Montgomery Michelle A, Jackson Charlotte T, Kelvin Elizabeth A
Epidemiology and Biostatistics, CUNY School of Public Health at Hunter College, 2180 Third Avenue, Room 543, New York, NY, 10035, USA,
J Immigr Minor Health. 2014 Oct;16(5):773-80. doi: 10.1007/s10903-013-9810-z.
Studies examining refugees from conflict areas have found that persecution in the place of origin is a risk factor for depression. No studies have looked at this association between mental health and the experience of premigration harm due to race, gender or religion in the general population of United States immigrants. The New Immigrant Survey baseline questionnaire was administered to a random sample of adults receiving legal permanent residency in the U.S. in 2003 (n = 8,573), including refugees, asylees and other immigrants. In multivariate analysis controlling for visa type, premigration harm was a predictor of general depression of borderline statistical significance [odds ratio (OR), 1.33; 95 % CI 0.98-1.80, p = 0.068] and a significant predictor of major depression with dysphoria (OR, 2.24; 95 % CI 1.48-3.38, p = 0.0001). These findings suggest that premigration harm is a risk factor for depression in the general immigrant population and not just among refugees.
对来自冲突地区的难民进行的研究发现，原籍地的迫害是导致抑郁症的一个风险因素。在美国移民总人口中，尚未有研究考察心理健康与因种族、性别或宗教而在移民前遭受伤害的经历之间的这种关联。2003年，对获得美国合法永久居留权的成年移民（n = 8573）进行随机抽样，向其发放了新移民调查基线调查问卷，这些移民包括难民、政治避难者和其他移民。在控制签证类型的多变量分析中，移民前遭受的伤害是一般抑郁症的一个预测因素，具有边缘统计学意义[比值比（OR）为1.33；95%置信区间为0.98 - 1.80，p = 0.068]，也是伴有烦躁不安的重度抑郁症的一个显著预测因素（OR为2.24；95%置信区间为1.48 - 3.38，p = 0.0001）。这些发现表明，移民前遭受的伤害是一般移民人群中抑郁症的一个风险因素，而不仅仅是难民中的风险因素。
