@article{ref1,
title="The effect of stress exposure on depressive symptoms and major depressive episode among US Afro-Caribbean women",
journal="Social psychiatry and psychiatric epidemiology",
year="2021",
author="Erving, Christy L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: This study examines whether stress exposures experienced within and across various life domains (e.g., interpersonal, financial) are predictors of depression among Afro-Caribbean women, an understudied ethnic group within the US Black female population. <br><br>METHODS: A sample of Afro-Caribbean women (N = 878) was drawn from the National Survey of American Life (NSAL), the first nationally representative psychiatric epidemiology survey focused on the mental health of the US Afro-Caribbean and African American populations. Negative binomial regression analysis was conducted for depressive symptoms, and binary logistic regression results are presented for past-year and lifetime major depressive episode. Analyses examined the relative effect of five stress exposures on depression: major discrimination, everyday discrimination, past-month chronic stress, financial strain, and negative interactions with family. <br><br>RESULTS: Of the five stress exposures, chronic stress and financial strain were associated with increased risk for both recent (e.g., past week) and more distal (i.e., past-year and lifetime) experiences of depression. Though experiences with discrimination were associated with depression, its effects were attenuated when other stressors were taken into account. <br><br>CONCLUSIONS: Mental health prevention and intervention programs must address stress concerns that are chronic in nature and stressors that reflect financial instability for Afro-Caribbean women.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-021-02096-8",
url="http://dx.doi.org/10.1007/s00127-021-02096-8"
}