A survey of depressive symptoms among Vietnamese-American men in three locales - Prevalence and correlates
A survey of depressive symptoms among Vietnamese-American men in three locales - Prevalence and correlates
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DOI：
10.1097/00005053-199811000-00003
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发表时间：
1998-11-01
影响因子：
1.9
通讯作者：
Fordham, D
中科院分区：
文献类型：
--
作者：
Hinton, L;Jenkins, CNH;Fordham, D
越南人是美国增长最快的少数民族群体之一。这项研究的目的是确定三个地点的越南男性抑郁得分较高的患病率及其相关性。对旧金山/阿拉米达县、圣克拉拉县和休斯顿市的成年越南男子进行了计算机辅助电话采访。越南姓氏家庭的电话号码是从地区电话簿中随机选择的。抑郁症的评估使用先前验证的越南语抑郁症筛查工具，对重度抑郁症的敏感性为86%，特异性为96%。8.2%至9.8%的男性得分高于临界值。Logistic回归分析显示，英语最差、较穷、失业或残疾、退伍军人和那些住在休斯顿的男性更有可能有较高的抑郁得分。根据筛查工具的特点，越南男性的临床抑郁率可能略高于普通人群中的男性。然而，由我们的分析确定的高危亚组可能会遭受显著更高的临床抑郁症发生率。据我们所知，我们的研究是第一次表明社区背景或地点是这一人群高度抑郁症状的独立预测因素。这些发现对越南男性抑郁症的预防和干预方法具有重要意义。
Vietnamese are one of the fastest growing ethnic minority groups in the United States. The purpose of this study was to determine the prevalence and correlates of high depression scores among Vietnamese men in three locales. Computer assisted telephone interviews were conducted with adult Vietnamese men in San Francisco/Alameda Counties, Santa Clara County, and the city of Houston. Telephone numbers of households with Vietnamese surnames were chosen randomly from area telephone books. Depression was assessed using a previously validated Vietnamese language depression screening instrument with 86% sensitivity and 96% specificity for major depression. Between 8.2% and 9.8% of the men scored above the cut-off. Logistic regression analysis revealed that men who were the least proficient in English, poorer, unemployed or disabled, veterans, and those living in Houston were more likely to have a high depression score. Based on the characteristics of the screening instrument, rates of clinical depression among Vietnamese men may be modestly higher than rates for men in the general population. However, high-risk subgroups identified by our analyses may suffer from substantially higher rates of clinical depression. To our knowledge, ours is the first study to show that community context or locale is an independent predictor of high depressive symptoms in this population. These findings have important implications for prevention and intervention approaches to depression among Vietnamese men.