Residential segregation and mental health among Latinos in a nationally representative survey.
Residential segregation and mental health among Latinos in a nationally representative survey.
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一项全国代表性调查中拉丁美洲人的居住隔离和心理健康。
DOI：
10.1136/jech-2016-208034
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发表时间：
2017
影响因子：
6.3
通讯作者：
Marques,Luana
中科院分区：
文献类型：
--
作者：
Nobles,CarrieJ;Valentine,SarahE;Zepeda,EDavid;Wang,Ye;Ahles,EmilyM;Shtasel,DerriL;Marques,Luana
在拉丁美洲人中，生活在拉丁裔人口密度较大的地方可能对心理健康有保护作用，尽管研究结果因拉丁裔亚群、性别和出生地而异。尽管研究很少，但拉丁裔居住隔离可能比当地种族密度捕捉到将风险和保护性环境因素与心理健康联系起来的不同途径。方法采用Kessler-10量表（K10）对全国拉丁裔和亚裔美国人研究（NLAAS）中的拉丁裔参与者进行调查，评估居住隔离与精神困扰之间的关系。采用2000年人口普查数据，利用差异指数和隔离指数计算大都市统计区（MSA）居住隔离，以及人口普查区种族密度和贫困率。拉丁裔亚组（波多黎各人、墨西哥裔美国人、古巴裔美国人和其他拉丁裔亚组）、性别和世代地位作为调节因素进行评估。结果在NLAAS的2554名拉丁裔参与者中，隔离指数测量的居住隔离与拉丁裔总体上较少的精神困扰相关（β - 0.14, 95% CI - 0.26至- 0.03 log(K10)），调整了种族密度、贫困和个体共变量。由差异指数测量的居住隔离与男性较少的精神痛苦显著相关（β - 0.56, 95% CI - 1.04至- 0.08），但与女性无关（β - 0.20, 95% CI - 0.45至0.04，p-交互作用=0.019）。拉丁裔亚群或世代未观察到任何改变。结论在拉美裔人群中，日益增加的居住隔离与较少的精神痛苦相关，且这种关联受性别的调节。研究结果表明，msa级别的隔离措施可能捕捉到与居住在拉丁裔社区有关的心理健康保护作用。
BackgroundAmong Latinos, living in a locality with greater Latino ethnic density may be protective for mental health, although findings vary by Latino subgroup, gender and birthplace. Although little studied, Latino residential segregation may capture different pathways linking risk and protective environmental factors to mental health than local ethnic density.MethodsThis study evaluated the association between residential segregation and mental distress as measured by the Kessler-10 (K10) among Latino participants in the National Latino and Asian American Study (NLAAS). Census data from 2000 was used to calculate metropolitan statistical area (MSA) residential segregation using the dissimilarity and isolation indices, as well as census tract ethnicity density and poverty. Latino subgroup (Puerto Rican, Mexican American, Cuban American and other Latino subgroup), gender and generation status were evaluated as moderators.ResultsAmong 2554 Latino participants in NLAAS, residential segregation as measured by the isolation index was associated with less mental distress (β −0.14, 95% CI −0.26 to −0.03 log(K10)) among Latinos overall after adjustment for ethnic density, poverty and individual covariates. Residential segregation as measured by the dissimilarity index was significantly associated with less mental distress among men (β −0.56, 95% CI −1.04 to −0.08) but not among women (β −0.20, 95% CI −0.45 to 0.04, p-interaction=0.019). No modification was observed by Latino subgroup or generation.ConclusionsAmong Latinos, increasing residential segregation was associated with less mental distress, and this association was moderated by gender. Findings suggest that MSA-level segregation measures may capture protective effects associated with living in Latino communities for mental health.