在智利的秘鲁移民中常见的精神障碍:与东道国人口的比较
Antonia Errazuriz1, Kristin Schmidt2, Paulina Valenzuela3
1Department of Psychiatry, School of Medicine, Pontificia Universidad Catolica de Chile, Diagonal Paraguay 362, Santiago, 8330077, Chile. anerrazuriz@uc.cl.
BMC public health
|June 30, 2023
概括
在智利的秘鲁移民中,常见精神障碍 (CMD) 的发病率很高,尤其是女性. 歧视等因素增加了风险,而社会支持提供了保护,挑战了"健康的移民效应".
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 内圣地亚哥健康研究 (ISHS) 调查了智利秘鲁移民的心理健康状况.
- 评估了常见的精神障碍 (CMD),包括抑郁和焦虑障碍.
- 该研究比较了移民和本地出生人口之间的CMD流行率和风险因素.
研究的目的:
- 在智利的秘鲁移民中估计CMD的流行率.
- 为了比较秘鲁移民和非移民之间的CMD风险.
- 确定与移民人口中CMD风险相关的因素.
- 描述CMD移民获得心理健康服务的情况.
主要方法:
- 在智利圣地亚哥,对608名移民和656名非移民进行了基于人口的横截面家庭调查.
- 修订后的临床面试时间表用于ICD-10诊断抑郁症,焦虑症和任何CMD.
- 多变量后勤回归模型分析了人口统计,经济,心理社会和移民特异性因素与CMD风险之间的关系.
主要成果:
- 任何一周的CMD患病率在移民中为29.1%,在非移民中为34.7%.
- 在一些模型中,非移民的CMD患病率高于移民的非移民,但不一致.
- 在移民中,女性的CMD风险更高,这些人有小学教育,负债,面临歧视.
- 较高的社会支持与移民中较低的CMD风险有关.
- 在CMD的移民和非移民群体之间,在心理健康服务的利用方面没有发现显著差异.
结论:
- 目前在智利的秘鲁移民中存在高水平的CMD,特别是女性.
- 初步调查结果并没有强烈支持A.
- 健康的移民效应
- 关于CMD流行情况.
- 该研究强调了拉丁美洲移民身份对CMD影响的风险因素的差异性暴露.
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