Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
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DOI：
10.1007/s00127-015-1120-4
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发表时间：
2015-11
影响因子：
4.4
通讯作者：
Roesch SC
中科院分区：
文献类型：
--
作者：
Camacho Á;Gonzalez P;Buelna C;Emory KT;Talavera GA;Castañeda SF;Espinoza RA;Howard AG;Perreira KM;Isasi CR;Daviglus ML;Roesch SC
焦虑抑郁是一系列症状，在初级保健中心的患者中经常遇到。有必要研究不同背景的西班牙裔/拉丁裔人的焦虑抑郁表现。目的研究参加西班牙裔社区健康研究/拉丁裔研究（HCHS/SOL）的16,064名不同背景的西班牙裔/拉丁裔人的焦虑-抑郁结构。我们假设西班牙裔/拉丁裔将聚集在3类：低焦虑/高抑郁，高焦虑/低抑郁和焦虑-抑郁联合结构。使用潜在特征分析，通过10项流行病学研究中心抑郁量表（ses -d）和10项状态-特质焦虑量表（STAI）评估抑郁和焦虑症状，以确定是否会导致焦虑-抑郁类型。多项逻辑回归分析探讨了3类解决方案与不同西班牙裔/拉丁裔背景的关联，控制了年龄、性别、语言、教育和收入。出现了一个三级混合焦虑抑郁结构，10%的西班牙裔/拉丁裔人处于高焦虑抑郁类别，30%的人处于中等焦虑抑郁类别，60%的人处于低焦虑抑郁类别。在调整了年龄、性别、语言偏好、收入和教育程度后，与墨西哥背景的个体相比，波多黎各背景的个体更有可能经历高（OR=1.79,p<0.05）和中度（OR=1.36,p<0.05）（相对于低）焦虑抑郁症状。与墨西哥背景的个体相比，中美洲和南美洲背景的个体更不容易经历高度（OR=0.68,p<0.05）和中度（OR=0.8,p<0.05）（相对于低）焦虑抑郁。西班牙裔/拉丁裔人群的焦虑抑郁症状各不相同。应调查这些班级与不同背景的西班牙裔/拉丁裔人的不同健康结果之间的关系。
Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds. To study the construct of anxious-depression among 16,064 Hispanic/Latinos of different backgrounds participating in the Hispanic Community Health Study/ Study of Latinos (HCHS/SOL). We hypothesized that Hispanic/Latinos will cluster in 3 classes: low anxiety/high depression, high anxiety/low depression and a combined anxious-depression construct. Using latent profile analysis, symptoms of depression and anxiety measured by the 10-item Center for Epidemiologic Studies Depression Scale (CES-D) and 10-item State-Trait Anxiety Inventory (STAI) were evaluated to determine if an anxious-depression typology would result. A multinomial logistic regression analysis explored the association of the 3-class solution with different Hispanic/Latino backgrounds controlling for age, gender, language, education and income. A 3-class mixed anxious-depression structure emerged with 10% of Hispanic/Latinos in the high, 30% in the moderate and 60% in the low anxious-depression category. After adjusting for age, gender, language preference, income and education, individuals of Puerto-Rican background were more likely to experience high (OR=1.79,p<0.05) and moderate (OR=1.36,p<0.05) (vs.low) anxious-depression symptomatology compared to those of Mexican background. Individuals of Central-American and South-American background were less likely to experience high (OR=0.68,p<0.05) and moderate (OR=0.8,p<0.05) (vs.low) anxious-depression compared to those of Mexican background. Anxious-depression symptomatology varied among this sample of Hispanic/Latino groups. These classes should be investigated as to their relationship with different health outcomes relevant to the Hispanic/Latino of different backgrounds.