Self-reported Discrimination and Depressive Symptoms Among Older Chinese Adults in Chicago

Self-reported Discrimination and Depressive Symptoms Among Older Chinese Adults in Chicago
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DOI:
10.1093/gerona/glw174
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发表时间:
2017-07-01
影响因子:
5.1
通讯作者:
Dong, XinQi
Dong, XinQi
中科院分区:
医学1区
文献类型:
--
作者:
Li, Lydia W.;Dong, XinQi

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背景:歧视是许多美国人生活的一部分,特别是少数民族。专注于老年华裔美国人,本研究探讨自我报告的歧视和抑郁症状之间的关联,并确定亚组,更有可能报告经历discrimination.Methods:我们进行了横断面分析,收集的数据来自成年人(年龄60岁以上)居住在大芝加哥地区(N = 3,004)的中国血统。自我报告的歧视进行了评估的歧视工具的经验,并一分为二(是与否)。通过患者健康问卷(PHQ-9)测量抑郁症状。结果:21.5%的被调查者报告曾遭受歧视,其中有21.5%的被调查者报告曾遭受歧视,有21.5%的被调查者报告曾遭受歧视。报告歧视的可能性更高的是那些年轻人,有更高的教育和收入,更适应文化,在美国生活的时间更长,住在唐人街以外,有更高的神经质和神经质水平。自我报告的歧视是显着和积极的抑郁症状,独立的社会人口特征,移民相关的变量,和人格factors.Conclusion:研究结果表明,自我报告的歧视和抑郁症状之间的关系在老年华裔美国人。他们进一步指出,相对较年轻、社会经济地位较高、文化适应性较强、生活在郊区的群体更有可能报告遭受歧视。
Background: Discrimination is part of life for many Americans, especially ethnic minorities. Focusing on older Chinese Americans, this study examines the association between self-reported discrimination and depressive symptoms and identifies subgroups that are more likely to report experiencing discrimination.Methods: We conducted cross-sectional analysis of data collected from adults (age 60+ years) of Chinese origin residing in the Greater Chicago area (N = 3,004). Self-reported discrimination was assessed by the Experiences of Discrimination instrument and was dichotomized (yes vs no). Depressive symptoms were measured by the Patient Health Questionnaire (PHQ-9). Logistic regression of self-reported discrimination and negative binominal regression of depressive symptoms were conducted.Results: About 21.5% of the sample reported having experienced discrimination. The odds of reporting discrimination are higher for those who are younger, have higher education and income, are more acculturated, have been in the United States longer, live outside Chinatown, and have higher levels of neuroticism and conscientiousness. Self-reported discrimination is significantly and positively associated with depressive symptoms, independent of sociodemographic characteristics, migration-related variables, and personality factors.Conclusion: Findings suggest a robust relationship between self-reported discrimination and depressive symptoms in older Chinese Americans. They further suggest that the relatively advantaged groups-younger, higher socioeconomic status, more acculturated, and living outside Chinatown-are more likely to report experiencing discrimination.