Department of Health Sciences, University of York, York, United Kingdom.
PLoS One. 2013 Apr 30;8(4):e60693. doi: 10.1371/journal.pone.0060693. Print 2013.
Antenatal anxiety and depression are predictive of future mental distress, which has negative effects on children. Ethnic minority women are more likely to have a lower socio-economic status (SES) but it is unclear whether SES is an independent risk factor for mental health in pregnancy. We described the association between maternal mental distress and socio-demographic factors in a multi-ethnic cohort located in an economically deprived city in the UK.
We defined eight distinct ethno-language groups (total N = 8,454) and classified a threshold of distress as the 75th centile of within-group GHQ-28 scores, which we used as the outcome for univariate and multivariate logistic regression for each ethnic group and for the sample overall.
Financial concerns were strongly and independently associated with worse mental health for six out of the eight ethnic groups, and for the cohort overall. In some groups, factors such as working status, education and family structure were associated with worse mental health, but for others these factors were of little importance.
The diversity between and within ethnic groups in this sample underlines the need to take into consideration individual social, migration and economic circumstances and their potential effect on mental health in ethnically diverse areas.
产前焦虑和抑郁可预测未来的精神困扰，这对儿童有负面影响。少数民族妇女更有可能处于较低的社会经济地位（SES），但 SES 是否是孕期心理健康的独立风险因素尚不清楚。我们在英国一个经济贫困城市的多民族队列中描述了产妇精神困扰与社会人口因素之间的关联。
我们定义了八个不同的民族语言群体（总 N = 8454），并将困扰阈值定义为组内 GHQ-28 评分的第 75 百分位数，我们将其用作每个民族群体和整个样本的单变量和多变量逻辑回归的结果。
对于八个民族群体中的六个群体以及整个队列，经济问题与更差的心理健康状况密切相关且独立相关。在某些群体中，工作状况、教育和家庭结构等因素与更差的心理健康相关，但在其他群体中，这些因素则不重要。
本研究样本中不同民族群体之间以及群体内部的多样性强调了需要考虑个人的社会、移民和经济情况及其对不同族裔地区心理健康的潜在影响。
