Department of Health Care Organization and Policy, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL, 35294, USA.
University of Alabama at Birmingham, UAB Sparkman Center for Global Health, 1665 University Boulevard, Birmingham, AL, 35294, USA.
J Racial Ethn Health Disparities. 2015 Mar;2(1):34-42. doi: 10.1007/s40615-014-0045-z. Epub 2014 Sep 11.
This research examines factors associated with lifetime major depressive disorder in racial and ethnic minorities residing in the USA, with an emphasis on the impact of nativity, discrimination, and health lifestyle behaviors. The Healthy Migrant Effect and Health Lifestyle Theory were used to inform the design of this project. The use of these frameworks not only provides insightful results but also expands their application in mental health disparities research. Logistic regression models were implemented to examine risk factors associated with lifetime major depressive disorder, comparing immigrants to their American-born counterparts as well as to American-born Whites. Data were derived from the Collaborative Psychiatric Epidemiology Surveys (n = 17,249). Support was found for the hypothesis that certain immigrants, specifically Asian and Afro-Caribbean, have lower odds of depression as compared their non-immigrant counterparts. Although, Hispanic immigrants directionally had lower odds of depression, this finding was not statistically significant. Furthermore, engaging in excessive alcohol consumption was associated with higher rates of depression (odds ratio (OR) = 2.09, p < 0.001), and the effect of discrimination on depression was found to be significant, even when controlling for demographics. Of all racial and ethnic groups, foreign-born Afro-Caribbeans had the lowest rate of depression at 7 % followed by foreign-born Asians at 8 %.
本研究考察了居住在美国的少数族裔与终生重度抑郁症相关的因素，重点关注了出生地、歧视和健康生活方式行为的影响。“健康移民效应”和“健康生活方式理论”被用于指导该项目的设计。这些框架的使用不仅提供了有见地的结果，还扩展了它们在心理健康差异研究中的应用。逻辑回归模型被用于检验与终生重度抑郁症相关的风险因素，将移民与他们的美国出生同龄人以及美国出生的白人进行比较。数据来自合作精神流行病学调查（n=17249）。支持了这样一种假设，即某些移民，特别是亚洲人和非裔加勒比人，与非移民相比，患抑郁症的几率较低。然而，西班牙裔移民患抑郁症的几率较低，但这一发现没有统计学意义。此外，过度饮酒与更高的抑郁率有关（优势比（OR）=2.09，p<0.001），并且即使控制了人口统计学因素，歧视对抑郁的影响也是显著的。在所有种族和族裔群体中，外国出生的非裔加勒比人抑郁症的发生率最低，为 7%，其次是外国出生的亚洲人，为 8%。
