Understanding differences in past year psychiatric disorders for Latinos living in the US
Understanding differences in past year psychiatric disorders for Latinos living in the US
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DOI：
10.1016/j.socscimed.2007.03.026
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发表时间：
2007-07-01
影响因子：
5.4
通讯作者：
Canino, Glorisa
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Shrout, Patrick E.;Canino, Glorisa
这项研究旨在确定精神疾病的危险因素，可以解释美国成年拉丁美洲人之间的出生效应的差异。我们评估是否与文化适应和文化适应过程相关的因素，移民因素，家庭压力源和支持，背景因素，以及美国的社会地位，在12个月的精神疾病患病率的8个亚组的拉丁美洲人的帐户的差异。我们报告的结果按原籍国和移民年龄区分拉丁裔受访者（无论他们是在美国出生还是在6岁之前抵达：在美国儿童[IUSC];或者他们是否在6岁之后抵达：晚到移民[LAI]）。在年龄和性别调整后，LAI墨西哥人和IUSC古巴人报告抑郁症的患病率显着低于IUSC墨西哥人。一旦我们调整了家庭压力源、背景因素和社会地位因素的差异，这些差异就不再显著。在年龄和性别调整后，LAI与IUSC拉丁裔相比，焦虑症的风险似乎没有什么不同。对于物质使用障碍，家庭因素并不能抵消早期暴露于邻里劣势的风险升高，但25岁以后来到美国确实抵消了它。家庭冲突和负担始终与情绪障碍的风险相关。我们的研究结果表明，成功适应美国是一个多方面的过程，包括维护家庭和谐，融入美国有利的社区，以及积极的社会地位。我们的研究结果揭示，出生可能是一个不太重要的独立危险因素，目前的精神病发病率比原来认为的。(c)2007爱思唯尔有限公司保留所有权利。
This study seeks to identify risk factors for psychiatric disorders that may explain differences in nativity effects among adult Latinos in the USA. We evaluate whether factors related to the processes of acculturation and enculturation, immigration factors, family stressors and supports, contextual factors, and social status in the US account for differences in 12-month prevalence of psychiatric disorders for eight subgroups of Latinos. We report results that differentiate Latino respondents by country of origin and age at immigration (whether they were US-born or arrived before age 6: In-US-as-Child [IUSC]; or whether they arrived after age 6: later-arrival immigrants [LAI]). After age and gender adjustments, LAI Mexicans and IUSC Cubans reported a significantly lower prevalence of depressive disorders than IUSC Mexicans. Once we adjust for differences in family stressors, contextual factors and social status factors, these differences are no longer significant. The risk for anxiety disorders appears no different for LAI compared to IUSC Latinos, after age and gender adjustments. For substance use disorders, family factors do not offset the elevated risk of early exposure to neighborhood disadvantage, but coming to the US after age 25 does offset it. Family conflict and burden were consistently related to the risk of mood disorders. Our findings suggest that successful adaptation into the US is a multidimensional process that includes maintenance of family harmony, integration in advantageous US neighborhoods, and positive perceptions of social standing. Our results uncover that nativity may be a less important independent risk factor for current psychiatric morbidity than originally thought. (c) 2007 Elsevier Ltd. All rights reserved.