土著人民的抑郁症状和工作。

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-04-03 DOI:10.1016/j.jad.2025.04.007

Brett Shannon , Kirsten S. Almberg , Courtney Ryder , Tessa Bonney , Linda Forst , Lee S. Friedman

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引用次数: 0

摘要

背景：卫生系统之外的不利社会和环境因素在不同的精神卫生（MH）结果中发挥重要作用，包括获得高质量就业。美国印第安人/阿拉斯加原住民（AIAN）工人面临风险，但一直被排除在研究之外。目的：描述AIAN成人抑郁症状的特征，并通过工作状态检查其社会人口学、健康、功能和残疾特征。方法：利用2020年和2022年的全国健康访谈调查（NHIS）数据，我们评估了工作和非工作的AIAN成年人在MH症状、诊断和治疗方面的差异。我们对社会人口和健康特征进行了描述性分析。采用三组多变量logistic回归模型(1)评估就业状况与MH结果的关系，(2)与工作的AIAN成年人MH结果的关系，(3)与非工作的AIAN成年人心理健康结果的关系。结果：与有工作的AIAN成年人相比，目前没有工作的AIAN成年人报告每周/每天抑郁症状的几率（1.55,95%CI:1.03-2.33）和曾经被诊断为抑郁症的几率（1.50,95%CI:1.02-2.21）更高。MH健康结果的预测因子在工作和非工作的AIAN成年人之间存在差异，包括年龄、教育水平、地点、卫生保健使用和MH治疗延迟。结论：有证据表明工作对土著人民的心理健康有影响。职业健康议程应包括更好的调查工具，并与亚洲裔社区、工人、雇主和卫生服务机构合作，以证据为基础，支持地方一级的战略。

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Depressive symptoms and work in Indigenous people

Background

Adverse social and environmental factors outside of the health system play an important role in disparate mental health (MH) outcomes, including access to quality employment. American Indian/Alaskan Native (AIAN) workers are at risk but have been left out of research.

Aim

To describe the characteristics of AIAN adults with depressive symptoms and to examine their sociodemographic, health, functional and disability characteristics by work status.

Methods

Utilizing the National Health Interview Survey (NHIS) data for years 2020 and 2022, we evaluated differences in MH symptoms, diagnoses, and treatment between working and non-working AIAN adults. We undertook a descriptive analysis of socio-demographic and health characteristics. Three sets of multivariable logistic regression models were undertaken to (1) evaluate the association between employment status and MH outcomes, (2) associations with MH outcomes in working AIAN adults, (3) associations with mental health outcomes in non-working AIAN adults.

Results

AIAN adults not currently employed had higher odds (1.55, 95%CI:1.03–2.33) of reporting weekly/daily depressive symptoms and ever being diagnosed with depression (1.50, 95%CI:1.02–2.21) compared to employed AIAN adults. Predictors of MH health outcomes differed between working and non-working AIAN adults, including age, education level, location, health care usage and delay of MH treatment.

Conclusions

There is evidence of the impact of work on the MH of indigenous people. An occupational health agenda should include better survey tools, and engagement with AIAN communities, workers, employers and health services to build on the evidence and support local level strategies.

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.