Watson Kalycia Trishana, Roberts Nehezi M, Saunders Milda R
Department of Urban Planning and Policy, University of Illinois at Chicago, 412 S. Peoria, Room 215, MC 348, Chicago, IL 60607, USA.
ISRN Psychiatry. 2012 Jan 3;2012:432321. doi: 10.5402/2012/432321. Print 2012.
Background. We examined factors associated with depression and anxiety in a cohort of low-income Baltimore women. Methods. We used Pathways to Adulthood data, a cohort of adults aged 27 to 33 who were born in Baltimore between 1960 and 1965. Our outcomes were a score of >4 on the General Health Questionnaire (GHQ-28) across the depression or anxiety domains. Linear regression clustered on census tract was used for multivariate analysis. Results. In multivariable analyses, unmarried women, White women, those with lower self-rated health, and younger mothers had higher depression scores. Only lower self-rated health and White race were associated with a higher anxiety score. Neither neighborhood poverty nor racial composition was a predictor for anxiety or depression; however, the significant risk factors cluster in disadvantaged neighborhoods. Conclusion. Our work highlights the importance of universal screening for depression or anxiety with more in-depth surveillance based on risk factors rather than on race.
背景。我们研究了巴尔的摩低收入女性队列中与抑郁和焦虑相关的因素。方法。我们使用了“通往成年之路”的数据，该队列由1960年至1965年出生在巴尔的摩的27至33岁成年人组成。我们的结局指标是在抑郁或焦虑领域的一般健康问卷（GHQ - 28）得分大于4分。采用按普查区聚类的线性回归进行多变量分析。结果。在多变量分析中，未婚女性、白人女性、自评健康状况较差的女性以及较年轻的母亲抑郁得分较高。只有自评健康状况较差和白人种族与较高的焦虑得分相关。邻里贫困和种族构成均不是焦虑或抑郁的预测因素；然而，显著的风险因素集中在处境不利的社区。结论。我们的研究强调了基于风险因素而非种族进行更深入监测的抑郁或焦虑普遍筛查的重要性。
