童年不良经历与自我报告的医生诊断的抑郁症之间的关联:种族/种族的缓解效应
Philip Baiden1, Catherine A LaBrenz1, Christina M Sellers2
1The University of Texas at Arlington, School of Social Work, 501 W. Mitchell St., Box 19129, Arlington, TX, 76019, USA.
Public health
|March 1, 2025
概括
经历四次或更多的不良童年经历 (ACE) 与成人抑郁症有关. 这种关联在西班牙裔个人中更为强烈,强调种族/种族是关键因素.
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:
- 儿童不良经历 (ACE) 与患慢性疾病 (包括抑郁症) 的风险增加有关.
- 在不同种族/族群中ACE对抑郁症的具体影响需要进一步调查.
研究的目的:
- 检查种族/种族如何调节成年人ACE和医生诊断的抑郁症之间的关联.
- 了解ACE在不同人群中对抑郁风险的影响差异.
主要方法:
- 采用2021年行为风险因素监测系统数据进行的横截面研究.
- 对26,877名成年人 (18-64岁) 的分析,使用二进制逻辑回归.
- 调查的自我报告医生诊断的抑郁症作为结果,ACE得分作为主要解释变量,种族/种族作为调节者.
主要成果:
- 大约24.7%的受访者报告医生诊断的抑郁症.
- 在四个或更多的ACE和抑郁症之间发现了显著的关联.
- 与非西班牙裔黑人或其他种族相比,四个或更多ACE对抑郁症的影响在西班牙裔个人中显著更强.
结论:
- 经历四个或更多的ACE与成人抑郁症的几率增加有关.
- 种族/种族显著缓解了ACE和抑郁症之间的关系.
- 这些发现强调了在ACE研究和心理健康干预中考虑种族/民族差异的重要性.
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