Robinson Michael A, Kim Irang, Mowbray Orion, Washington Tiffany
School of Social Work, The University of Georgia, 279 Williams St., Athens, GA, 30602, USA.
School of Social Work, University of Maryland, Baltimore, 525 W. Redwood Street, Baltimore, MD, 21201, USA.
Community Ment Health J. 2020 May;56(4):753-759. doi: 10.1007/s10597-019-00536-z. Epub 2020 Jan 2.
This paper examines the relationship between hopelessness on chronic disease in a national sample of African Americans (3570) and Caribbean Blacks (1438) Using the National Survey of American Life. A multivariate negative binomial regression examined whether chronic disease is associated with hopelessness, controlling for sociodemographic characteristics. Overall, 13.14% of the sample reported they were highly hopeless, and 31.5% indicated they were moderately hopeless. About 19% of respondents experienced chronic disease. Bivariate associations showed that those who have ever had chronic disease significantly differed from those who did not in regard to age, gender and spirituality. Multivariate results showed that respondents who ever have had chronic disease reported significantly higher hopelessness scores than those with no chronic disease. The study findings contribute to the current body of literature by supporting findings from smaller studies on the relationship between depression and hopelessness in African Americans and Caribbean Blacks.
本文利用《美国生活全国调查》，对非裔美国人（3570人）和加勒比黑人（1438人）的全国样本中绝望情绪与慢性病之间的关系进行了研究。采用多元负二项回归分析慢性病是否与绝望情绪相关，并对社会人口学特征进行了控制。总体而言，13.14%的样本报告称他们极度绝望，31.5%表示他们中度绝望。约19%的受访者患有慢性病。双变量关联分析表明，曾患慢性病的人与未患慢性病的人在年龄、性别和精神层面存在显著差异。多变量结果显示，曾患慢性病的受访者报告的绝望得分显著高于未患慢性病的受访者。该研究结果支持了关于非裔美国人和加勒比黑人中抑郁症与绝望情绪关系的较小规模研究的发现，从而为当前的文献体系做出了贡献。
