Migration from Mexico to the United States and subsequent risk for depressive and anxiety disorders: a cross-national study.
Migration from Mexico to the United States and subsequent risk for depressive and anxiety disorders: a cross-national study.
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DOI：
10.1001/archgenpsychiatry.2011.21
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发表时间：
2011-04
影响因子：
--
通讯作者：
Aguilar-Gaxiola, Sergio
中科院分区：
文献类型：
--
作者：
Breslau, Joshua;Borges, Guilherme;Tancredi, Daniel;Saito, Naomi;Kravitz, Richard;Hinton, Ladson;Vega, William;Medina-Mora, Maria Elena;Aguilar-Gaxiola, Sergio
为了验证墨西哥裔移民抵达美国后患抑郁症和焦虑症风险增加的假设。在墨西哥和美国进行的调查数据被合并。这些调查是分开进行的，但使用了相同的结构化诊断访谈。指定离散时间生存模型来估计移民在抵达美国后与直系亲属中有移民的非移民墨西哥人相比首次发病抑郁（重度抑郁发作、心境恶劣）和焦虑（广泛性焦虑症、社交恐惧症、恐慌症、创伤后应激障碍）障碍的相对几率。抵达美国后，移民首次发作任何抑郁或焦虑症的风险明显高于墨西哥移民的非移民家庭成员（or =1.4, 95% CI = 1.04-1.94）。在不同的出生队列中，迁移和疾病之间的关联各不相同。移民相对于非移民的风险升高仅限于两个较年轻的群体，即18-25岁和26-35岁的受访者。在最近的队列中，移民与首次发病的任何抑郁或焦虑障碍之间的关联尤为强烈（or =3.89, 95% CI= 2.74-5.53）。这是第一个比较美国移民和墨西哥非移民的代表性样本首次出现精神障碍风险的研究。这些发现与从墨西哥到美国的移民对移民心理健康的不利影响的假设一致，但仅适用于最近出生的移民群体。
To test the hypothesized increase in risk for depressive and anxiety disorders following arrival in the US among Mexican-origin migrants. Data from surveys conducted in Mexico and the US were combined. The surveys were conducted separately, but used the same structured diagnostic interview. Discrete time survival models were specified to estimate the relative odds of first onset of depressive (major depressive episode, dysthymia) and anxiety (generalized anxiety disorder, social phobia, panic disorder, posttraumatic stress disorder) disorders among migrants after their arrival in the US compared with non-migrant Mexicans who have a migrant in their immediate family. After arrival in the US, migrants had signficantly higher risk for first onset of any depressive or anxiety disorder than non-migrant family members of migrants in Mexico (OR=1.4, 95% CI =1.04–1.94). Associations between migration and disorder varied across birth cohorts. Elevated risk among migrants relative to non-migrants was restricted to the two younger cohorts, those 18–25 or 26–35 years old at interview. In the most recent cohort, the association between migration and first onset of any depressive or anxiety disorder was particularly strong (OR=3.89, 95% CI=2.74–5.53). This is the first study to compare risk for first onset of psychaitric disorder between representative samples of migrants in the US and non-migrants in Mexico. The findings are consistent with the hypothesized adverse effect of migration from Mexico to the US on the mental health of migrants, but only among migrants in recent birth cohorts.
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影响因子：
4.4
作者：
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通讯作者：
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影响因子：
6.6
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3.1
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