a Alcohol Research Group, University of California , Berkeley , CA , USA.
b Division of Global Public Health, Department of Medicine , University of California , San Diego , CA , USA.
Glob Public Health. 2018 Feb;13(2):211-226. doi: 10.1080/17441692.2016.1170183. Epub 2016 Apr 30.
This study describes the prevalence and factors of depressive symptoms among a sample of persons who inject drugs (PWID) with a history of deportation from the US in Tijuana, Mexico. In 2014, 132 deported PWID completed a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Short Depression Scale (CESD-10) screening instrument. Eligible participants were ≥18 years old, injected drugs in the past month, spoke English or Spanish, and resided in Tijuana. Multivariate analyses identified factors associated with depressive symptoms. Among deported PWID, 45% reported current symptoms of depression. Deported PWID who were initially detained in the US for a crime-related reason before being deported (adjusted odds ratio (AOR): 5.27; 95% CI: 1.79-15.52) and who perceived needing help with their drug use (AOR: 2.15; 95% 1.01-4.61) had higher odds of reporting depressive symptoms. Our findings highlight the need for effective strategies targeting deported migrants who inject drugs to treat mental health and drug abuse in Tijuana. Investing in the mental health of deported PWID may also be a viable HIV prevention strategy.
本研究描述了在墨西哥提华纳有被驱逐出境美国经历的吸毒者（PWID）样本中抑郁症状的流行情况和相关因素。2014 年，132 名被驱逐的吸毒者完成了一份结构化问卷。使用流行病学研究中心短抑郁量表（CESD-10）筛查工具来衡量抑郁症状。合格的参与者年龄≥18 岁，过去一个月内注射过毒品，会说英语或西班牙语，并且居住在提华纳。多变量分析确定了与抑郁症状相关的因素。在被驱逐的吸毒者中，有 45%的人报告有当前的抑郁症状。与因犯罪原因而最初被拘留在美国然后被驱逐出境的被驱逐吸毒者（调整后的优势比（AOR）：5.27；95%置信区间（CI）：1.79-15.52）和认为自己需要帮助解决药物滥用问题的被驱逐吸毒者（AOR：2.15；95%CI：1.01-4.61）相比，报告抑郁症状的可能性更高。我们的研究结果强调了针对注射吸毒的被驱逐移民的有效策略的必要性，以治疗提华纳的心理健康和药物滥用问题。投资于被驱逐的吸毒者的心理健康也可能是一种可行的 HIV 预防策略。
