Department of Kinesiology and Health Education, The University of Texas at Austin, 2100 San Jacinto Blvd D3700, Austin, TX, 78712, USA.
Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Soc Psychiatry Psychiatr Epidemiol. 2022 Apr;57(4):749-760. doi: 10.1007/s00127-022-02217-x. Epub 2022 Jan 20.
Research has demonstrated disparities in depressive symptoms among people who are marginalized. However, more work should examine depressive symptoms through an intersectional lens, recognizing that multiple systems of privilege and oppression interlock to create unique struggles where multiple marginalized identities meet. Recent methodological developments have advanced quantitative intersectionality research using multilevel modeling to partition variance in depressive symptoms to person-level sociodemographic variables and intersectional-level social strata. The purpose of this study is to leverage these methods to examine trajectories of depressive symptoms among young adults in Texas through an intersectional lens.
Multilevel modeling was used to examine the longitudinal trajectories of depressive symptoms among 3575 young adults from 24 colleges in Texas assessed seven times between Fall 2014 and Spring 2018. Intersectional identities included sex, race/ethnicity, and sexual and gender minority identities. The model examined time nested within individuals and individuals nested within intersectional social strata.
Young adults in Texas experienced an increase in depressive symptoms from 2014-2018. Those with female, Hispanic, AAPI, other race/ethnicity, or LGBTQ + identities experienced more depressive symptoms. After controlling for the main effects of the sociodemographic variables, 0.08% of variance in depressive symptoms remained attributed to the effects of intersectional identities.
Evaluating disparities in depressive symptoms through an intersectional lens offers a more complete description of the epidemiology of depressive symptoms. Communities and institutions that serve marginalized people should consider the elevated burden of depressive symptoms that marginalized people may carry, and integrate culturally competent psychoeducation, assessments, and therapies where possible.
研究表明，处于边缘地位的人群中存在抑郁症状的差异。然而，更多的工作应该通过交叉视角来检查抑郁症状，认识到多个特权和压迫系统相互交织，创造了多个边缘化身份相遇的独特斗争。最近的方法学发展通过多层次建模推进了定量交叉视角研究，将抑郁症状的方差划分为个体层面的社会人口统计学变量和交叉层面的社会阶层。本研究的目的是利用这些方法通过交叉视角来检查德克萨斯州年轻成年人的抑郁症状轨迹。
使用多层次建模来检查 3575 名来自德克萨斯州 24 所大学的年轻人的抑郁症状的纵向轨迹，这些年轻人在 2014 年秋季至 2018 年春季期间被评估了七次。交叉身份包括性别、种族/族裔和性少数群体和性别少数群体身份。该模型检查了时间在个体内部和个体在交叉社会阶层内部的嵌套。
德克萨斯州的年轻人在 2014-2018 年期间经历了抑郁症状的增加。具有女性、西班牙裔、亚太裔、其他种族/族裔或 LGBTQ+身份的人经历了更多的抑郁症状。在控制了社会人口统计学变量的主要效应后，抑郁症状的 0.08%差异归因于交叉身份的影响。
通过交叉视角评估抑郁症状的差异提供了对抑郁症状流行病学更完整的描述。为边缘化人群服务的社区和机构应该考虑到边缘化人群可能承受的更高的抑郁症状负担，并在可能的情况下整合文化上合适的心理教育、评估和治疗。
