Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farmworkers in California
Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farmworkers in California
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DOI：
10.2105/ajph.90.4.608
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发表时间：
2000-04-01
影响因子：
12.7
通讯作者：
Aguilar-Gaxiola, S
中科院分区：
文献类型：
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作者：
Alderete, E;Vega, WA;Aguilar-Gaxiola, S
目标。在这项研究中，按性别和种族（印度人和非印度人）对在加利福尼亚州弗雷斯诺县工作的墨西哥移民农场工人中 12 种精神疾病的患病率和危险因素进行了检查。方法。年龄在 18 岁至 59 岁之间的受试者是根据整群抽样设计选出的（n = 1001）。使用综合国际诊断访谈的修改版本来确定病例。测试了社会人口统计和文化适应因素对终生精神疾病的影响。结果。任何精神疾病的终生发生率如下：男性，26.7%（SE = 1.9）；女性，16.8%（SE = 1.7）；印度人，26.0%（SE = 4.5）；非印第安人，20.1% (SE = 1.3)。终生总发生率如下：情感障碍。 5.7%，焦虑症，12.5%；任何药物滥用或依赖，8.7%；反社会人格，0.2%。爱荷华州移民的任何精神疾病的终生患病率高于墨西哥裔美国人和整个美国人口。高度文化化和主要居住在美国增加了终生精神疾病的可能性。结论。结果强调了文化适应问题带来的风险、该人群心理健康逐渐恶化的可能性以及对适合文化的心理健康服务的需求。
Objectives. In this study, the prevalence of and risk factors for 12 psychiatric disorders were examined by sex and ethnicity (Indian vs non-Indian) among Mexican migrant farm-workers working in Fresno County, California.Methods. Subjects aged 18 through 59 years were selected under a cluster sampling design (n = 1001). A modified version of the Composite International Diagnostic interview was used for case ascertainment. The effects of socio-demographic and acculturation factors on lifetime psychiatric disorders were tested.Results. Lifetime rates of any psychiatric disorder were as follows: men, 26.7% (SE = 1.9); women, 16.8% (SE = 1.7); Indians, 26.0% (SE = 4.5); non-Indians, 20.1% (SE = 1.3). Total lifetime rates were as Follows: affective disorders. 5.7%, anxiety disorders, 12.5%; any substance abuse or dependence, 8.7%; antisocial personality, 0.2%. Lifetime prevalence of any psychiatric disorder was Iowa for migrants than for Mexican Americans and for the US population as a whole. High acculturation and primary US residence increased the likelihood of lifetime psychiatric disorders.Conclusions. The results underscore the risk posed by cultural adjustment problems, the potential for progressive deterioration of this population's mental health and the need for culturally appropriate mental health services.