Depressive Symptoms in Older African Immigrants with Mobility Limitations: A Descriptive Study.

Depressive Symptoms in Older African Immigrants with Mobility Limitations: A Descriptive Study.
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行动不便的老年非洲移民的抑郁症状:描述性研究。

DOI:
10.1080/07317115.2021.1976893
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发表时间:
2023
影响因子:
2.8
通讯作者:
Gaugler,JosephE
Gaugler,JosephE
中科院分区:
医学3区
文献类型:
--
作者:
Nkimbeng,Manka;Nmezi,NwakaegoA;Baker,ZacharyG;Taylor,JanieceL;Commodore-Mensah,Yvonne;Shippee,TetyanaP;Szanton,SarahL;Gaugler,JosephE

文献摘要

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目的在移民到美国之前、期间和之后,移民面临着紧张的生活环境,这可能会使他们面临抑郁症状的风险。然而,关于非洲移民心理健康的研究还很匮乏。我们对巴尔的摩-华盛顿地区的两项研究进行了二次数据分析,以描述和识别老年非洲移民抑郁症状的相关性。方法采用卡方检验、单因素方差分析和线性回归来描述和检验抑郁症状与移民相关危险因素之间的关联。结果本样本包括148名参与者,平均年龄为62岁(SD±8.2)。8.1%的参与者出现临床抑郁症状,超过一半的时间入睡困难是最常见的症状(20%)。教育程度、收入和移民原因与临床抑郁症状有显著差异,但在控制协变量后,这些与更多的抑郁症状并不显著相关。结论纵向设计可以进一步阐明抑郁症状在该人群中的发生率、相关性和长期影响。临床意义抑郁症状负担和危险因素的知识可以为及时评估、转诊和治疗老年非洲移民的抑郁症状和其他心理健康结果提供信息。
ObjectivesBefore, during, and after their immigration to the United States, immigrants face stressful life circumstances that may render them at risk for depressive symptoms. However, there is a dearth of research on the mental health of African immigrants. We performed secondary data analyses of two studies in the Baltimore–Washington area to describe and identify correlates of depressive symptoms in older African immigrants.MethodsChi square tests, one-way ANOVAs, and linear regressions were used to describe and examine associations between depressive symptoms and immigrant-related risk factors.ResultsThis sample included 148 participants who had a mean age of 62 (SD ± 8.2). Clinical depressive symptoms were present in 8.1% of participants, and trouble falling asleep for more than half of the days was the most prevalent symptom (20%). Levels of education, income, and migration reasons differed significantly from clinical depressive symptoms, but these were not significantly associated with more depressive symptoms after controlling for covariates.ConclusionsLongitudinal designs may further elucidate incidence, correlates, and long-term effects of depressive symptoms within this population.Clinical ImplicationsKnowledge of depressive symptom burden and risk factors can inform timely assessment, referral, and treatment of depressive symptoms and other mental health outcomes in older African immigrants.