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墨西哥裔美国人与盎格鲁人中抑郁症状的患病率。

The prevalence of depressive symptoms among Mexican Americans and Anglos.

作者信息

Vega W, Warheit G, Buhl-Auth J, Meinhardt K

出版信息

Am J Epidemiol. 1984 Oct;120(4):592-607. doi: 10.1093/oxfordjournals.aje.a113921.

Abstract

The study reports epidemiologic field survey data on the distribution of depressive symptoms among Anglos (n = 637) and two Mexican-American subsamples (n = 551) living in Santa Clara County, California. One of the Mexican-American subsamples was interviewed in English (n = 330) and the other in Spanish (n = 221). Analysis of variance indicated that those with low educational achievement, females, those in disrupted marital statuses, and those under 30 years of age had significantly higher levels of depressive symptoms than their counterparts. The prevalence of depressive symptoms for the Anglo and Mexican-American English-speaking samples was very similar and much lower than that reported by the Spanish-speaking Mexican-American subsample. Differences in educational levels appear to be accounting for many of the variations in depressive symptoms between the Anglo and English-speaking subsamples and the Spanish-speaking one. The authors suggest that the lack of language skills along with low educational achievement may be indicating a relative lack of acculturation and societal integration which in turn may be accounting for some of the increased symptoms among the Spanish-speaking subsample. The results of multiple stepwise regression analyses indicate that age, sex, marital status, and educational attainment explain relatively low and fluctuating amounts of the total variance. These analyses also indicate that social and demographic factors are differentially related to depressive symptoms for each of the subsamples. The variables education, female, and separated were significant in all of the equations, but their order of entrance and the amount of variance explained by them varied.

摘要

该研究报告了居住在加利福尼亚州圣克拉拉县的盎格鲁人(n = 637)以及两个墨西哥裔美国人子样本(n = 551)中抑郁症状分布的流行病学现场调查数据。其中一个墨西哥裔美国人子样本用英语进行访谈(n = 330),另一个用西班牙语进行访谈(n = 221)。方差分析表明,教育程度低者、女性、婚姻状况不稳定者以及30岁以下者的抑郁症状水平明显高于其对应人群。盎格鲁人和说英语的墨西哥裔美国人样本中抑郁症状的患病率非常相似,且远低于说西班牙语的墨西哥裔美国人子样本所报告的患病率。教育水平的差异似乎可以解释盎格鲁人和说英语的子样本与说西班牙语的子样本之间抑郁症状的许多差异。作者认为,语言技能的缺乏以及教育程度低可能表明相对缺乏文化适应和社会融合,这反过来可能是说西班牙语的子样本中症状增加的部分原因。多元逐步回归分析结果表明,年龄、性别、婚姻状况和教育程度对总方差的解释相对较低且波动较大。这些分析还表明,社会和人口因素与每个子样本的抑郁症状的关系各不相同。变量教育程度、女性和分居在所有方程中均显著,但它们的进入顺序以及它们所解释的方差量有所不同。

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