通过为期24周的社区生活方式改变干预来改善黑人男性的心理健康:黑人影响计划
Joshua J Joseph1, Timiya S Nolan2,3, Guy Brock4
1The Ohio State University College of Medicine, Suite 5000, 700 Ackerman Road, Columbus, OH, 43202, USA. joseph.117@osu.edu.
黑人影响计划,社区生活方式干预,减少了黑人男性的抑郁和压力. 需要进一步的研究来证实这些心理健康益处,并推进健康公平.
科学领域:
- 公共卫生 公共卫生
- 心理健康干预 心理健康干预
- 健康 公平 卫生 公平
背景情况:
- 糟糕的心理健康是美国黑人男性的一个重要问题,心理健康服务的获取有限加剧了这一问题.
- 众所周知,身体活动和社交网络对心理健康有积极的影响.
- 这项研究调查了针对黑人男性体育活动,健康教育和社会需求的社区干预.
研究的目的:
- 评估黑人影响计划在24周内对黑人男性心理健康的影响.
- 评估抑郁症状和感知压力的变化.
- 探索基线心理健康和心血管健康改善之间的关系.
主要方法:
- 一个为期24周的社区生活方式计划,黑人影响,与74名黑人男性实施.
- 使用流行病学研究中心抑郁症尺度 (CES-D),患者健康问卷2个问题抑郁症查器 (PHQ-2) 和感知压力尺度-10 (PSS-10) 测量心理健康.
- 线性混合效应模型被用来分析心理健康和心血管健康得分的变化.
主要成果:
- 在24周后,CES-D得分 (-2.64) 和PHQ-2得分 (-0.41) 显著下降.
- 感知压力尺度-10 (PSS-10) 的得分也下降了 (-1.71),尽管在统计学上并不显著.
- 较高的基线抑郁症得分与心血管健康指标的较小改善有关.
结论:
- 黑人影响计划在减少黑人男性抑郁症状和压力方面表现有前途.
- 需要进行更大规模的随机对照试验来验证这些发现并促进健康公平.
- 社区生活方式干预可以成为改善贫困人口心理健康的宝贵工具.
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