Acculturation dimensions and 12-month mood and anxiety disorders across US Latino subgroups in the National Epidemiologic Survey of Alcohol and Related Conditions.
Acculturation dimensions and 12-month mood and anxiety disorders across US Latino subgroups in the National Epidemiologic Survey of Alcohol and Related Conditions.
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全国酒精及相关疾病流行病学调查中美国拉丁裔亚群体的文化适应维度以及 12 个月情绪和焦虑障碍。
DOI：
10.1017/s0033291716000763
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发表时间：
2016
影响因子：
6.9
通讯作者：
Blanco,C
中科院分区：
文献类型：
--
作者：
Fernández,RLewis;Morcillo,C;Wang,S;Duarte,CS;Aggarwal,NK;Sánchez-Lacay,JA;Blanco,C
背景文化适应的个体水平测量（例如移民年龄）与精神疾病有复杂的关系。细粒度的分析，挖掘不同的文化适应维度和人口亚群需要产生的假设，关于文化适应和心理健康之间的关联的作用机制。方法研究参与者是美国拉丁美洲人（N = 6359），来自2004-2005年全国酒精和相关疾病流行病学调查（N = 34653）的第2波。我们使用线性χ2检验和逻辑回归模型分析了五个文化适应维度与拉丁裔亚组（墨西哥人，波多黎各人，古巴人，“其他拉丁裔”）中12个月DSM-IV情绪/焦虑障碍的存在之间的关联。结果：与墨西哥人过去一年的情绪/焦虑障碍存在线性相关的文化适应维度是：（1）移民年龄较低（线性χ21 = 11.04，p < 0.001），（2）在美国的时间较长（线性χ21 = 10.52，p < 0.01），（3）英语倾向更强（线性χ21 = 14.57，p < 0.001），（4）社会网络的拉丁裔组成较低（线性χ21 = 15.03，p < 0.001），和（5）较低的拉丁裔种族认同（线性χ21 = 7.29，p < 0.01）。然而，在古巴人和其他拉丁美洲人中，这种联系不太一致，在波多黎各人中没有发现与文化适应的联系。结论不同文化适应维度与12个月心境/焦虑障碍之间的关系因文化和历史差异而异。文化适应措施和疾病之间的关联可能取决于它们在多大程度上反映了移民之前和/或之后各人口亚群的保护性或致病性适应途径（例如失去家庭支持）。未来的研究应包括适应不良的途径和他们的关系，以各种文化适应方面的直接措施。
Background Individual-level measures of acculturation (e.g. age of immigration) have a complex relationship with psychiatric disorders. Fine-grained analyses that tap various acculturation dimensions and population subgroups are needed to generate hypotheses regarding the mechanisms of action for the association between acculturation and mental health. Method Study participants were US Latinos (N = 6359) from Wave 2 of the 2004–2005 National Epidemiologic Survey of Alcohol and Related Conditions (N = 34 653). We used linear χ2 tests and logistic regression models to analyze the association between five acculturation dimensions and presence of 12-month DSM-IV mood/anxiety disorders across Latino subgroups (Mexican, Puerto Rican, Cuban, ‘Other Latinos’). Results Acculturation dimensions associated linearly with past-year presence of mood/anxiety disorders among Mexicans were: (1) younger age of immigration (linear χ21 = 11.04, p < 0.001), (2) longer time in the United States (linear χ21 = 10.52, p < 0.01), (3) greater English-language orientation (linear χ21 = 14.57, p < 0.001), (4) lower Latino composition of social network (linear χ21 = 15.03, p < 0.001), and (5) lower Latino ethnic identification (linear χ21 = 7.29, p < 0.01). However, the associations were less consistent among Cubans and Other Latinos, and no associations with acculturation were found among Puerto Ricans. Conclusions The relationship between different acculturation dimensions and 12-month mood/anxiety disorder varies across ethnic subgroups characterized by cultural and historical differences. The association between acculturation measures and disorder may depend on the extent to which they index protective or pathogenic adaptation pathways (e.g. loss of family support) across population subgroups preceding and/or following immigration. Future research should incorporate direct measures of maladaptive pathways and their relationship to various acculturation dimensions.
影响因子：
5
作者：
HALEY, RW;SHACHTMAN, RH
通讯作者：
SHACHTMAN, RH