Gallo J J, Cooper-Patrick L, Lesikar S
Department of Mental Hygiene, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
J Gerontol B Psychol Sci Soc Sci. 1998 Sep;53(5):P277-86. doi: 10.1093/geronb/53b.5.p277.
Consistent with prior work, our hypothesis was that older African Americans are less likely to report dysphoria than are older Whites. Study subjects were 968 participants aged 60 years and older in Baltimore, Maryland, and 1,486 participants aged 60 years and older in the Durham-Piedmont region of North Carolina who identified themselves as African American or White and who had complete data on symptoms of depression active in the one month prior to interview, as well as several covariates thought to be related to depression. The effect of self-reported race on the endorsement of symptoms from the section on Major Depression in the Diagnostic Interview Schedule was estimated employing structural equations with a measurement model. Older African Americans were less likely to report dysphoria than older Whites, although this only achieved statistical significance by conventional standards at the Durham-Piedmont site. Older African Americans at both sites were significantly more likely to report thoughts of death.
与先前的研究一致,我们的假设是,老年非裔美国人比老年白人更不容易报告烦躁不安。研究对象是马里兰州巴尔的摩市968名60岁及以上的参与者,以及北卡罗来纳州达勒姆-皮埃蒙特地区1486名60岁及以上的参与者,他们将自己认定为非裔美国人或白人,并且在访谈前一个月有关于活跃抑郁症症状的完整数据,以及一些被认为与抑郁症相关的协变量。使用带有测量模型的结构方程估计了自我报告的种族对《诊断访谈时间表》中重度抑郁症部分症状认可的影响。老年非裔美国人比老年白人更不容易报告烦躁不安,尽管按照传统标准,这仅在达勒姆-皮埃蒙特地区达到统计学显著性。两个地区的老年非裔美国人报告死亡念头的可能性显著更高。