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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Race Differences in Depression Vulnerability Following Hurricane Katrina
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Race Differences in Depression Vulnerability Following Hurricane Katrina

机译：飓风卡特里娜飓风后抑郁症脆弱性的种族差异

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Objective: This study investigated whether racial disparities in depression were present after Hurricane Katrina. Method: Data were gathered from 932 New Orleans residents who were present when Hurricane Katrina struck, and who returned to New Orleans the following year. Multiple logistic regression models evaluated racial differences in screening positive for depression (a score >= 16 on the Center for Epidemiologic Studies Depression Scale), and explored whether differential vulnerability (prehurricane physical and mental health functioning and education level), differential exposure to hurricane-related stressors, and loss of social support moderated and/or reduced the association of race with depression. Results: A univariate logistic regression analysis showed the odds for screening positive for depression were 86% higher for African Americans than for Caucasians (odds ratio [OR] = 1.86 [1.28 -2.71], p = .0012). However, after controlling simultaneously for sociodemographic characteristics, preexisting vulnerabilities, social support, and trauma-specific factors, race was no longer a significant correlate for screening positive for depression (OR = 1.54 [0.95-2.48], p = .0771). Conclusions: The racial disparity in postdisaster depression seems to be confounded by sociodemographic characteristics, preexisting vulnerabilities, social support, and trauma-specific factors. Nonetheless, even after adjusting for these factors, there was a nonsignificant trend effect for race, which could suggest race played an important role in depression outcomes following Hurricane Katrina. Future studies should examine these associations prospectively, using stronger assessments for depression, and incorporate measures for discrimination and segregation, to further understand possible racial disparities in depression after Hurricane Katrina.
机译：目的：本研究调查了飓风飓风后是否存在抑郁症的种族差异。方法：数据收集到932名新奥尔良居民，当时卡特里娜飓风袭击，又回到了次年新奥尔良。多个逻辑回归模型在筛选抑郁症阳性阳性（流行病学研究中心的抑郁症中心）评估了种族差异，并探讨了差异漏洞（前的身体和心理健康功能和教育水平），常规暴露于飓风 - 相关的压力师，以及社会支持的丧失和/或减少抑郁症的比赛协会。结果：单变量逻辑回归分析表明，非洲裔美国人对抑郁症呈阳性阳性阳性阳性的几率比高加索人（差距[或] = 1.86 [1.28 -2.71]，p = .0012）。然而，在同时控制同时进行社会碘化特征，预先存在的脆弱性，社会支持和特定于创伤的因素，种族对筛查抑郁症（或= 1.54 [0.95-2.48]，P = .0771），竞争不再是显着的相关性。结论：Postdisaster抑郁症的种族差异似乎被社会渗透特征，预先存在的脆弱性，社会支持和创伤特定因素混淆。尽管如此，即使在调整这些因素之后，种族的趋势趋势效果也可能呈现出一种巨大的趋势，这可能表明种族在卡特里娜飓风飓风后的抑郁症结果中发挥着重要作用。未来的研究应该前瞻性地检查这些协会，利用更强的抑郁评估，并纳入歧视和隔离措施，以进一步了解飓风卡特里娜飓风后抑郁症的种族差异。

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