PDF(Pubmed)
Abstract：
BACKGROUND: Self-reported health (SRH) is an important indicator of mental health outcomes. More information, however, is needed on whether this association varies by birthplace (defined as US-born or non-US-born) and citizenship status (i.e., non-US-born citizen, non-US citizen, and US-born citizen).
METHODS: We examined the associations between SRH and depression among non-US-born US citizens, non-US citizens, and US-born citizens aged 18 years and older using weighted cross-sectional data from the 2010-2018 National Health Interview Survey (n = 139,884). Logistic regression models were used to assess the association between depression and SRH by citizenship status, adjusting for covariates.
RESULTS: US-born citizens reported the highest prevalence of depression (40.3 %), and non-US-born citizens reported the highest prevalence of poor/fair SRH (14.5 %). Individuals with fair/poor SRH had a significantly increased likelihood of depression relative to those with good/very good/excellent for non-US-born US citizens (Adjusted Odds Ratio [AOR] = 2.42, 95 % Confidence Interval [95 % CI] = 2.04-2.88), non-US citizens (AOR = 2.80, 95 % CI = 2.31-3.40), and US-born citizens (AOR = 2.31, CI = 2.18-2.45).
CONCLUSIONS: The study is cross-sectional, reducing the strength of determining causal relationships. Also, there is a possible response bias due to the self-reported nature of the data.
CONCLUSIONS: Our study indicates that fair/poor SRH is significantly associated with an increased likelihood of depression regardless of an individual citizenship status. Additionally, immigrants with fair/poor SRH had higher increased odds of depression. Therefore, mental healthcare interventions tailored for immigrants can reduce mental health problems and disparities among immigrants.
METHODS: We examined the associations between SRH and depression among non-US-born US citizens, non-US citizens, and US-born citizens aged 18 years and older using weighted cross-sectional data from the 2010-2018 National Health Interview Survey (n = 139,884). Logistic regression models were used to assess the association between depression and SRH by citizenship status, adjusting for covariates.
RESULTS: US-born citizens reported the highest prevalence of depression (40.3 %), and non-US-born citizens reported the highest prevalence of poor/fair SRH (14.5 %). Individuals with fair/poor SRH had a significantly increased likelihood of depression relative to those with good/very good/excellent for non-US-born US citizens (Adjusted Odds Ratio [AOR] = 2.42, 95 % Confidence Interval [95 % CI] = 2.04-2.88), non-US citizens (AOR = 2.80, 95 % CI = 2.31-3.40), and US-born citizens (AOR = 2.31, CI = 2.18-2.45).
CONCLUSIONS: The study is cross-sectional, reducing the strength of determining causal relationships. Also, there is a possible response bias due to the self-reported nature of the data.
CONCLUSIONS: Our study indicates that fair/poor SRH is significantly associated with an increased likelihood of depression regardless of an individual citizenship status. Additionally, immigrants with fair/poor SRH had higher increased odds of depression. Therefore, mental healthcare interventions tailored for immigrants can reduce mental health problems and disparities among immigrants.
摘要：
背景：自我报告健康（SRH）是心理健康结果的重要指标。更多信息,然而,需要确定这种关联是否因出生地(定义为美国出生或非美国出生)和公民身份(即，非美国出生的公民,非美国公民,和美国出生的公民)。
方法：我们研究了非美国出生的美国公民的SRH和抑郁症之间的关联，非美国公民,和18岁及以上的美国出生公民使用2010-2018年全国健康访谈调查的加权横截面数据（n=139,884）。使用Logistic回归模型评估抑郁与SRH之间的相关性，调整协变量。
结果：美国出生的公民报告的抑郁症患病率最高（40.3%），非美国出生的公民报告的不良/一般SRH患病率最高(14.5%).相对于非美国出生的美国公民，SRH正常/差的个体患抑郁症的可能性显着增加（调整后赔率[AOR]=2.39，95％置信区间[95％CI]=2.02-2.84），非美国公民(AOR=2.77，95%CI=2.28-3.36)，和美国出生的公民（AOR=2.31，CI=2.18-2.44）。
结论：这项研究是横断面的，降低了确定因果关系的强度。此外，由于数据的自我报告性质,可能存在反应偏差.
结论：我们的研究表明，无论个人公民身份如何，正常/不良的SRH与抑郁症的可能性增加显着相关。此外,患有正常/不良SRH的移民患抑郁症的几率更高。因此,为移民量身定制的心理健康干预措施可以减少移民之间的心理健康问题和差距。
方法：我们研究了非美国出生的美国公民的SRH和抑郁症之间的关联，非美国公民,和18岁及以上的美国出生公民使用2010-2018年全国健康访谈调查的加权横截面数据（n=139,884）。使用Logistic回归模型评估抑郁与SRH之间的相关性，调整协变量。
结果：美国出生的公民报告的抑郁症患病率最高（40.3%），非美国出生的公民报告的不良/一般SRH患病率最高(14.5%).相对于非美国出生的美国公民，SRH正常/差的个体患抑郁症的可能性显着增加（调整后赔率[AOR]=2.39，95％置信区间[95％CI]=2.02-2.84），非美国公民(AOR=2.77，95%CI=2.28-3.36)，和美国出生的公民（AOR=2.31，CI=2.18-2.44）。
结论：这项研究是横断面的，降低了确定因果关系的强度。此外，由于数据的自我报告性质,可能存在反应偏差.
结论：我们的研究表明，无论个人公民身份如何，正常/不良的SRH与抑郁症的可能性增加显着相关。此外,患有正常/不良SRH的移民患抑郁症的几率更高。因此,为移民量身定制的心理健康干预措施可以减少移民之间的心理健康问题和差距。
