Lacey Krim K, Sears Karen Powell, Govia Ishtar O, Forsythe-Brown Ivy, Matusko Niki, Jackson James S
Program for Research on Black Americans, Institute for Social Research, University of Michigan, 5062 ISR Building 426 Thompson St., Ann Arbor, MI 48106, USA.
Department of Sociology and Anthropology, Denison University, 100 West College Street, Granville, OH 43023, USA.
Int J Environ Res Public Health. 2015 Jan 13;12(1):710-34. doi: 10.3390/ijerph120100710.
This study compares the health conditions of domestic Caribbeans with those living in the United States to explore how national context and migration experiences might influence substance use (i.e., alcohol or drug) and other mental and physical health conditions. The study is based upon probability samples of non-institutionalized Caribbeans living in the United States (1621), Jamaica (1216) and Guyana (2068) 18 years of age and over. Employing descriptive statistics and multivariate analytic procedures, the results revealed that substance use and other physical health conditions and major depressive disorder and mania vary by national context, with higher rates among Caribbeans living in the United States. Context and generation status influenced health outcomes. Among first generation black Caribbeans, residing in the United States for a longer length of time is linked to poorer health outcomes. There were different socio-demographic correlates of health among at-home and abroad Caribbeans. The results of this study support the need for additional research to explain how national context, migratory experiences and generation status contribute to understanding substance use and mental disorders and physical health outcomes among Caribbean first generation and descendants within the United States, compared to those remaining in the Caribbean region.
本研究比较了加勒比地区本土居民与居住在美国的加勒比裔居民的健康状况，以探讨国家背景和移民经历如何可能影响物质使用（即酒精或毒品）以及其他身心健康状况。该研究基于对居住在美国（1621人）、牙买加（1216人）和圭亚那（2068人）18岁及以上非机构化加勒比裔居民的概率抽样。通过描述性统计和多变量分析程序，结果显示物质使用、其他身体健康状况、重度抑郁症和躁狂症因国家背景而异，居住在美国的加勒比裔居民中这些情况的发生率更高。背景和代际状况影响健康结果。在第一代加勒比黑人中，在美国居住时间更长与更差的健康结果相关。国内外加勒比裔居民的健康存在不同的社会人口学相关因素。本研究结果支持需要进行更多研究，以解释与留在加勒比地区的人相比，国家背景、移民经历和代际状况如何有助于理解美国境内加勒比第一代及其后代的物质使用、精神障碍和身体健康结果。
