التفاصيل البيبلوغرافية
| العنوان: |
Social inequalities contribute to racial/ethnic disparities in depressive symptomology among men who have sex with men. |
| المؤلفون: |
Barrett, Benjamin W., Abraham, Alison G., Dean, Lorraine T., Plankey, Michael W., Friedman, M. Reuel, Jacobson, Lisa P., Teplin, Linda A., Gorbach, Pamina M., Surkan, Pamela J. |
| المصدر: |
Social Psychiatry & Psychiatric Epidemiology; 2021, Vol. 56 Issue 2, p259-272, 14p |
| مصطلحات موضوعية: |
MEN who have sex with men, RACIAL inequality, ETHNIC foods, EQUALITY, HEALTH equity, SYMPTOMS, MENTAL depression |
| مستخلص: |
Purpose: Racial/ethnic minorities experience disproportionate rates of depressive symptoms in the United States. The magnitude that underlying factors-such as social inequalities-contribute to these symptoms is unknown. We sought to identify exposures that explain racial/ethnic differences in clinically significant depressive symptomology among men who have sex with men (MSM).Methods: Data from the Multicenter AIDS Cohort Study (MACS), a prospective cohort study, were used to examine clinically significant symptoms of depression (Center for Epidemiologic Studies Depression Scale score ≥ 20) among non-Latinx White, non-Latinx Black, and Latinx MSM. We included 44,823 person-visits by 1729 MSM seen in the study sites of Baltimore/Washington, DC; Chicago; Pittsburgh/Columbus; and Los Angeles from 2000 to 2017. Regression models estimated the percentage of depressive symptom risk explained by social, treatment, and health-related variables related to race/ethnicity. Machine-learning methods were used to predict the impact of mitigating differences in determinants of depressive symptoms by race/ethnicity.Results: At the most recent non-missing MACS visit, 16% of non-Latinx White MSM reported clinically significant depressive symptoms, compared to 22% of non-Latinx Black and 25% of Latinx men. We found that income and social-environmental stress were the largest contributors to racial/ethnic disparities in risk for depressive symptoms. Similarly, setting the prevalence of these two exposures to be equal across racial/ethnic groups was estimated to be most effective at reducing levels of clinically significant depressive symptoms.Conclusion: Results suggested that reducing socioeconomic inequalities and stressful experiences may be effective public health targets to decrease racial/ethnic disparities in depressive symptoms among MSM. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
