The epidemiology of major depression and ethnicity in the United States
The epidemiology of major depression and ethnicity in the United States
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DOI：
10.1016/j.jpsychires.2010.03.017
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发表时间：
2010-11-01
影响因子：
4.8
通讯作者：
Vega, William A.
中科院分区：
文献类型：
--
作者：
Gonzalez, Hector M.;Tarraf, Wassim;Vega, William A.
目的为了确定美国少数族裔中重度抑郁症的发病年龄、严重程度相关的残疾和治疗，对全国调查数据进行分析方法对18岁及以上美国家庭居民的全国概率样本进行分析（n = 14710）参与研究。主要结果是过去一年和一生中的抑郁症（世界精神卫生综合国际诊断访谈）重性抑郁症患病率估计发病年龄严重程度相关残疾和分类治疗使用结果美国、日本、韩国、韩国、日本、韩国、日本、韩国与外国出生群体相比，非裔美国人和墨西哥人的抑郁症慢性化程度显着高于白人，抑郁症护理使用和指南一致性使用显着低于白人。我们提供了简明和详细的指导，以更好地了解重性抑郁症的分布和相关的精神卫生保健不平等和相关的发病率抑郁症护理的不平等，主要影响墨西哥裔美国人和非洲裔美国人可能涉及过度的重性抑郁症疾病负担（C）2010爱思唯尔有限公司版权所有
Objectives To determine the prevalence age of onset severity associated disability and treatment of major depression among United States ethnic groups national survey data were analyzedMethods National probability samples of US household residents aged 18-years and older (n = 14 710) participated The main outcomes were past-year and lifetime major depression (World Mental Health Composite International Diagnostic Interview) Major depression prevalence estimates age of onset severity associated disability and disaggregated treatment use (pharmacotherapy and psychotherapy) and treatment guideline concordant use were examined by ethnicityResults The prevalence of major depression was higher among US-born ethnic groups compared to foreign born groups but not among older adults African Americans and Mexicans had significantly higher depression chronicity and significantly lower depression care use and guideline concordant use than WhitesDiscussion We provide concise and detailed guidance for better understanding the distribution of major depression and related mental healthcare inequalities and related morbidity Inequalities in depression care primarily affecting Mexican Americans and African Americans may relate to excesses in major depression disease burden (C) 2010 Elsevier Ltd All rights reserved