The Association Between Depressive Symptoms and Accumulation of Stress Among Black Men in the Health and Retirement Study.
The Association Between Depressive Symptoms and Accumulation of Stress Among Black Men in the Health and Retirement Study.
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DOI：
10.1093/geroni/igaa047
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发表时间：
2020
影响因子：
7
通讯作者：
Hudson D
中科院分区：
文献类型：
--
作者：
Thorpe RJ Jr;Cobb R;King K;Bruce MA;Archibald P;Jones HP;Norris KC;Whitfield KE;Hudson D
在推动黑人男性经历的健康不平等的多种因素中，压力在健康状况不佳中的根本作用是一个关键组成部分。非稳态负荷（AL）被认为是与累积劣势相关的压力源的副产品。暴露于慢性压力与心理健康状况较差有关，包括抑郁症状。很少有研究调查AL如何导致黑人男性的抑郁症状。横断面研究的目的是检查AL和抑郁症状之间的关联中老年黑人男性。该项目使用了2010年和2012年的健康和退休研究浪潮，增强了面对面的访谈，其中包括生物标志物评估和心理社会问卷。结果变量为抑郁症状，通过流行病学研究中心抑郁8项量表上3个或更多症状的认可进行评估。主要自变量AL评分通过对该特定生物标志物值评分范围为0至7的高范围内的数值进行求和来计算。AL评分为3或更高的黑人男性被认为是高AL组。采用改良泊松回归估计患病率（PR）和相应的95%置信区间（CI）。与低AL组的黑人男性相比，高AL组的黑人男性报告抑郁症状的比例更大（30.0%对20.0%）。调整年龄、教育、收入、饮酒和吸烟状况后，高AL组黑人男性报告3种或3种以上抑郁症状的患病率（PR = 1.61 [95%CI：1.20-2.17]）比低AL组黑人男性有统计学意义。在控制了潜在的混杂因素后，黑人男性中暴露于慢性压力与报告3种或3种以上抑郁症状有关。改善黑人男性工作、娱乐和祈祷的社会和经济条件是减轻压力的关键，从而可能导致更少的抑郁症状报告。
Among the multiple factors posited to drive the health inequities that black men experience, the fundamental role of stress in the production of poor health is a key component. Allostatic load (AL) is considered to be a byproduct of stressors related to cumulative disadvantage. Exposure to chronic stress is associated with poorer mental health including depressive symptoms. Few studies have investigated how AL contributes to depressive symptoms among black men. The purpose of the cross-sectional study was to examine the association between AL and depressive symptoms among middle- to old age black men. This project used the 2010 and 2012 wave of the Health and Retirement Study enhanced face-to-face interview that included a biomarker assessment and psychosocial questionnaire. Depressive symptoms, assessed by the endorsement of 3 or more symptoms on the Center for Epidemiological Studies—Depression 8-item scale, was the outcome variable. The main independent variable, AL, score was calculated by summing the number values that were in the high range for that particular biomarker value scores ranging from 0 to 7. black men whose AL score was 3 or greater were considered to be in the high AL group. Modified Poisson regression was used to estimate prevalence ratios (PRs) and corresponding 95% confidence intervals (CIs). There was a larger proportion of black men in the high AL group who reported depressive symptoms (30.0% vs. 20.0%) compared with black men in the low AL group. After adjusting for age, education, income, drinking, and smoking status, the prevalence of reporting 3 or more depressive symptoms was statistically significant among black men in the high AL group (PR = 1.61 [95% CI: 1.20–2.17]) than black men in the low AL group. Exposure to chronic stress is related to reporting 3 or more depressive symptoms among black men after controlling for potential confounders. Improving the social and economic conditions for which black men work, play, and pray is key to reducing stress, thereby potentially leading to the reporting of fewer depressive symptoms.
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影响因子：
12.7
作者：
Jackson JS;Knight KM;Rafferty JA
通讯作者：
Rafferty JA
影响因子：
3.9
作者：
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通讯作者：
Seeman, T
影响因子：
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作者：
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通讯作者：
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影响因子：
56.9
作者：
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通讯作者：
STUEVE, A
影响因子：
3.4
作者：
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通讯作者：
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