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南佛罗里达州近期拉丁裔移民的抑郁症状:前迁移创伤和压力、后迁移压力以及性别因素的作用。

Depressive symptoms among recent Latinx immigrants in South Florida: The role of premigration trauma and stress, postimmigration stress, and gender.

机构信息

Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.

Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.

出版信息

J Trauma Stress. 2022 Apr;35(2):533-545. doi: 10.1002/jts.22768. Epub 2021 Dec 31.

Abstract

In the past decade, recent Latinx immigrants (RLIs) from South and Central America have arrived in the United States seeking asylum from countries affected by war, political upheaval, and high crime and poverty rates. The premigration stress and trauma they experience are further compounded by postimmigration stress due to discrimination, lack of access to health care, and financial instability. Evidence suggests RLIs who experience such stress and trauma have an increased risk of developing depressive symptoms. We examined the combined effect of premigration stress and trauma and postimmigration stress on postimmigration depressive symptoms; we also explored the moderating effect of gender. Hierarchical multiple regression and moderation analyses were conducted on a cross-sectional sample of 540 young adult RLIs (age range: 18-34 years, 50.2% men) in South Florida. Higher levels of postimmigration stress, β = .37, p < .001, were associated with increased postimmigration depressive symptoms. No significant associations emerged between premigration stress and trauma and postimmigration depressive symptoms. Moderation analyses revealed no significant interaction effect of gender. Post hoc analyses indicated that country/region of origin moderated the relation between postimmigration stress and depressive symptoms such that the association was stronger among Venezuelan, β = 1.51, p < .001; other South American, β = 1.06, p < .001; and Central American/Mexican RLIs, β = 1.38, p < .001, compared with Caribbean RLIs, β = .45, p  = .122. These findings suggest that interventions focused on addressing postimmigration stress early in the immigration process can potentially lower subsequent depressive symptoms among RLIs.

摘要

在过去的十年中,最近来自南美洲和中美洲的拉丁裔移民(RLIs)为了逃避受战争、政治动荡和高犯罪率与贫困率影响的国家而来到美国寻求庇护。他们在移居前经历的压力和创伤,由于受到歧视、无法获得医疗保健和经济不稳定等移民后压力而进一步恶化。有证据表明,经历这种压力和创伤的 RLIs 患抑郁症状的风险增加。我们研究了移居前压力和创伤与移居后压力对移居后抑郁症状的综合影响;我们还探讨了性别的调节作用。我们对南佛罗里达州的 540 名年轻成年拉丁裔移民(年龄范围:18-34 岁,50.2%为男性)进行了横断面样本的分层多元回归和调节分析。更高水平的移居后压力与更高的移居后抑郁症状相关,β=0.37,p<0.001。移居前压力和创伤与移居后抑郁症状之间没有显著关联。调节分析显示,性别没有显著的交互作用。事后分析表明,原籍国/地区调节了移居后压力与抑郁症状之间的关系,使得与委内瑞拉、β=1.51,p<0.001;其他南美、β=1.06,p<0.001;中美洲/墨西哥 RLIs,β=1.38,p<0.001 相比,加勒比 RLIs,β=0.45,p<0.122,关联更强。这些发现表明,在移民过程早期集中精力解决移居后压力的干预措施可能会降低 RLIs 随后的抑郁症状。

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