在土著人民中抑郁症状和工作
Brett Shannon1, Kirsten S Almberg1, Courtney Ryder2
1Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois Chicago, Chicago, IL, United States.
Journal of affective disorders
|April 5, 2025
概括
失业的美国印第安人/阿拉斯加土著 (AIAN) 成年人面临更高的抑郁症状和抑郁症诊断的风险. 就业状况对AIAN个人的心理健康 (MH) 结果产生重大影响.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 健康差异 在健康上的差异
背景情况:
- 不利的社会和环境因素显著影响心理健康 (MH) 结果.
- 美国印第安人/阿拉斯加土著 (AIAN) 工人面临与就业有关的风险,但在研究中代表性不足.
研究的目的:
- 为了描述AIAN成年人的抑郁症状.
- 根据AIAN成年人的工作状态来检查社会人口统计学,健康,功能和残疾特征.
主要方法:
- 分析国家健康访谈调查 (NHIS) 数据 (2020-2022年).
- 在工作和非工作的AIAN成年人之间对MH症状,诊断和治疗进行比较.
- 多变量后勤回归模型用于评估就业状况和MH结果.
主要成果:
- 与有工作的人相比,非就业的AIAN成年人患抑郁症状和抑郁症诊断的几率更高.
- 在工作和非工作的AIAN成年人之间,MH结果的预测因素有所不同.
- 关键的不同因素包括年龄,教育,地理位置,医疗保健利用率和治疗延迟.
结论:
- 工作状态显然影响了土著人口的心理健康.
- 职业健康议程必须包括改进的调查工具和社区参与.
- 应该制定战略来支持AIAN社区,工人,雇主和卫生服务.
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