Symptoms of depression among community-dwelling elderly African-American and White older adults
Symptoms of depression among community-dwelling elderly African-American and White older adults
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DOI：
10.1017/s0033291798007648
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发表时间：
1998-11-01
影响因子：
6.9
通讯作者：
Saunders, WB
中科院分区：
文献类型：
--
作者：
Blazer, DG;Landerman, LR;Saunders, WB
背景。很少有研究探讨老年人中不同种族个体症状的差异。方法。数据分析来自杜克大学老年人流行病学研究中心 (EPESE)，这是一个 65 岁及以上人群的社区样本，其中 54% 是非裔美国人。在 3401 名拥有足够抑郁症状学数据的受试者中，首先使用验证性因子分析和 LISREL 来确认先前为 CES-D 报告的因子结构的存在。接下来，进行双变量分析以确定按种族划分的个体症状的患病率。最后，进行 LISREL 分析以控制潜在的混杂变量。结果。当对不同种族的特定症状进行双变量比较时，非洲裔美国人更有可能报告对未来的希望较小、胃口不佳、注意力不集中、需要更多努力进行日常活动、较少说话、感觉人们不友好、感觉不被他人喜欢以及比平常更“烦恼”。当对这些数据应用 LISREL 分析（控制教育、收入、认知障碍、慢性健康问题和残疾等因素）时，躯体主诉和生活满意度的种族差异消失，但人际关系的差异仍然存在。结论。这项研究证实了早期的对照研究结果，即非洲裔美国人和非非洲裔美国人社区居住的老年人之间症状频率总体差异很小。
Background. Few studies have explored the variance in individual symptoms by race in older adults.Methods. Data were analysed from the Duke site of the Established Populations for Epidemiologic Studies of the Elderly (EPESE), a community sample of persons 65 years-of-age and older, 54 % of whom were African-Americans. Of the 3401 subjects with adequate data on depressive symptomatology, confirmatory factor analysis and LISREL were first used to confirm the presence of the factor structure previously reported for the CES-D. Next, bivariate analysis was performed to determine the prevalence of individual symptoms by race. Finally, LISREL analysis was performed to control for potential confounding variables.Results. When bivariate comparisons of specific symptoms by race were explored, African-Americans were more likely to report less hope about the future, poor appetite, difficulty concentrating, requiring more effort for usual activities, less talking, feeling people were unfriendly, feeling disliked by others and being more 'bothered' than usual. When LISREL analyses were applied to these data (controlling for education, income, cognitive impairment, chronic health problems and disability and other factors) racial differences in somatic complaints and life satisfaction disappeared, yet differences in interpersonal relations persisted.Conclusions. This study confirms earlier findings of minimal overall differences in symptom frequency between African-American and non-African-American community-dwelling older adults in controlled studies.