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在MICASA研究中调查移民男性农场工人的神经过敏:社会人口统计学、住房条件和心理社会因素。

Examining nervios among immigrant male farmworkers in the MICASA Study: sociodemographics, housing conditions and psychosocial factors.

作者信息

O'Connor Kathleen, Stoecklin-Marois Maria, Schenker Marc B

机构信息

School of Nursing, The University of Texas at El Paso, CHSN Building, Wiggins Road Room 316, 500 University Avenue, El Paso, TX, 79968, USA,

出版信息

J Immigr Minor Health. 2015 Feb;17(1):198-207. doi: 10.1007/s10903-013-9859-8.

Abstract

Nervios is a culturally defined condition of psychological stress with important implications for Latino health. Using epidemiological research methods, we examined the prevalence of nervios and associated risk factors, including drug and alcohol use, acculturation, and housing conditions in a population-based study of farm worker families in Mendota, CA (the MICASA Study). A household enumeration procedure was used for sampling, and 843 individuals were interviewed in 2006-2007. In this analysis, we present data on 422 men, 381 accompanied (family) males and 41 unaccompanied males. The prevalence of nervios was 22%, with no difference in prevalence by household status. Low family incomes, drug use, medium/high acculturation, and poor housing conditions were associated with increased odds of nervios. Self-reported poor/fair health, depressive symptoms, and high perceived stress were also associated with nervios. Since nervios has been shown to be a clinical indicator of psychiatric vulnerability among Latinos, this analysis furthers public health goals of reducing health disparities.

摘要

“神经过敏”是一种从文化角度定义的心理压力状况,对拉丁裔健康有着重要影响。在加利福尼亚州门多塔市对农场工人家庭进行的一项基于人群的研究(即MICASA研究)中,我们运用流行病学研究方法,调查了“神经过敏”的患病率以及相关风险因素,包括药物和酒精使用、文化适应情况以及住房条件。采用家庭普查程序进行抽样,在2006年至2007年期间对843人进行了访谈。在本次分析中,我们呈现了422名男性的数据,其中381名是有陪伴的(家庭中的)男性,41名是无人陪伴的男性。“神经过敏”的患病率为22%,按家庭状况划分患病率无差异。家庭收入低、药物使用、中等/高度文化适应以及住房条件差与“神经过敏”几率增加有关。自我报告的健康状况差/一般、抑郁症状以及高感知压力也与“神经过敏”有关。由于“神经过敏”已被证明是拉丁裔人群中心理脆弱性的临床指标,该分析推进了减少健康差距的公共卫生目标。

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