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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Trajectories of Depressive Symptoms and Neighborhood Changes from Adolescence to Adulthood: Latent Class Growth Analysis and Multilevel Growth Curve Models
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Trajectories of Depressive Symptoms and Neighborhood Changes from Adolescence to Adulthood: Latent Class Growth Analysis and Multilevel Growth Curve Models

机译：抑郁症状的轨迹和从青春期到成年的邻里变化：潜伏类增长分析和多级增长曲线模型

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The role of neighborhood socioeconomic status (SES) and racial/ethnic composition on depression has received considerable attention in the United States. This study examines associations between trajectory patterns of neighborhood changes and depressive symptoms using data from Waves I-IV of the National Longitudinal Study of Adolescent to Adult Health. We used latent class growth analysis to determine the number and distribution of person-centered trajectories for neighborhood characteristics, and multilevel growth curve models to examine how belonging to each class impacted depression trajectories from ages 13 to 32 among non-Hispanic Whites (NHW), non-Hispanic Blacks (NHB), Hispanics, and non-Hispanic Others (NHO). The distribution of neighborhood SES classes across racial/ethnic groups suggests significant levels of economic inequality, but had no effect on depressive symptoms. A more complex picture emerged on the number and distribution of racial/ethnic composition latent class trajectories. Compared to NHB peers who lived in predominantly NHW neighborhoods from adolescence to adulthood, NHBs in more diverse neighborhoods had lower risk for depressive symptoms. Conversely, Hispanics living in neighborhoods with fewer NHWs had higher risk for depressive symptoms. Among NHOs, living in neighborhoods with a critical mass of other NHOs had a protective effect against depressive symptoms.
机译：在美国，邻里社会经济地位（SES）和种族/族裔组成对抑郁症的作用已引起广泛关注。这项研究使用了从青少年到成人健康的国家纵向研究的I-IV浪中的数据，研究了邻里变化的轨迹模式与抑郁症状之间的关联。我们使用潜伏类增长分析来确定以人为中心的邻域特征轨迹的数量和分布，并使用多级增长曲线模型来检查每个类的归属如何影响非西班牙裔白人（NHW）年龄在13至32岁之间的抑郁轨迹，非西班牙裔黑人（NHB），西班牙裔和非西班牙裔其他人（NHO）。跨种族/族裔群体的邻里SES类的分布表明，经济不平等程度很高，但对抑郁症状没有影响。关于种族/族裔构成的潜在阶级轨迹的数量和分布情况，出现了更为复杂的情况。与从青年到成年主要居住在NHW社区的NHB同龄人相比，在更多社区中的NHB患抑郁症状的风险较低。相反，居住在NHW较少的社区的西班牙裔患者出现抑郁症状的风险较高。在NHO中，与其他NHO处于临界状态的居民区对抑郁症状具有保护作用。

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