Department of Kinesiology, Rice University, Houston, TX, USA; Department of Management, Policy, and Community Health, University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Department of Management, Policy, and Community Health, University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
J Psychiatr Res. 2024 Dec;180:86-95. doi: 10.1016/j.jpsychires.2024.09.044. Epub 2024 Sep 30.
Asian American and Pacific Islander (AAPI) adults are an understudied group in terms of their mental health and mental healthcare needs. This has been complicated by the difficulty of recruiting adequate national samples of AAPI adults for research.
This study aimed to analyze national data to examine the lifetime prevalence of major psychiatric disorders among AAPI adults relative to non-AAPI adults, as well as to identify and compare sociodemographic and clinical characteristics associated with lifetime suicide attempts among AAPI and non-AAPI adults.
Cross-sectional data on 36,109 adults, including 1801 AAPI adults, from the National Epidemiological Survey of Alcohol and Related Conditions-III (NESARC-III), were analyzed with a series of chi-square and logistic regression analyses.
We found a significantly lower lifetime prevalence of mental health disorders in the AAPI versus the non-AAPI population nationally, including 2% of AAPI adults reporting lifetime suicide attempts as compared to about 5% of non-AAPI adults. Female sex and a history of major depressive disorder diagnosis were associated with lifetime suicide attempts in the AAPI and non-AAPI populations. Several unique factors were associated with having a history of suicide attempts in only the AAPI population, including a military service history and a diagnosis of panic disorder.
Our analysis demonstrated the significant sectors of the AAPI population that merit research, support, and intervention, including the AAPI veteran population. This study identifies several characteristics among AAPI adults that may make them particularly vulnerable to psychiatric problems and suicide risk, which may inform targeted prevention and efforts to provide culturally competent care to this population.
在心理健康和精神保健需求方面，亚裔美国人和太平洋岛民（AAPI）成年人是一个研究不足的群体。由于难以招募足够数量的 AAPI 成年人作为研究对象，这一问题变得更加复杂。
本研究旨在分析全国性数据，以考察 AAPI 成年人一生中出现主要精神障碍的患病率相对于非 AAPI 成年人的情况，并确定和比较与 AAPI 和非 AAPI 成年人一生中自杀未遂相关的社会人口学和临床特征。
使用横断面数据对来自国家酒精流行病学调查和相关条件-III（NESARC-III）的 36109 名成年人（包括 1801 名 AAPI 成年人）进行分析，采用一系列卡方检验和逻辑回归分析。
我们发现，全国范围内 AAPI 与非 AAPI 人群相比，一生中出现心理健康障碍的比例显著较低，其中 2%的 AAPI 成年人报告一生中曾试图自杀，而非 AAPI 成年人的这一比例约为 5%。女性性别和重度抑郁障碍诊断史与 AAPI 和非 AAPI 人群中的一生中自杀未遂相关。一些独特的因素与 AAPI 人群中仅有的自杀未遂史相关，包括兵役史和惊恐障碍诊断。
我们的分析表明，AAPI 人群中有几个值得研究、支持和干预的重要领域，包括 AAPI 退伍军人群体。本研究确定了 AAPI 成年人中可能使他们特别容易出现精神问题和自杀风险的几个特征，这可能为针对该人群的预防和提供文化上合适的护理提供信息。
