Association Between Stressful Life Events and Depression; Intersection of Race and Gender

Association Between Stressful Life Events and Depression; Intersection of Race and Gender
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DOI:
10.1007/s40615-015-0160-5
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发表时间:
2016-06-01
影响因子:
3.9
通讯作者:
Lankarani, Maryam Moghani
Lankarani, Maryam Moghani
中科院分区:
医学4区
文献类型:
--
作者:
Assari, Shervin;Lankarani, Maryam Moghani

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虽然压力性生活事件(SLE)和抑郁症是相关的,我们不知道种族和性别的交叉是否改变了这种联系的程度。使用一个全国性的代表性样本的成年人在美国,我们测试,如果SLE和抑郁症发作(MDE)之间的关联取决于交叉的种族和gender.Methods数据来自美国生活的全国调查(NSAL),2003年,一个横断面调查,招募5899名成年人,包括5008黑人(非洲裔美国人或加勒比黑人),和891非西班牙裔白人。采用Logistic回归进行数据分析。应激性生活事件(过去30天)是自变量,12个月的MDE是因变量,年龄,教育水平,婚姻状况,就业,和地区的国家controls.Results在合并样本中,SLE与MDE以上和超越所有协变量,没有SLE x种族的相互作用是显着的。在男性中,SLE与种族的相互作用是显著的,这表明与黑人男性相比,白色男性中SLE与MDE之间的关联更强。SLE x种族之间的这种相互作用不能被发现women.Conclusions SLE和抑郁症之间的关联可能是强白色男性比黑人男性,但是,这种联系并没有不同的白色和黑人妇女。需要更多的研究来更好地了解压力-抑郁联系中种族性别差异背后的机制。
Background Although stressful life events (SLEs) and depression are associated, we do not know if the intersection of race and gender modifies the magnitude of this link. Using a nationally representative sample of adults in the USA, we tested if the association between SLE and major depressive episode (MDE) depends on the intersection of race and gender.Methods Data came from the National Survey of American Life (NSAL), 2003, a cross-sectional survey that enrolled 5899 adults including 5008 Blacks (African-Americans or Caribbean Blacks), and 891 Non-Hispanic Whites. Logistic regression was used for data analysis. Stressful life events (past 30 days) was the independent variable, 12-month MDE was the dependent variable, and age, educational level, marital status, employment, and region of country were controls.Results In the pooled sample, SLE was associated with MDE above and beyond all covariates, without the SLE x race interaction term being significant. Among men, the SLE x race interaction was significant, suggesting a stronger association between SLE and MDE among White men compared to Black men. Such interaction between SLE x race could not be found among women.Conclusions The association between SLE and depression may be stronger for White men than Black men; however, this link does not differ between White and Black women. More research is needed to better understand the mechanism behind race by gender variation in the stress-depression link.