Mối liên hệ giữa sự phân biệt, hỗ trợ xã hội thấp và khả năng sử dụng tiếng Anh hạn chế với trầm cảm ở người nhập cư Nam Á

Springer Science and Business Media LLC - Tập 25 Số 5 - Trang 990-998 - 2023
Roy, Shireen1, Hassan, Saria2, Kanaya, Alka M.3, Kandula, Namratha R.4, Desai, Mayur M.1
1Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, USA
2School of Medicine and Rollins School of Public Health, Emory University, Atlanta, GA, USA
3Department of Medicine, University of California, San Francisco, USA
4Departments of Medicine and Preventive Medicine, Northwestern University, Chicago, USA

Tóm tắt

Người Nam Á phải đối mặt với nhiều yếu tố stress khi trở thành một nhóm nhập cư đang phát triển ở Mỹ. Cần có nỗ lực để hiểu cách những yếu tố này tác động đến sức khỏe tâm thần nhằm xác định những đối tượng có nguy cơ trầm cảm và thiết kế các can thiệp phù hợp. Nghiên cứu này đã xem xét mối liên hệ của ba yếu tố gây stress (sự phân biệt, hỗ trợ xã hội thấp, khả năng sử dụng tiếng Anh hạn chế) với các triệu chứng trầm cảm ở người Nam Á. Sử dụng dữ liệu cắt ngang từ nghiên cứu "Các yếu tố trung gian của xơ vữa động mạch ở người Nam Á sống tại Mỹ" (N = 887), chúng tôi đã áp dụng các mô hình hồi quy logistic để đánh giá các tác động độc lập/kết hợp của ba yếu tố này đối với trầm cảm. Tỷ lệ trầm cảm tổng thể là 14.8%; 69.2% trong số những người có cả ba yếu tố gây stress đều bị trầm cảm. Tác động kết hợp của sự phân biệt cao và hỗ trợ xã hội thấp lớn hơn đáng kể so với tổng các yếu tố riêng lẻ. Những trải nghiệm về sự phân biệt, hỗ trợ xã hội thấp hoặc khả năng sử dụng tiếng Anh hạn chế, cũng như sự kết hợp của các yếu tố này cần được xem xét khi chẩn đoán/điều trị cho người nhập cư Nam Á một cách phù hợp với văn hóa.

Từ khóa

#Nam Á #trầm cảm #sự phân biệt #hỗ trợ xã hội #khả năng sử dụng tiếng Anh

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