The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans
The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans
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DOI：
10.1007/s00127-011-0348-x
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发表时间：
2012-03-01
影响因子：
4.4
通讯作者：
Jackson, J. S.
中科院分区：
文献类型：
--
作者：
Hudson, Darrell L.;Neighbors, H. W.;Jackson, J. S.
目的以往的研究结果并未显示非裔美国人社会经济地位（SEP）与抑郁之间存在显著的负相关关系。本研究探讨了非裔美国人SEP多项指标与重度抑郁发作（MDE）的关系。方法采用美国全国生活调查主要访谈和再访谈资料。MDE，在12个月和一生的间隔，评估使用世界精神卫生版的综合国际诊断访谈。对Logistic回归模型进行人口统计学调整。结果对于12个月MDE，家庭收入和失业预测非裔美国男性MDE的几率更大，而教育程度与12个月MDE呈负相关。在非裔美国男性中，只有失业与终生MDE显著相关。对于非裔美国妇女，观察到家庭收入与12个月MDE之间存在显著的负相关关系。结论本研究的结果表明，在预测非裔美国人的抑郁症时，SEP的多种测量方法是重要的，并且SEP与抑郁症之间的关联模式因性别而异。考虑到SEP与抑郁之间关系的研究较少，需要进一步的研究来更牢固地建立SEP与抑郁之间的关系。考虑可能影响非裔美国人SEP和抑郁症之间关系的压力因素也很重要。
Purpose Findings from previous studies have not revealed significant, inverse relationships between socioeconomic position (SEP) and depression among African Americans. This study examined the relationship between multiple indicators of SEP and Major Depressive Episode (MDE) among African Americans.Methods Data were drawn from the National Survey of American Life main interview and re-interview. MDE, at both 12 month and lifetime intervals, was assessed using the World Mental Health version of the Composite International Diagnostic Interview. Logistic regression models were adjusted for demographics.Results For 12-month MDE, household income and unemployment predicted greater odds of MDE among African American men, while there was an inverse relationship between education and 12-month MDE. Only unemployment was significantly associated with lifetime MDE among African American men. For African American women, a significant inverse relationship between household income and 12-month MDE was observed.Conclusions Findings garnered from this study indicate that it is important to consider multiple measures of SEP in the prediction of depression among African Americans, and that the pattern of association between SEP and depression varies according to sex. Considering the paucity of studies that have explored the relationship between SEP and depression, additional research is needed to more firmly establish the relationship between SEP and depression. It is also important to consider stressors that may affect the relationship between SEP and depression among African Americans.