Modifiable risk and protective factors for depressive symptoms in low-income African American mothers.
Modifiable risk and protective factors for depressive symptoms in low-income African American mothers.
复制标题
低收入非裔美国母亲抑郁症状的可改变风险和保护因素。
DOI：
10.1037/0002-9432.77.1.113
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Ismail,AmidI
中科院分区：
文献类型：
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作者：
Siefert,Kristine;Finlayson,TracyL;Williams,DavidR;Delva,Jorge;Ismail,AmidI
低收入的非洲裔美国母亲的幼儿经历抑郁症的发病率很高，但许多已确定的风险因素提供了很少的干预方向。作者对底特律39个最贫困人口普查区的824名非洲裔美国母亲进行了可能抑郁症（流行病学研究中心抑郁量表≥ 23）的可改变风险和保护因素的研究。家庭食物不足和住房恶化显着增加了抑郁症的可能性，而在危机中获得贷款，帮助儿童保育和交通是保护性的。然而，更频繁的日常歧视经历大大增加了抑郁症状升高的几率。这些发现支持需要在个人和社会层面采取干预措施，以解决心理健康状况不佳的根本原因。
Low‐income African American mothers of young children experience high rates of depression, but many of the risk factors that have been identified provide little direction for intervention. The authors examined modifiable risk and protective factors for probable depression (Center for Epidemiological Studies Depression Scale ≥ 23) in 824 African American mothers living in the 39 poorest census tracts in Detroit. Household food insufficiency and deteriorated housing significantly increased the odds of likely depression, whereas availability of a loan in a crisis, help with childcare, and transportation were protective. However, more frequent experiences of everyday discrimination greatly increased the odds of elevated depressive symptoms. These findings support the need for interventions that operate across individual and societal levels to address the fundamental causes of poor mental health.