Race, Depression, and Financial Distress in a Nationally Representative Sample of American Adults
Race, Depression, and Financial Distress in a Nationally Representative Sample of American Adults
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DOI：
10.3390/brainsci9020029
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发表时间：
2019-02-01
期刊：
影响因子：
3.3
通讯作者：
Assari, Shervin
中科院分区：
文献类型：
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作者：
Assari, Shervin
背景：虽然抑郁症和财务困境是相关的，但这种关联可能因人口统计学群体而异，特别是基于种族。目的：使用美国成年人的全国样本，这项研究测试了非裔美国人和白人之间的重大抑郁发作（MDE）和财务困境之间的关联是否不同。方法：2003年美国生活全国调查（NSAL），纳入了3570名非洲裔美国人和891名非西班牙裔白色美国成年人。人口统计数据（年龄和性别）、社会经济地位（SEP;即，教育，就业，婚姻状况和收入），财务困境，和12个月的MDE进行了测量。采用Logistic回归进行数据分析。结果：在汇总样本中，12个月的MDE与更高的财务困境几率相关，超出了客观的SEP指标。我们发现MDE的种族相互作用的财务困境，这表明更强的关联MDE和财务困境之间的非洲裔美国人相比，白人。结论：MDE和财务困境之间的联系取决于种族。非裔美国人抑郁症的经济需求应该得到解决。患有经济困难的非裔美国人也需要进行抑郁症筛查。
Background: Although depression and financial distress are correlated, this association may differ for demographic groups, particularly based on race. Aim: Using a national sample of American adults, this study tested whether the association between Major Depressive Episode (MDE) and financial distress differs between African Americans and Whites. Methods: The National Survey of American Life (NSAL), 2003, enrolled 3570 African American and 891 Non-Hispanic White American adults. Demographic data (age and gender), socioeconomic position (SEP; i.e., education, employment, marital status, and income), financial distress, and 12-month MDE were measured. Logistic regression was used for data analysis. Results: In the pooled sample, 12-month MDE was associated with higher odds of financial distress, above and beyond objective SEP measures. We found MDE by race interaction on financial distress, suggesting stronger association between MDE and financial distress among African Americans, compared to Whites. Conclusions: The link between MDE and financial distress depends on race. The financial needs of African Americans with depression should be addressed. Depression screening is also needed for African Americans with financial distress.