离家千里：在动脉粥样硬化多族裔研究（MESA）中比较外国出生和美国出生的拉丁裔的心理健康指标
A long way from home: comparing mental health measures between foreign and U.S.-born Latinos in the Multi-Ethnic Study of Atherosclerosis (MESA).
作者信息
Casillas Alejandra, Leng Mei, Liu Kiang, Hernandez Alexandra, Shrager Sandi, Kanaya Alka
机构信息
Robert Wood Johnson Clinical Scholars Program, University of California–Los Angeles, CA 90024, USA.
出版信息
J Health Care Poor Underserved. 2012 Nov;23(4):1719-32. doi: 10.1353/hpu.2012.0168.
BACKGROUND
Studies exploring the relationship between foreign-born status and mental health among Latinos in the United States have varied in their conclusions. We examined 2000-2002 MESA data on Latinos and compared responses between immigrants and non-immigrants on the Center for Epidemiologic Studies Depression (CES-D) scale and the Spielberger anxiety and anger scales.
METHODS
We used logistic and linear regression to examine whether immigrant status was associated with these psychological outcomes in Latinos-overall, Mexicans-only and Other-Latinos (non-Mexicans).
RESULTS
Compared with U.S.-born Latinos, foreign-born Latinos had significantly higher odds of meeting CES-D caseness- a score above 16, classifying depressive symptoms (p≤.05), higher anger scores (p≤.001) and a trend towards higher anxiety. These associations were similar within the Mexicans-only subgroup.
DISCUSSION
When examining self-reported distress symptoms as outcomes, our findings do not coincide with the paradoxical effect of immigration on mental health. Furthermore, associations between immigrant status and psychological outcomes differed among the Latino subgroups.
背景
在美国，探索出生于国外的身份与拉丁裔心理健康之间关系的研究得出了不同的结论。我们研究了2000 - 2002年拉丁裔的动脉粥样硬化多民族研究（MESA）数据，并比较了移民和非移民在流行病学研究中心抑郁量表（CES - D）以及斯皮尔伯格焦虑和愤怒量表上的回答。
方法
我们使用逻辑回归和线性回归来研究移民身份是否与拉丁裔总体、仅墨西哥裔以及其他拉丁裔（非墨西哥裔）的这些心理结果相关。
结果
与在美国出生的拉丁裔相比，出生于国外的拉丁裔达到CES - D病例标准（得分高于16，表明有抑郁症状）的几率显著更高（p≤0.05），愤怒得分更高（p≤0.001），并且有焦虑得分更高的趋势。在仅墨西哥裔亚组中，这些关联类似。
讨论
当将自我报告的痛苦症状作为结果进行研究时，我们的发现与移民对心理健康的矛盾效应不一致。此外，移民身份与心理结果之间的关联在拉丁裔亚组中有所不同。
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