保健获取和狂饮之间的关系因边境地区的居住情况而异。理想情况下,未来将沿着墨西哥-加利福尼亚边境对抑郁及其预测因素进行联合监测,以为干预措施和跟踪提供信息,如健康边境计划的目标。

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