"One Scar Too Many:" The Associations Between Traumatic Events and Psychological Distress Among Undocumented Mexican Immigrants
"One Scar Too Many:" The Associations Between Traumatic Events and Psychological Distress Among Undocumented Mexican Immigrants
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DOI：
10.1002/jts.22216
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发表时间：
2017-10-01
影响因子：
3.3
通讯作者：
Klonoff, Elizabeth A.
中科院分区：
文献类型：
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作者：
Garcini, Luz M.;Pena, Juan M.;Klonoff, Elizabeth A.
无证移民通常会带来多种压力和背景挑战，这可能会损害心理健康。这项研究首次对美国无证墨西哥移民中创伤事件的发生率及其与临床显着心理困扰的关系提供了基于人群的估计。这项横断面研究采用受访者驱动的抽样方法，获取并分析了对居住在加州-墨西哥边境附近高风险社区的 248 名无证墨西哥移民进行临床访谈的数据。总体而言，82.7% 的参与者报告有创伤事件史，其中 47.0% 符合临床显着心理困扰的标准。控制相关协变量后，经历过物质匮乏，比值比 (OR) = 2.26，95% CI [1.18, 4.31]，p = .013，以及身体伤害，OR = 2.96，95% CI [1.50, 5.83]，p = .002，并且没有驱逐史，OR = 0.36，95% CI [0.17, 0.79], p = .011，与临床上显着的心理困扰相关。这些结果表明有必要重新审视健康和移民政策，并根据经验证据制定解决方案，旨在防止创伤和心理困扰对这一人群产生负面影响。
Undocumented immigration often presents with multiple stressors and contextual challenges, which may diminish mental health. This study is the first to provide population-based estimates for the prevalence of traumatic events and its association to clinically significant psychological distress among undocumented Mexican immigrants in the United States. This cross-sectional study used respondent-driven sampling to obtain and analyze data from clinical interviews with 248 undocumented Mexican immigrants residing in high-risk neighborhoods near the California-Mexico border. Overall, 82.7% of participants reported a history of traumatic events, with 47.0% of these meeting the criteria for clinically significant psychological distress. After controlling for relevant covariates, having experienced material deprivation, odds ratio (OR) = 2.26, 95% CI [1.18, 4.31], p = .013, and bodily injury, OR = 2.96, 95% CI [1.50, 5.83], p = .002, and not having a history of deportation, OR = 0.36, 95% CI [0.17, 0.79], p = .011, were associated with clinically significant psychological distress. These results support the need to revisit health and immigration policies and to devise solutions grounded in empirical evidence aimed at preventing the negative effects of trauma and psychological distress in this population.