Tomita Andrew, Labys Charlotte A, Burns Jonathan K
Department of Psychiatry, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Private Bag X7, Congella, 4013, South Africa,
J Immigr Minor Health. 2014 Dec;16(6):1062-8. doi: 10.1007/s10903-014-9987-9.
Few studies have examined depression among immigrants in post-apartheid South Africa, and factors that strengthen the relationship between immigration and depression. The first wave of the National Income Dynamics Study was used to investigate links between immigration and depression (n = 15,205). Depression symptoms were assessed using a 10-item version of the Center for Epidemiologic Studies Depression (CES-D) Scale. Immigrants in South Africa had fewer depressive symptoms (CES-D ≥ 10) than locally-born participants (17.1 vs. 32.4%, F = 13.5, p < 0.01). Multilevel mixed-effects logistic regression analyses found that among immigrant populations, younger age (adjusted OR 1.03, 95% CI 1.01-1.05) and black African ethnicity (adjusted OR 3.72, 95% CI 1.29-10.7) were associated with higher depression. Younger age was associated with lower depression among locally-born study participants (adjusted OR 0.98, 95% CI 0.97-0.98). The varying relationship between certain demographic factors, depression and the different mental health challenges among these groups requires closer attention.
很少有研究调查过种族隔离后的南非移民中的抑郁症情况，以及强化移民与抑郁症之间关系的因素。利用国民收入动态研究的第一波数据来调查移民与抑郁症之间的联系（n = 15205）。使用流行病学研究中心抑郁量表（CES-D）的10项版本评估抑郁症状。南非的移民比本地出生的参与者有更少的抑郁症状（CES-D≥10）（17.1%对32.4%，F = 13.5，p < 0.01）。多层次混合效应逻辑回归分析发现，在移民群体中，较年轻的年龄（调整后的OR为1.03，95%CI为1.01 - 1.05）和非洲黑人种族（调整后的OR为3.72，95%CI为1.29 - 10.7）与更高的抑郁症患病率相关。在本地出生的研究参与者中，较年轻的年龄与较低的抑郁症患病率相关（调整后的OR为0.98，95%CI为0.97 - 0.98）。这些群体中某些人口统计学因素、抑郁症和不同心理健康挑战之间的不同关系需要更密切的关注。
