Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Department of Public Health, Academic Medical Center, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
J Dual Diagn. 2020 Jul-Sep;16(3):271-284. doi: 10.1080/15504263.2020.1772526. Epub 2020 Jun 18.
Ethnic minorities report different levels of drinking and smoking and higher rates of depression compared to native populations. In this study we aimed to investigate in six ethnic groups whether tobacco and alcohol use were associated with depressive symptoms, which are more prevalent in ethnic minorities. Cross-sectional data from the multi-ethnic Healthy Life in an Urban Setting (HELIUS) study sample ( = 22,471) was used, comprising 4,580 native Dutch participants which were compared with participants from five ethnic minority groups (3,259 South Asian Surinamese, 4,292 African Surinamese, 2,262 Ghanaian, 3,891 Turkish, and 4,187 Moroccan). Alcohol misuse was positively associated with depressed mood in all ethnic groups except for the Dutch and the Ghanaians. Nicotine dependence was positively associated with depressed mood in all ethnic groups except for the Ghanaian group. Alcohol misuse and nicotine dependence were significantly associated with depressed mood in most but not all ethnic groups and especially in men. However, across all groups the contribution of alcohol misuse and nicotine dependence to depressed mood was small. Prospective multi-ethnic studies should confirm whether the relations are causal and elucidate their direction.
少数民族报告的饮酒和吸烟水平不同，与本地人口相比，抑郁症的发病率更高。在这项研究中，我们旨在调查六个少数民族群体，烟酒使用是否与少数民族中更为普遍的抑郁症状有关。本研究使用了多民族城市生活健康（HELIUS）研究样本的横断面数据（ = 22471），包括 4580 名荷兰本地人，将其与五个少数民族群体（3259 名南亚苏里南人、4292 名非洲苏里南人、2262 名加纳人、3891 名土耳其人和 4187 名摩洛哥人）进行了比较。除了荷兰人和加纳人外，所有民族群体的酒精滥用都与情绪低落呈正相关。尼古丁依赖与所有民族群体的情绪低落呈正相关，除了加纳群体。除了加纳群体，酒精滥用和尼古丁依赖与大多数民族群体的情绪低落显著相关，但并非所有民族群体都如此，特别是在男性中。然而，在所有群体中，酒精滥用和尼古丁依赖对情绪低落的影响都很小。需要进行前瞻性的多民族研究来证实这些关系是否具有因果关系，并阐明其方向。
