Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

被引：33

作者：

Camacho, Alvaro ^{[1
,2
,3
,4
]}

Gonzalez, Patricia ^{[5
]}

Buelna, Christina ^{[5
]}

Emory, Kristen T. ^{[5
,6
]}

Talavera, Gregory A. ^{[5
]}

Castaneda, Sheila F. ^{[5
]}

Espinoza, Rebeca A. ^{[5
]}

Howard, Annie G. ^{[7
]}

Perreira, Krista M. ^{[7
]}

Isasi, Carmen R. ^{[8
]}

Daviglus, Martha L. ^{[9
]}

Roesch, Scott C. ^{[4
,5
]}

机构：

[1] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA

[2] Univ Calif San Diego, Dept Family Med, San Diego, CA 92103 USA

[3] Univ Calif San Diego, Dept Publ Hlth, San Diego, CA 92103 USA

[4] San Diego State Univ, Dept Psychol, San Diego, CA 92182 USA

[5] San Diego State Univ, Grad Sch Publ Hlth, Inst Behav & Community Hlth, San Diego, CA 92182 USA

[6] Univ Calif San Diego, Moores Canc Ctr, San Diego, CA 92103 USA

[7] Univ N Carolina, Collaborat Studies Coordinating Ctr, Chapel Hill, NC USA

[8] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA

[9] Univ Illinois, Inst Minor Hlth Res, Chicago, IL USA

来源：

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY | 2015年 / 50卷 / 11期

关键词：

Anxious-depression; Hispanic/Latinos; Latent profile analyses; Psychiatric; Epidemiology; LATENT CLASS ANALYSIS; MENTAL-HEALTH; ACCULTURATIVE STRESS; ANXIETY DISORDERS; PREVALENCE; IMMIGRANT; RISK; US; EXPERIENCES; DIAGNOSIS;

D O I：

10.1007/s00127-015-1120-4

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds. To study the construct of anxious-depression among 16,064 Hispanic/Latinos of different backgrounds participating in the Hispanic Community Health Study/Study of Latinos. We hypothesized that Hispanic/Latinos will cluster in 3 classes: low anxiety/high depression, high anxiety/low depression and a combined anxious-depression construct. Using latent profile analysis, symptoms of depression and anxiety measured by the 10-item Center for Epidemiologic Studies Depression Scale and 10-item State-Trait Anxiety Inventory were evaluated to determine if an anxious-depression typology would result. A multinomial logistic regression analysis explored the association of the 3-class solution with different Hispanic/Latino backgrounds controlling for age, gender, language, education and income. A 3-class mixed anxious-depression structure emerged with 10 % of Hispanic/Latinos in the high, 30 % in the moderate and 60 % in the low anxious-depression category. After adjusting for age, gender, language preference, income and education, individuals of Puerto Rican background were more likely to experience high (OR = 1.79, p < 0.05) and moderate (OR = 1.36, p < 0.05) (vs. low) anxious-depression symptomatology compared to those of Mexican background. Individuals of Central American and South American background were less likely to experience high (OR = 0.68, p < 0.05) and moderate (OR = 0.8, p < 0.05) (vs. low) anxious-depression compared to those of Mexican background. Anxious-depression symptomatology varied among this sample of Hispanic/Latino groups. These classes should be investigated as to their relationship with different health outcomes relevant to the Hispanic/Latino of different backgrounds.

引用

页码：1669 / 1677

页数：9

共 54 条

[1] Racial/Ethnic Identity and Subjective Physical and Mental Health of Latino Americans: An Asset Within? [J].

Ai, Amy L. ;

Aisenberg, Eugene ;

Weiss, Saskia I. ;

Salazar, Dulny .

AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY, 2014, 53 (1-2) :173-184

[2] Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups [J].

Alegria, Margarita ;

Canino, Glorisa ;

Shrout, Patrick E. ;

Woo, Meghan ;

Duan, Naihua ;

Vila, Doryliz ;

Torres, Maria ;

Chen, Chih-Nan ;

Meng, Xiao-Li .

AMERICAN JOURNAL OF PSYCHIATRY, 2008, 165 (03) :359-369

[3] NEIGHBORHOOD CHARACTERISTICS AND DIFFERENTIAL RISK FOR DEPRESSIVE AND ANXIETY DISORDERS ACROSS RACIAL/ ETHNIC GROUPS IN THE UNITED STATES [J].

Alegria, Margarita ;

Molina, Kristine M. ;

Chen, Chih-Nan .

DEPRESSION AND ANXIETY, 2014, 31 (01) :27-37

[4] Comorbid anxiety and depression: bete noire or quick fix? [J].

Andreescu, Carmen ;

Lenze, Eric J. .

BRITISH JOURNAL OF PSYCHIATRY, 2012, 200 (03) :179-181

[5] SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D [J].

ANDRESEN, EM ;

MALMGREN, JA ;

CARTER, WB ;

PATRICK, DL .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1994, 10 (02) :77-84

[6]

[Anonymous], 2013, Diagnostic and statistical manual of mental disorders (DSM-5), V5th, P184, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]

[7] ENHANCING HISPANIC PARTICIPATION IN MENTAL HEALTH CLINICAL RESEARCH: DEVELOPMENT OF A SPANISH-SPEAKING DEPRESSION RESEARCH SITE [J].