Merians Addie N, Gross Georgina, Spoont Michele R, Bellamy Chyrell D, Harpaz-Rotem Ilan, Pietrzak Robert H
Department of Psychiatry, Yale School of Medicine, 300 George St #901, New Haven, CT, 06511, USA; U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT, 06516, USA.
Department of Psychiatry, Yale School of Medicine, 300 George St #901, New Haven, CT, 06511, USA; Northeast Program Evaluation Center, VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, USA.
J Psychiatr Res. 2023 May;161:71-76. doi: 10.1016/j.jpsychires.2023.03.005. Epub 2023 Mar 4.
Despite military veterans having a higher prevalence of several common psychiatric disorders relative to non-veterans, scarce population-based research has examined racial/ethnic differences in these disorders. The aim of this study was to examine racial/ethnic differences in the prevalence of psychiatric outcomes in a population-based sample of White, Black, and Hispanic military veterans, and to examine the role of intersectionality between sociodemographic variables and race/ethnicity in predicting these outcomes. Data were analyzed from the National Health and Resilience in Veterans Study (NHRVS), a contemporary, nationally representative survey of 4069 US veterans conducted in 2019-2020. Outcomes include self-report screening measures of lifetime and current psychiatric disorders, and suicidality. Results revealed that Hispanic and Black veterans were more likely than White veterans to screen positive for lifetime posttraumatic stress disorder (PTSD; 17.8% and 16.7% vs. 11.1%, respectively); Hispanic veterans were more likely than White veterans to screen positive for lifetime major depressive disorder (22.0% vs. 16.0%); Black veterans were more likely than White veterans to screen positive for current PTSD (10.1% vs. 5.9%) and drug use disorder (12.9% vs. 8.7%); and Hispanic veterans were more likely than Black veterans to report current suicidal ideation (16.2% vs. 8.1%). Racial/ethnic minority status interacted with lower household income, younger age, and female sex in predicting greater likelihood of some of these outcomes. Results of this population-based study suggest a disproportionate burden of certain psychiatric disorders among racial/ethnicity minority veterans, and identify high-risk subgroups that can be targeted in prevention and treatment efforts.
尽管与非退伍军人相比，退伍军人中几种常见精神疾病的患病率更高，但基于人群的研究很少考察这些疾病中的种族/族裔差异。本研究的目的是在以白种人、黑人和西班牙裔退伍军人为样本的人群中，考察精神疾病患病率的种族/族裔差异，并考察社会人口学变量与种族/族裔之间的交叉性在预测这些结果中的作用。数据来自退伍军人健康与恢复力全国研究（NHRVS），这是一项在2019 - 2020年对4069名美国退伍军人进行的具有全国代表性的当代调查。结果包括对终生和当前精神疾病以及自杀倾向的自我报告筛查指标。结果显示，西班牙裔和黑人退伍军人比白人退伍军人更有可能在终生创伤后应激障碍（PTSD）筛查中呈阳性（分别为17.8%和16.7%，而白人退伍军人为11.1%）；西班牙裔退伍军人比白人退伍军人更有可能在终生重度抑郁症筛查中呈阳性（22.0%对16.0%）；黑人退伍军人比白人退伍军人更有可能在当前PTSD（10.1%对5.9%）和药物使用障碍（12.9%对8.7%）筛查中呈阳性；西班牙裔退伍军人比黑人退伍军人更有可能报告当前有自杀意念（16.2%对8.1%）。在预测其中一些结果的更大可能性方面，种族/族裔少数群体身份与较低的家庭收入、较年轻的年龄和女性性别存在相互作用。这项基于人群的研究结果表明，种族/族裔少数群体退伍军人中某些精神疾病的负担过重，并确定了可在预防和治疗工作中作为目标的高危亚组。
