Wax-related posttraumatic stress disorder in Black, Hispanic, and majority white Vietnam veterans: The roles of exposure and vulnerability
Wax-related posttraumatic stress disorder in Black, Hispanic, and majority white Vietnam veterans: The roles of exposure and vulnerability
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DOI：
10.1002/jts.20327
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发表时间：
2008-04-01
影响因子：
3.3
通讯作者：
Yager, Thomas J.
中科院分区：
文献类型：
--
作者：
Dohrenwend, Bruce P.;Turner, J. Blake;Yager, Thomas J.
据报道，黑人和西班牙裔越战老兵的慢性创伤后应激障碍（PTSD）患病率升高。对这些群体差异没有全面的解释。此外，以前的研究依赖于战区压力的回顾性报告和PTSD评估，无法区分患病率和发病率。这些局限性是通过使用基于记录的暴露措施和临床诊断的一个子样本的退伍军人从国家越南退伍军人重新调整研究（NVVRS）。与占多数的白色人相比，黑人的比例上升是因为黑人的接触更多;西班牙裔的比例上升是因为西班牙裔的接触更多、年龄更小、受教育程度更低和武装部队资格考试分数更低。与黑人相比，西班牙裔美国人的PTSD升高主要是由于西班牙裔美国人的年龄较小。
Elevated prevalence rates of chronic posttraumatic stress disorder (PTSD) have been reported for Black and Hispanic Vietnam veterans. There has been no comprehensive explanation of these group differences. Moreover, previous research has relied on retrospective reports of war-zone stress and on PTSD assessments that fail to distinguish between prevalence and incidence. These limitations are addressed by use of record-based exposure measures and clinical diagnoses of a subsample of veterans from the National Vietnam Veterans Readjustment Study (NVVRS). Compared with Majority White, the Black elevation is explained by Blacks' greater exposure; the Hispanic elevation, by Hispanics' greater exposure, younger age, lesser education, and lower Armed Forces Qualification Test scores. The PTSD elevation in Hispanics versus Blacks is accounted for mainly by Hispanics' younger age.