Assari Shervin
Department of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.
J Pers Med. 2017 Nov 13;7(4):6. doi: 10.3390/jpm7040006.
In this study, we compared 10 ethnic groups for associations between psychiatric disorders and physical self-rated health (SRH) in the United States. Data came from the Collaborative Psychiatric Epidemiology Surveys (CPES), 2001-2003. The study included 7587 non-Latino White, 4746 African American, 1442 Mexican, 1106 other Hispanic, 656 other Asian, 600 Chinese, 577 Cuban, 520 Vietnamese, 508 Filipino, and 495 Puerto Rican individuals. The Composite International Diagnostic Interview (CIDI) was used to measure psychiatric disorders, including major depressive disorder (MDD), general anxiety disorder (GAD), social phobia, panic disorder, post-traumatic stress disorder (PTSD), alcohol abuse, and binge eating disorders. A single-item measure was used to estimate physical SRH. Demographic (age and gender) and socioeconomic (education and income) factors were also measured. Unadjusted and adjusted correlations between psychiatric disorders and physical SRH were calculated. Major ethnic variations were found in the correlation between psychiatric disorders and physical SRH; as well as the role of demographic and socioeconomic status (SES) factors in explaining these associations. non-Hispanic Whites, Cubans, and African Americans showed more correlations between psychiatric disorders and physical SRH than other ethnic groups. In non-Hispanic Whites, the associations between psychiatric disorders and physical SRH were explained by demographic factors. In African Americans, the link between psychiatric disorders and poor physical SRH were explained by SES indicators. In conclusion although single-item physical SRH measures are traditionally assumed to reflect the physical health needs of populations, they may also indicate psychiatric disorders in some ethnic groups, such as non-Hispanic Whites, Cubans, and African Americans. Demographic and socioeconomic factors also have differential roles in explaining the link between psychiatric disorders and physical SRH. Physical SRH does not exclusively reflect physical health, and it may be more biased by mental health across some ethnic groups.
在本研究中，我们比较了美国10个种族群体中精神疾病与自我评定的身体健康状况（SRH）之间的关联。数据来自2001年至2003年的协作精神病流行病学调查（CPES）。该研究纳入了7587名非西班牙裔白人、4746名非裔美国人、1442名墨西哥人、1106名其他西班牙裔、656名其他亚裔、600名中国人、577名古巴人、520名越南人、508名菲律宾人和495名波多黎各个体。使用复合国际诊断访谈（CIDI）来测量精神疾病，包括重度抑郁症（MDD）、广泛性焦虑症（GAD）、社交恐惧症、恐慌症、创伤后应激障碍（PTSD）、酒精滥用和暴饮暴食症。采用单项测量来估计身体健康状况。还测量了人口统计学（年龄和性别）和社会经济（教育和收入）因素。计算了精神疾病与身体健康状况之间未经调整和调整后的相关性。在精神疾病与身体健康状况之间的相关性以及人口统计学和社会经济地位（SES）因素在解释这些关联中的作用方面发现了主要的种族差异。非西班牙裔白人、古巴人和非裔美国人在精神疾病与身体健康状况之间的相关性比其他种族群体更多。在非西班牙裔白人中，精神疾病与身体健康状况之间的关联由人口统计学因素解释。在非裔美国人中，精神疾病与身体健康状况不佳之间的联系由SES指标解释。总之，尽管传统上认为单项身体健康状况测量反映了人群的身体健康需求，但它们也可能在某些种族群体中表明存在精神疾病，如非西班牙裔白人、古巴人和非裔美国人。人口统计学和社会经济因素在解释精神疾病与身体健康状况之间的联系方面也具有不同的作用。身体健康状况并非仅反映身体健康，在某些种族群体中它可能更受心理健康的影响。
