Neighborhood social cohesion and serious psychological distress among Asian, Black, Hispanic/Latinx, and White adults in the United States: a cross-sectional study.
Neighborhood social cohesion and serious psychological distress among Asian, Black, Hispanic/Latinx, and White adults in the United States: a cross-sectional study.
复制标题
DOI：
10.1186/s12889-022-13572-4
复制
发表时间：
2022-06-15
影响因子：
4.5
通讯作者：
Jackson, Chandra L.
中科院分区：
文献类型：
--
作者：
Gullett, Lauren R.;Alhasan, Dana M.;Gaston, Symielle A.;Jackson, W. Braxton;Kawachi, Ichiro;Jackson, Chandra L.
关键词：
严重心理困扰(SPD)很常见，在女性、老年人和低收入人群中更为普遍。先前的研究强调了低社区社会凝聚力(NSC)在潜在导致SPD中的作用；然而，很少有人在美国具有全国代表性的大样本中调查这种联系。因此，我们的目标是调查NSC和SPD之间的总体和种族/民族、性别/性别、自我评估的健康状况、年龄和家庭收入特定的关系。我们使用2013年至2018年全国健康访谈调查的调查数据，调查了美国亚裔、非西班牙裔黑人、西班牙裔/拉丁裔和NH-白人男性和女性(N = 168,573)中的NSC和SPD，并确定了按种族/民族、性别/性别、自我评估的健康状况、年龄和家庭年收入进行的修改。NSC是通过向参与者询问四个与他们邻居的可信度和可靠性有关的问题来衡量的。神经干细胞评分分为低(<； 12)、中(12-14)和高(15-16)三组。采用Kessler-6心理苦恼量表测量SPD， ≥ 评分13分为SPD。在调整了社会人口学、健康行为和临床混杂因素后，我们使用具有稳健方差的泊松回归来估计患病率(PR)和95%可信区间(CI)。在168,573名参与者中，大多数是非西班牙裔(NH)白人(69%)，平均年龄为47 ± 0.01岁。调整后，低NSC与高NSC相比，SPD的总体患病率高出75%(PR = 1.75[1.59-1.92])，是亚洲男性SPD患病率的4倍(PR = 4.06[1.57-10.50])，是至少健康状况良好的参与者中SPD患病率的2倍(PR = 2.02[95%CI：1.74-2.35])，在50岁的参与者中，自闭症的患病率高出92%(PR ≥ 1.92[1.70-2.18])，在家庭收入为75,000美元的西班牙裔/拉丁裔参与者中，自闭症的患病率大约是3倍(PR = 2.97[1.45-6.08])。在总体人口中，低NSC与较高的SPD相关，而且这种关联在亚裔男性、报告健康状况良好的参与者、老年参与者以及家庭收入较高的西班牙裔/拉丁裔成年人中更高。未来的研究应该继续研究社区环境如何影响各种社会人口群体的健康，特别是在具有多种边缘化社会身份的群体中。网上版载有补充材料，可在10.1186/s12889-022-13572-4查阅。
Serious psychological distress (SPD) is common and more prevalent in women, older adults, and individuals with a low-income. Prior studies have highlighted the role of low neighborhood social cohesion (nSC) in potentially contributing to SPD; however, few have investigated this association in a large, nationally representative sample of the United States. Therefore, our objective was to investigate the overall and racial/ethnic-, sex/gender-, self-rated health status-, age-, and household income-specific relationships between nSC and SPD. We used data from survey years 2013 to 2018 of the National Health Interview Survey to investigate nSC and SPD among Asian, Non-Hispanic (NH)-Black, Hispanic/Latinx, and NH-White men as well as women in the United States (N = 168,573) and to determine modification by race/ethnicity, sex/gender, self-rated health status, age, and annual household income. nSC was measured by asking participants four questions related to the trustworthiness and dependability of their neighbors. nSC scores were trichotomized into low (< 12), medium (12–14), and high (15–16). SPD was measured using the Kessler 6 psychological distress scale with scores ≥ 13 indicating SPD. After adjusting for sociodemographic, health behavior, and clinical confounders, we used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs). Among 168,573 participants, most were Non-Hispanic (NH)-White (69%), and mean age was 47 ± 0.01 years. After adjustment, low vs. high nSC was associated with a 75% higher prevalence of SPD overall (PR = 1.75 [1.59–1.92]), 4 times the prevalence of SPD among Asian men (PR = 4.06 [1.57–10.50]), 2 times the prevalence of SPD among participants in at least good health (PR = 2.02 [95% CI: 1.74–2.35]), 92% higher prevalence of SPD among participants ≥ 50 years old (PR = 1.92 [1.70–2.18]), and approximately 3 times the prevalence of SPD among Hispanic/Latinx participants with household incomes ≥ $75,000 (PR = 2.97 [1.45–6.08]). Low nSC was associated with higher SPD in the overall population and the magnitude of the association was higher in Asian men, participants who reported good health, older participants, and Hispanic/Latinx adults with higher household incomes. Future research should continue to examine how neighborhood contexts can affect health across various sociodemographic groups, especially among groups with multiple marginalized social identities. The online version contains supplementary material available at 10.1186/s12889-022-13572-4.
登录
查看更多内容
影响因子：
5.1
作者：
Guilcher, Sara J. T.;Kaufman-Shriqui, Vered;Booth, Gillian L.
通讯作者：
Booth, Gillian L.
影响因子：
3.1
作者：
Henderson, Heather;Child, Stephanie;Kaczynski, Andrew T.
通讯作者：
Kaczynski, Andrew T.
影响因子：
2.8
作者：
Gebauer, Sarah;Schootman, Mario;Xaverius, Pamela
通讯作者：
Xaverius, Pamela
影响因子：
3.1
作者：
Florez, Karen R.;Ghosh-Dastidar, Madhumita Bonnie;Dubowitz, Tamara
通讯作者：
Dubowitz, Tamara
影响因子：
2.7
作者：
Budhwani, Henna;De, Prabal
通讯作者：
De, Prabal