College of Social Work, University of Tennessee at Knoxville, USA.
Psychiatry Res. 2013 Nov 30;210(1):315-22. doi: 10.1016/j.psychres.2013.03.030. Epub 2013 Apr 17.
Using a nationally representative sample of 1280 Asian Americans, we examined the extent to which major depressive disorder (MDD) onset differs by ethnicity and its associated factors for each of the three ethnic groups: Vietnamese, Filipino, and Chinese. We employed the Kaplan-Meier method to estimate the survival and hazard functions for MDD onset by ethnicity, and cox proportional hazards models to identify socio-demographic and immigration-related factors associated with MDD onset. Approximately 7% of the entire sample had experienced MDD onset in their lifetime. Filipino immigrants showed the highest survival function, followed by Vietnamese immigrants over time. Those who were never-married or divorced were more likely to experience MDD onset when compared to their married or cohabiting counterparts. Those who immigrated at a younger age were more likely to experience MDD onset than were those who immigrated at an older age. However, there were ethnic variations in terms of the risk factors that were associated with MDD onset across these three ethnic groups. Findings from this study signal the importance of understanding the differing experiences of MDD onset by ethnicity.
我们使用了一个具有全国代表性的 1280 名亚裔美国人样本，研究了主要抑郁障碍（MDD）的发病程度在多大程度上因族裔而异，以及每个族裔（越南人、菲律宾人和中国人）的相关因素。我们采用 Kaplan-Meier 方法估计了按族裔划分的 MDD 发病的生存和危险函数，并采用 Cox 比例风险模型确定了与 MDD 发病相关的社会人口学和移民相关因素。大约 7%的整个样本在他们的一生中经历过 MDD 的发病。菲律宾移民的生存函数最高，其次是越南移民随着时间的推移。与已婚或同居的人相比，未婚或离婚的人更有可能经历 MDD 的发病。那些年龄较小移民的人比年龄较大移民的人更有可能经历 MDD 的发病。然而，在这三个族裔群体中，与 MDD 发病相关的风险因素存在族裔差异。这项研究的结果表明，理解不同族裔的 MDD 发病经历的重要性。
