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从青少年到成年期抑郁症状和邻里变化的轨迹:潜在类别增长分析和多层次增长曲线模型。

Trajectories of Depressive Symptoms and Neighborhood Changes from Adolescence to Adulthood: Latent Class Growth Analysis and Multilevel Growth Curve Models.

机构信息

Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN 37831, USA.

School for the Environment, University of Massachusetts Boston, Boston, MA 02125, USA.

出版信息

Int J Environ Res Public Health. 2020 Mar 12;17(6):1829. doi: 10.3390/ijerph17061829.

Abstract

The role of neighborhood socioeconomic status (SES) and racial/ethnic composition on depression has received considerable attention in the United States. This study examines associations between trajectory patterns of neighborhood changes and depressive symptoms using data from Waves I-IV of the National Longitudinal Study of Adolescent to Adult Health. We used latent class growth analysis to determine the number and distribution of person-centered trajectories for neighborhood characteristics, and multilevel growth curve models to examine how belonging to each class impacted depression trajectories from ages 13 to 32 among non-Hispanic Whites (NHW), non-Hispanic Blacks (NHB), Hispanics, and non-Hispanic Others (NHO). The distribution of neighborhood SES classes across racial/ethnic groups suggests significant levels of economic inequality, but had no effect on depressive symptoms. A more complex picture emerged on the number and distribution of racial/ethnic composition latent class trajectories. Compared to NHB peers who lived in predominantly NHW neighborhoods from adolescence to adulthood, NHBs in more diverse neighborhoods had lower risk for depressive symptoms. Conversely, Hispanics living in neighborhoods with fewer NHWs had higher risk for depressive symptoms. Among NHOs, living in neighborhoods with a critical mass of other NHOs had a protective effect against depressive symptoms.

摘要

邻里社会经济地位(SES)和种族/民族构成对抑郁的影响在美国受到了相当多的关注。本研究使用国家青少年至成人健康纵向研究的 I 至 IV 波数据,考察了邻里变化轨迹模式与抑郁症状之间的关联。我们使用潜在类别增长分析来确定邻里特征的个体中心轨迹的数量和分布,并用多层次增长曲线模型来检验在 13 至 32 岁期间,属于每个类别如何影响非西班牙裔白人(NHW)、非西班牙裔黑人(NHB)、西班牙裔和非西班牙裔其他人(NHO)的抑郁轨迹。种族/民族群体的邻里 SES 类别分布表明存在显著的经济不平等,但对抑郁症状没有影响。种族/民族构成潜在类别轨迹的数量和分布呈现出更为复杂的情况。与从青春期到成年期一直生活在以 NHW 为主的社区的 NHB 同龄人相比,生活在更加多样化社区的 NHB 患抑郁症状的风险较低。相反,居住在 NHW 较少的社区的西班牙裔患抑郁症状的风险较高。对于 NHO 来说,居住在其他 NHO 占多数的社区具有预防抑郁症状的保护作用。

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