Relationship of social and economic factors to mental disorders among population-based samples of Jamaicans and Guyanese.
Relationship of social and economic factors to mental disorders among population-based samples of Jamaicans and Guyanese.
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DOI：
10.1136/bmjopen-2016-012870
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发表时间：
2016-12-16
期刊：
影响因子：
2.9
通讯作者：
Jackson JS
中科院分区：
文献类型：
--
作者：
Lacey KK;Powell Sears K;Crawford TV;Matusko N;Jackson JS
人们越来越关注加勒比地区日益增多的心理健康问题。本研究探讨了与选定的精神健康障碍在2个加勒比国家：牙买加和圭亚那的比率和因素。1218牙买加和2068圭亚那参与者的概率样本。采用《精神疾病诊断统计手册》第四版（DSM-IV）定义的修订版WHO复合国际诊断访谈（WHO CIDI）来评估终生精神疾病。采用描述性统计、χ2检验和分层回归分析等方法对精神障碍的发生率和相关因素进行分析。心理健康状况的发生率在不同的背景下是不同的，与牙买加人相比，圭亚那人的酒精滥用（3.6%对2.2%），药物滥用（1.4%对1.3%），物质滥用（4.7%对2.7%）和躁狂症（0.4%对0.1%）普遍较高。然而，牙买加人的抑郁率高于圭亚那人（7.4%对4.1%）。由于社会和经济因素，这两个国家的比率也存在明显差异，社会因素在各国个人的心理健康状况中发挥着更大的作用。这项研究的结果表明，有必要更深入地分析造成加勒比区域人民精神健康状况的因素，包括额外压力来源的影响、护理质量和个人寻求帮助的行为。
There have been growing concerns about increasing mental health problems in the Caribbean region. This study explores rates and factors associated with selected mental health disorders within 2 Caribbean countries: Jamaica and Guyana. Probability samples of 1218 Jamaicans and 2068 Guyanese participants were used. A modified version of the WHO Composite International Diagnostic Interview (WHO CIDI) defined by the Diagnostic Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) was administered in order to assess lifetime mental disorders. Descriptive statistics, χ2 and hierarchical regression analytic procedures were used to examine rates and factors associated with mental disorders. Rates of mental health conditions were different across contexts and were generally higher for Guyanese compared with Jamaicans for alcohol abuse (3.6% vs 2.2%), drug abuse (1.4% vs 1.3%), substance abuse (4.7% vs 2.7%) and mania (0.4% vs 0.1%). The rate of depression, however, was higher among Jamaicans than Guyanese (7.4% vs 4.1%). There were also noticeable differences in rates in both countries, due to social and economic factors, with social factors playing a larger contributory role in the mental health status of individuals across countries. The results of this study suggest the need for more indepth analyses of factors contributing to mental health conditions of peoples within the Caribbean region, including the influence of additional sources of stress, quality of care and help-seeking behaviours of individuals.
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影响因子：
2.3
作者：
Krieger, N
通讯作者：
Krieger, N
DOI：
10.1590/s1020-49892005000900002
发表时间：
2005-11-01
期刊：
Revista Panamericana de Salud Pública
影响因子：
--
作者：
Kohn, Robert;Levav, Itzhak;Saraceno, Benedetto
通讯作者：
Saraceno, Benedetto
DOI：
10.4314/ajtcam.v9i1.14
发表时间：
2012-01-01
影响因子：
--
作者：
James, Caryl C. A. B.;Peltzer, Karl
通讯作者：
Peltzer, Karl
影响因子：
2.3
作者：
Killion, Cheryl;Cayetano, Claudina
通讯作者：
Cayetano, Claudina
影响因子：
12.7
作者：
Krieger, N
通讯作者：
Krieger, N