ラテン系と非ラテン系の白人の老人ホームの住人の間で言語の障壁とうつ病の関連
Natalia N Nielsen1, Maira A Castañeda-Avila1, David Dosa2
1Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Journal of the American Medical Directors Association
|August 30, 2025
まとめ
ラテン系でスペイン語を話す アメリカ人の老人ホームの住人は ラテン系でない白人住人に比べて 鬱病の割合は低いのです 言語の障壁を克服することは 少数民族のメンタルヘルスの改善に不可欠です
科学分野:
- ゲロントロジー
- 医療サービス研究
- 精神科
背景:
- アメリカの介護施設における 人口の変化は 精神衛生の格差を理解する必要性を強調しています
- 人種・民族・言語の障壁が 介護施設の住人の精神的健康に与える影響については ほとんど知られていない.
研究 の 目的:
- アメリカの介護施設の住人の間で スペイン語の障壁とうつ病との関連を定量化するためです
- ラテン系と非ラテン系 白人の老人ホームの住人のうつ病の流行と症状を調べる
主な方法:
- 2022年最低データセット 3.0を使用した横断研究.
- ラテン系と非ラテン系白人50歳以上で アメリカで介護施設に入院したばかりです
- マルチ変数ログ二項モデルを用いた臨床うつ病診断と患者健康アンケート (PHQ-9) のスコアを分析した.
主要な成果:
- ラテン系個人は,非ラテン系白人個人に比べて,臨床的に診断されたうつ病および中等重度のうつ病症状の調整された有病率が低い.
- ラテン系住民の間で,スペイン語話者は,英語話者と比較して,うつ病とうつ病の症状の有病率がわずかに低いことを示しました.
- 抗うつ薬の使用はグループ全体で一般的であったが,心理療法の利用率は非常に低かった (<2%).
結論:
- ラテン系老人ホームの住人は 特にスペイン語話者は 診断されたうつ病と 自己報告されたうつ病の症状の割合が低いようです
- 少数民族の居住者に公平な精神保健医療を提供するために 介護施設における言語の障壁に注意が必要です
- こうした格差を助長する要因を理解し,精神保健サービスへのアクセスを改善するために,さらなる研究が必要である.
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