地域社会における社会的脆弱性と人種差異 統合失調症スペクトル障害の流行
Deidre M Anglin1,2, Mark Olfson3,4, Els van der Ven5
1Department of Psychology, City College of New York, New York.
The American journal of psychiatry
|September 1, 2025
まとめ
統合失調症スペクトル障害 (SSD) と精神病症状の格差は近所の不平等に関連しています. 社会的脆弱性は,白人の集団と比較して黒人や多人種の人々の高い流行を部分的に説明します.
科学分野:
- 精神医学と公衆衛生
- 社会流行病学
- 精神 的 な 健康 に 関する 格差
背景:
- 少数民族は 深刻な精神疾患の割合が 格段に高くなります
- 近所レベルでの社会的決定因子の役割を理解することは,これらの格差に対処するために不可欠です.
研究 の 目的:
- 米国における統合失調症スペクトル障害 (SSD) と正の精神病症状の流行における民族的差異を特定する.
- 地域社会における不平等が これらの格差に与える影響を検証する.
主な方法:
- 精神的および薬物使用障害の流行に関する全国研究 (N=4,764人の非高齢者) のデータを使用した.
- DSM-5 (SCID-5) の構造化された臨床面接を用いたSSDと精神病症状の臨床医による診断
- 民族人種,人口,地域社会脆弱性メトリック (SVM) のスコアで調整された重み付けのロジスティック回帰モデル.
主要な成果:
- 非ヒスパニック系黒人は非ヒスパニック系白人と比較してSSDと精神病症状の有意に高い流行を示した.
- ヒスパニック系でない多人種の人々もSSDの有意に高い罹患率を示した.
- SVMスコアに対する調整は,黒人のSSD/精神病症状との関連を弱め,非有意にしました.
結論:
- SSDと精神病の症状の民族的差異は,米国の人口では明らかです.
- 地域レベルの社会的不平等と脆弱性は 構造的な人種差別と関連しており 少数派集団,特に黒人集団の 高い罹患率に貢献しています
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