Vega W A, Kolody B, Valle R, Hough R
Soc Sci Med. 1986;22(6):645-52. doi: 10.1016/0277-9536(86)90037-7.
Correlates of depressive symptomatology and caseness are examined for a survey sample of N = 1825 poor Mexican immigrant women in San Diego County, California. The Center for Epidemiologic Studies--Depression (CES--D) checklist is tested against a variety of demographic variables as well as health status and service utilization rates. Statistically significant associations were found between CES--D and education, years in the United States, income, marital status and number of adults in household. Also significant were associations with health status, confidant support and recent, traumatic life event. Utilization rates point to medical doctors as the major source of formal treatment and a heavy reliance on family and friends. The implications of the high disorder rates for diagnosis and treatment among immigrants are discussed.
对加利福尼亚州圣地亚哥县1825名贫困墨西哥移民妇女的调查样本,研究了抑郁症状和病例的相关因素。使用流行病学研究中心抑郁量表(CES-D)核对表,针对各种人口统计学变量以及健康状况和服务利用率进行测试。结果发现,CES-D与教育程度、在美国居住的年限、收入、婚姻状况以及家庭中的成年人数量之间存在统计学上的显著关联。与健康状况、知心朋友的支持以及近期的创伤性生活事件之间的关联也很显著。利用率表明,医生是正规治疗的主要来源,且严重依赖家人和朋友。文中讨论了移民中高发病率对诊断和治疗的影响。