Division of General Internal Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine, 545 Barnhill, 6940 Michigan Road, Indianapolis, IN, 46268, USA.
Eskenazi Health Center, Indianapolis, IN, USA.
J Immigr Minor Health. 2021 Oct;23(5):956-964. doi: 10.1007/s10903-021-01218-3. Epub 2021 May 27.
Certain immigration factors may increase somatic, anxiety, and depressive (SAD) symptoms in Latinx immigrants. Our study examined prevalence of SAD symptoms in Latinx immigrants 18-29 presenting to primary care with correlates of acculturation, immigration, and legal status. SAD symptoms were measured using the PHQ-14, GAD-7 and PHQ-8. Moderate somatization (37%), anxiety (20%), and depression (25%) were common. Multivariable analysis found five immigration factors predicted a higher composite SAD score and the presence of each additional factor increased likelihood of a SAD score ≥ 20 (OR 1.7; 95% CI, 1.1 to 2.5). SAD scores increased in a dose-response fashion (8.3, 10.5, 14.8, 17.1, 21.7, 29.3) with the added presence of each factor. Elevated SAD scores were not associated with gender, marital status, education, income, country of origin, or acculturation. Screening with our five factor immigration distress index may help identify patients at risk for higher SAD scores during a primary care visit.
某些移民因素可能会增加拉丁裔移民的躯体化、焦虑和抑郁(SAD)症状。我们的研究调查了在初级保健中出现躯体化、焦虑和抑郁(SAD)症状的 18-29 岁拉丁裔移民的患病率,以及与文化适应、移民和法律地位相关的因素。使用 PHQ-14、GAD-7 和 PHQ-8 来衡量 SAD 症状。常见的是中度躯体化(37%)、焦虑(20%)和抑郁(25%)。多变量分析发现,有五个移民因素预测了更高的复合 SAD 评分,每增加一个因素,SAD 评分≥20 的可能性就会增加(OR 1.7;95% CI,1.1 至 2.5)。SAD 评分呈剂量反应式增加(8.3、10.5、14.8、17.1、21.7、29.3),每个因素的存在都会增加评分。在性别、婚姻状况、教育程度、收入、原籍国或文化适应方面,SAD 评分升高与这些因素均无关。使用我们的五个移民压力因素筛查指数进行筛查,可能有助于在初级保健就诊期间识别出 SAD 评分较高的患者。