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首页> 外文期刊>International journal of emergency mental health. >Differences in Mental Health Outcomes by Acculturation Status Following a Major Urban Disaster
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Differences in Mental Health Outcomes by Acculturation Status Following a Major Urban Disaster

机译：重大城市灾难后不同文化程度导致的心理健康结果差异

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A number of studies have assessed the association between acculturation and psychological outcomes following a traumatic event. Some suggest that low acculturation is associated with poorer health outcomes, while others show no differences or that low acculturation is associated with better outcomes. Oneyear after the terrorist attacks on the World Trade Center, we surveyed a multi-ethnic population of New York City adults (N=2,368). We assessed posttraumatic stress disorder (PTSD), major depression, panic attack, anxiety symptoms, and general physical and mental health status. We classified study respondents into "low," "moderate," or "high " acculturation, based on survey responses. Bivariate results indicated that low acculturation individuals were more likely to experience negative life events, have low social support, and less likely to have pre-disaster mental health disorders. Those in the low acculturation group were also more likely to experience post-disaster perievent panic attacks, have higher anxiety, and have poorer mental health status. However, using logistic regression to control for confounding, and adjusting for multiple comparisons, we found that none of these outcomes were associated with acculturation status. Thus, our study suggests that acculturation was not associated with mental health outcomes following a major traumatic event.
机译：大量研究评估了创伤事件后适应与心理结果之间的关联。一些人认为低适应性与较差的健康结果有关，而另一些人则没有差异，或者低适应性与较好的结果有关。在世界贸易中心遭受恐怖袭击一年后，我们对纽约市成年人的多族裔人口进行了调查（N = 2,368）。我们评估了创伤后应激障碍（PTSD），重度抑郁，惊恐发作，焦虑症状以及总体身心健康状况。根据调查结果，我们将研究对象分为“低”，“中”或“高”适应度。双变量结果表明，文化容忍度低的人更有可能经历负面的生活事件，社会支持率较低，而患灾前心理健康障碍的可能性较小。那些文化程度低的人群也更容易遭受灾后围生期惊恐发作，焦虑更高，心理健康状况较差。但是，使用逻辑回归来控制混淆和调整多个比较，我们发现这些结果均与适应状态无关。因此，我们的研究表明，在重大创伤事件之后，文化适应与心理健康结局无关。

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