在夏威夷的农业生产者中,抑郁症和自杀的风险和保护因素
Thao N Le1, Wei Zhang2, Emma Brown1
1Family Consumer Sciences Department, University of Hawai'i, Honolulu, USA.
Journal of agromedicine
|September 28, 2023
概括
在夏威夷的夏威夷.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 农业健康 农业健康
背景情况:
- 美国大陆的农业生产者表现出高度的抑郁和自杀率.
- 在夏威夷多元化农业部门的心理健康差异仍未得到充分研究.
- 对这种独特的人群来说,心理健康需求评估至关重要.
研究的目的:
- 评估夏威夷农业生产者中抑郁症和自杀率.
- 识别影响这一人口群体心理健康的风险和保护因素.
- 为文化特定的心理健康干预提供信息.
主要方法:
- 从2021年11月到2022年9月进行的全州精神健康需求评估调查.
- 在夏威夷的408个农业生产商中,采用了非概率的方便样本.
- 使用患者健康问卷-9 (PHQ-9) 进行描述性统计和后勤回归分析.
主要成果:
- 35%的受访者报告了临床抑郁症症状;8%的人报告了自杀念头.
- 年龄较大是保护性的;东亚和东南亚的身份与更高的抑郁症/自杀念头的几率相关.
- 压力,不确定性和以媒体为中心的应对策略显著增加了抑郁症的几率;以问题为中心的应对方法减少了自杀念头的几率.
结论:
- 夏威夷的农业生产者面临着重大的心理健康挑战,包括抑郁症和自杀念头.
- 人口因素不如压力和应对机制那么重要;特定的种族群体需要有针对性的支持.
- 专注于压力管理和适应性应对策略的文化定制干预措施对这一群体至关重要.
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