High Risk of Depression in High-Income African American Boys
High Risk of Depression in High-Income African American Boys
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DOI：
10.1007/s40615-017-0426-1
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发表时间：
2018-08-01
影响因子：
3.9
通讯作者：
Caldwell, Cleopatra H.
中科院分区：
文献类型：
--
作者：
Assari, Shervin;Caldwell, Cleopatra H.
背景尽管有关于社会经济地位（SES）对身心健康的保护作用的成熟文献，但仍有少数关于高SES黑人心理健康状况不良的报道。使用一个全国性的样本，本研究调查了家庭收入和风险之间的关联，主要抑郁症（MDD）在黑人青年的种族，性别，和他们的intersection. Methods一千一百一十七黑人青少年（810非洲裔美国人和360加勒比黑人）被列入本研究。家庭收入是主要的预测因素。MDD（终生、12个月和30天）是主要结局。年龄为协变量。种族和性别是主要的调节因素。结果在合并样本中，家庭收入与MDD风险（终生、12个月或30天）无关。我们发现，收入和性别之间的显着相互作用的一生和12个月的MDD，这表明更强的保护作用，收入对MDD的女性比男性。我们还发现收入和种族之间的显着相互作用，30天的MDD，这表明更强的保护作用，收入对MDD加勒比黑人比非洲裔美国人。在非裔美国男性中，高家庭收入与终生、12个月和30天MDD的风险较高相关。对于加勒比黑人男性和女性，高家庭收入与30天MDD的低几率。结论研究结果表明，种族和性别的影响如何社会经济资源，如收入与黑人青年MDD的风险。较高的家庭收入可能与非洲裔美国男性MDD的风险较高。
Background Despite the well-established literature on the protective effect of socioeconomic status (SES) on physical and mental health, there are a few reports on poor mental health of blacks with high SES. Using a national sample, this study investigated the association between household income and risk of major depressive disorder (MDD) in black youth based on ethnicity, gender, and their intersection.Methods One thousand one hundred seventeen black adolescents (810 African Americans and 360 Caribbean blacks) were included in the current study. Household income was the main predictor. MDD (lifetime, 12-month, and 30-day) was the main outcome. Age was the covariate. Ethnicity and gender were the focal moderators. Logistic regressions were used for data analysis.Results In the pooled sample, household income was not associated with risk of MDD (lifetime, 12-month, or 30-day). We found significant interactions between income and gender on lifetime and 12-month MDD, suggesting a stronger protective effect of income on MDD for females than males. We also found significant interaction between income and ethnicity on 30-day MDD, suggesting stronger protective effect of income against MDD for Caribbean blacks than African Americans. In African American males, high household income was associated with higher risk of lifetime, 12-month, and 30-day MDD. For Caribbean black males and females, high household income was associated with lower odds of 30-day MDD.Conclusion Findings suggest that ethnicity and gender influence how socioeconomic resources such as income are associated with MDD risk among black youth. Higher household income may be associated with higher risk of MDD for African American males.