Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina.
Carolina Population Center, University of North Carolina, Chapel Hill, North Carolina.
Am J Epidemiol. 2018 Aug 1;187(8):1686-1695. doi: 10.1093/aje/kwy056.
Few studies have collected intergenerational data to assess the association between educational mobility across multiple generations and offspring depression. Using data from the Sacramento Area Latino Study on Aging (1998-2008), we assessed the influence of intergenerational education on depressive symptoms over 10 years among 1,786 Latino individuals (mean age = 70.6 years). Educational mobility was classified as stable-low (low parental/low offspring education), upwardly mobile (low parental/high offspring education), stable-high (high parental/high offspring education), or downwardly mobile (high parental/low offspring education). Depressive symptoms were measured with the Center for Epidemiological Studies-Depression Scale (CES-D); higher scores indicated more depressive symptoms. To quantify the association between educational mobility and CES-D scores over follow-up, we used generalized estimating equations to account for repeated CES-D measurements and adjusted for identified confounders. Within individuals, depressive symptoms remained relatively stable over follow-up. Compared with stable-low education, stable-high education and upward mobility were associated with significantly lower CES-D scores (β = -2.75 and -2.18, respectively). Downwardly mobile participants had slightly lower CES-D scores than stable-low participants (β = -0.77). Our results suggest that sustained, low educational attainment across generations may have adverse mental health consequences, and improved educational opportunities in underresourced communities may counteract the adverse influence of low parental education on Latino depression.
很少有研究收集代际数据来评估跨多代人的教育流动与子女抑郁之间的关联。本研究使用来自萨克拉门托拉丁裔老龄化研究(1998-2008 年)的数据,评估了 1786 名拉丁裔个体(平均年龄=70.6 岁)中代际教育对 10 年内抑郁症状的影响。教育流动被分为稳定低(父母教育水平低/子女教育水平低)、向上流动(父母教育水平低/子女教育水平高)、稳定高(父母教育水平高/子女教育水平高)和向下流动(父母教育水平高/子女教育水平低)。抑郁症状采用流行病学研究中心抑郁量表(CES-D)进行测量;得分越高,抑郁症状越严重。为了量化教育流动与 CES-D 分数在随访期间的关联,我们使用广义估计方程来解释 CES-D 的重复测量,并调整了确定的混杂因素。在个体内部,抑郁症状在随访期间相对稳定。与稳定低教育相比,稳定高教育和向上流动与 CES-D 得分显著降低相关(β=-2.75 和-2.18)。向下流动的参与者的 CES-D 得分略低于稳定低教育者(β=-0.77)。我们的研究结果表明,代际间持续的低教育水平可能会对心理健康产生不良影响,而在资源匮乏的社区中提供更多的教育机会可能会抵消父母教育水平低对拉丁裔抑郁的不利影响。