Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University, 722 W 168th St, New York, NY, 10032, USA.
Graduate School of Public Health and Health Policy Environmental, Occupational, and Geospatial Health Sciences Department, City University of New York, 55 W. 125th Street, New York, NY, 10027, USA.
J Immigr Minor Health. 2024 Dec;26(6):1039-1045. doi: 10.1007/s10903-024-01620-7. Epub 2024 Jul 31.
Familism is a multidimensional construct that includes familial support. However, limited research examines whether the sub-components of familism equally contribute to mental health and whether familism protects against depression beyond social support. To address these gaps, we test associations between the multidimensional components of familism (familial support, familial obligations, family as referents) and social support with depressive symptoms among immigrant Dominican women in New York City. We tested associations between the multidimensional components of familism, specifically, familial support, familial obligations, and family as referents (Sabogal et al., 1987), as well as social support, with depressive symptoms among 419 women. Multiple regression analysis indicated that whereas familial support predicted decreases in depressive symptoms (β = - 0.15), family obligations, and family as referents did not. However, only social support predicted decreased depressive symptoms (β= - 0.18) when accounting for covariates and familism subscales. Controlling for covariates, age predicted decreased depressive symptoms (β = - 0.19), whereas self-rated poor health exhibited the inverse effect (β = 0.17). These findings highlight the need for a nuanced understanding of familism, social support, and the association of cultural and demographic values on Latina mental health. These results illustrate the need for further analysis of social support and the multiple components of the familism construct.
家庭主义是一个多维度的概念，包括家庭支持。然而，有限的研究考察了家庭主义的子成分是否同样有助于心理健康，以及家庭主义是否在社会支持之外保护人们免受抑郁的影响。为了解决这些差距，我们检验了家庭主义的多维成分（家庭支持、家庭义务、家庭作为参照）与社会支持与纽约市多米尼加移民妇女抑郁症状之间的关联。我们检验了家庭主义的多维成分（Sabogal 等人，1987 年），即家庭支持、家庭义务和家庭作为参照，以及社会支持与 419 名女性抑郁症状之间的关联。多元回归分析表明，家庭支持预测抑郁症状减少（β=-0.15），而家庭义务和家庭作为参照则没有。然而，当考虑到协变量和家庭主义子量表时，只有社会支持预测抑郁症状减少（β=-0.18）。控制协变量后，年龄预测抑郁症状减少（β=-0.19），而自我报告的健康状况不佳则呈现相反的效果（β=0.17）。这些发现强调了需要对家庭主义、社会支持以及文化和人口价值观对拉丁裔心理健康的关联有更细致的理解。这些结果表明需要进一步分析社会支持和家庭主义结构的多个成分。
