PREVALENCE OF DEPRESSION IN LOS-ANGELES COUNTY

PREVALENCE OF DEPRESSION IN LOS-ANGELES COUNTY
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DOI:
10.1093/oxfordjournals.aje.a113149
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发表时间:
1981-01-01
影响因子:
5
通讯作者:
CLARK, VA
CLARK, VA
中科院分区:
医学2区
文献类型:
--
作者:
FRERICHS, RR;ANESHENSEL, CS;CLARK, VA

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抑郁症的发生是在1979年夏天,在洛杉矶县的1003名成年人(66%的参与率)的多种族概率样本中确定的,作为抑郁症流行病学和寻求帮助行为的社区调查的一部分。抑郁症的主要测量方法是流行病学研究中心抑郁量表(CES-D)。基于CES-D临界值定义16或更高的抑郁症总体患病率为19.1%。抑郁症的患病率在西班牙裔中最高(27.4%),在白人中较低(15.6%),黑人和其他人处于中等水平(分别为21.8%和21.2%)。女性(23.5%)患抑郁症的可能性几乎是男性(12.9%)的两倍。按年龄划分,18-24岁的人报告的抑郁率最高(27.4%),而45-64岁的人报告的抑郁率最低(16.3%)。正如预期的那样,抑郁症的患病率与家庭收入密切相关,收入低于8500美元的家庭报告的抑郁症患病率最高(29.3%);收入超过2.5万美元的最低水平(9.0%)。在控制了选定的人口统计学和社会经济变量的影响后,种族和民族与抑郁症的存在都没有显著的关系。许多少数民族所经历的经济压力可能是黑人和西班牙裔美国人患抑郁症比例较高的一个重要决定因素。
The occurrence of depression was determined during the summer of 1979 in a multi-ethnic probability samples of 1003 adults (66% participation) in Los Angeles County, as part of a community survey of the epidemiology of depression and help-seeking behavior. The primary measure of depression was the 20 item CES-D [Center for Epidemiological Studies-Depression] scale. The overall prevalence of depression based on a CES-D cutpoint definition of 16 or greater was 19.1%. The prevalence of depression was greatest among Hispanics (27.4%) and less among whites (15.6%), with blacks and others at an intermediate level (21.8% and 21.2%, respectively). Females (23.5%) were nearly twice as likely to be depressed as males (12.9%). By age, persons 18-24 yr reported the highest rate of depression (27.4%), while those 45-64 yr reported the lowest (16.3%). As expected, the prevalence of depression was strongly related to family income, with the highest level reported for those earning less than 8500 (29.3%); the lowest level for those earning more than 25,000 (9.0%). After controlling for effects of selected demographic and socioeconomic variables, neither race nor ethnicity were significantly related to the presence of depression. The economic strain experienced by many minorities may be an important determination of higher rates of depression among blacks and Hispanics.