Early Life Disadvantage and the Risk of Depressive Symptoms among Young Black Women.
Early Life Disadvantage and the Risk of Depressive Symptoms among Young Black Women.
复制标题
年轻黑人女性的早期生活劣势和抑郁症状的风险。
DOI：
10.1007/s40615-023-01654-x
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发表时间：
2023
影响因子：
3.9
通讯作者：
Vines,AnissaI
中科院分区：
文献类型：
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作者：
Martin,ChantelL;Ghastine,Lea;Wegienka,Ganesa;Wise,LaurenA;Baird,DonnaD;Vines,AnissaI
我们研究了成年早期社会经济劣势与抑郁症状之间的关系，并评估了成年后的社会因素是否改变了这种联系。方法在环境、生活方式和肌瘤的研究中，由11个条目组成的流行病学研究中心抑郁量表(CES-D)评估了1612名黑人女性和其他有子宫的参与者(以下简称参与者)的成年抑郁症状。基线自我报告的童年因素(即家庭中的父母、母亲的教育程度、食物不安全、邻里安全、童年收入和睡眠安静的卧室)被包括在潜在类别分析中，以得出早期生活劣势的结构。多变量对数二项模型估计了早期生活劣势和成人抑郁症状之间的关联。结果在调整了年龄、头胎出生状况和儿童健康状况后，早期生活劣势程度较高的受试者发生抑郁症状的风险为低早期生活劣势组的1.34倍(95%CI：1.20，1.49)。成人的教育程度和社会支持改变了这种联系。结论早期的生活劣势增加了成年后抑郁症状的风险。至少受过一些大学教育和高社会支持的参与者分别比那些受教育程度低于大学教育和社会支持低的参与者风险更大。因此，黑人女性和其他有子宫的参与者的心理健康状况不一定会从高等教育或社会支持中受益。
OverviewWe examined the association between early-life socioeconomic disadvantage and depressive symptoms in adulthood and assessed whether social factors in adulthood modify the association.MethodsThe 11-item Center for Epidemiologic Studies-Depression Scale (CES-D) assessed adult depressive symptoms among 1612 Black women and other participants with a uterus (hereafter participants) in the Study of Environment, Lifestyle and Fibroids. Baseline self-reported childhood factors (i.e., parents in the household, mother’s educational attainment, food insecurity, neighborhood safety, childhood income, and quiet bedroom for sleep) were included in a latent class analysis to derive an early life disadvantage construct. Multivariable log-binomial models estimated the association between early life disadvantage and adult depressive symptoms. Potential effect modifiers included adult educational attainment, social support, and financial difficulty.ResultsParticipants classified as having high early life disadvantage had 1.34 times (95% CI: 1.20, 1.49) the risk of high depressive symptoms than those in the low early life disadvantage class after adjusting for age, first born status, and childhood health. Adult educational attainment and social support modified the association.ConclusionEarly life disadvantage increased the risk of depressive symptoms in adulthood. Participants with at least some college education and with high social support had greater risk than those with less than college education and low social support, respectively. Thus, the mental health of Black women and other participants with a uterus exposed to early life disadvantage do not necessarily benefit from higher education or from social support.