Ward Julia B, Haan Mary N, Garcia Maria E, Lee Anne, To Tu My, Aiello Allison E
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, Chapel Hill.
Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco.
Ann Epidemiol. 2016 Jul;26(7):461-466. doi: 10.1016/j.annepidem.2016.05.005. Epub 2016 May 31.
Low educational attainment has been associated with depression among Latinos. However, few studies have collected intergenerational data to assess mental health effects of educational mobility across generations.
Using data from the Niños Lifestyle and Diabetes Study, we assessed the influence of intergenerational education on depressive symptoms among 603 Mexican-origin individuals. Intergenerational educational mobility was classified: stable-low (low parent and/or low offspring education), upwardly mobile (low parent and/or high offspring education), stable-high (high parent and/or high offspring education), or downwardly mobile (high parent and/or low offspring education). High depressive symptoms were defined as scoring ≥10 on the Center for Epidemiological Studies Depression Scale-10 (CESD-10). We examined prevalence ratios (PRs) for depressive symptoms with levels of educational mobility. We used general estimating equations with log-binomial models to account for within-family clustering, adjusting for age, gender, and offspring and parent nativity.
Compared with stable-low participants, the lowest prevalence of CESD-10 score ≥10 occurred in upwardly mobile (PR = 0.55; 95% confidence interval [CI] = 0.39-0.78) and stable-high (PR = 0.62; 95% CI = 0.44-0.87) participants. Downwardly mobile participants were also less likely to have a CESD-10 score ≥10 compared with stable-low participants (PR = 0.65; 95% CI = 0.38-1.11), although the estimate was not statistically significant.
Sustained stress from low intergenerational education may adversely affect depression. Latinos with stable-low or downwardly mobile intergenerational educational attainment may need closer monitoring for depressive symptoms.
受教育程度低与拉丁裔人群的抑郁症有关。然而,很少有研究收集代际数据来评估代际教育流动对心理健康的影响。
利用“儿童生活方式与糖尿病研究”的数据,我们评估了代际教育对603名墨西哥裔个体抑郁症状的影响。代际教育流动分为:稳定低水平(父母和/或后代受教育程度低)、向上流动(父母受教育程度低和/或后代受教育程度高)、稳定高水平(父母和/或后代受教育程度高)或向下流动(父母受教育程度高和/或后代受教育程度低)。高抑郁症状定义为在流行病学研究中心抑郁量表-10(CESD-10)上得分≥10分。我们研究了抑郁症状的患病率比(PRs)与教育流动水平之间的关系。我们使用带有对数二项式模型的广义估计方程来考虑家庭内部聚类,并对年龄、性别、后代和父母的出生地进行了调整。
与稳定低水平参与者相比,CESD-10得分≥10的患病率在向上流动(PR = 0.55;95%置信区间[CI] = 0.39 - 0.78)和稳定高水平(PR = 0.62;95% CI = 0.44 - 0.87)参与者中最低。与稳定低水平参与者相比,向下流动参与者的CESD-10得分≥10的可能性也较小(PR = 0.65;95% CI = 0.38 - 1.11),尽管该估计在统计学上不显著。
代际教育程度低带来的持续压力可能对抑郁症产生不利影响。代际教育程度处于稳定低水平或向下流动的拉丁裔人群可能需要更密切地监测抑郁症状。