PO.PS01.11 · 人群科学
海地移民社区中的感知压力与移民相关需求：一项癌症差异登记的描述性发现
Perceived stress and immigration-related demands in a Haitian immigrant community: Descriptive findings from a cancer disparity registry
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作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
引言：心理社会压力在塑造癌症相关结局中发挥关键作用，既影响健康行为，也影响炎症和免疫功能等生物学过程。在移民人群中，压力往往因迁移相关挑战和结构性障碍而加剧。本研究提供了参与佛罗里达癌症健康差异登记的海地成人中感知压力和移民相关需求的描述性概况。
方法：居住在南佛罗里达的75名海地成人完成了一项横断面调查。使用感知压力量表（PSS-10）评估整体压力水平，同时使用移民需求量表捕捉迁移相关压力源。参与者还提供了社会人口学数据，包括年龄、教育、收入、就业状况和癌症家族史。采用描述性统计对回答进行汇总。
结果：平均年龄为43.45岁（±13.47），大多数年龄在31-45岁（40.0%）和46-60岁（29.3%）。大多数参与者报告收入较低（66.7%年收入<10,000美元），56.8%未就业。仅19.7%报告有癌症家族史。在移民需求量表（0-3分制）上，最受认同的压力源包括“就业市场劣势”（1.96±0.21）、“思念原籍国的人”（1.92±0.31）和“感觉不被接纳”（1.81±0.16），此外还对口音歧视和语言障碍存在担忧。在PSS-10上，平均压力评分为2.26（±0.50）。最常报告的经历是感到“紧张和有压力”（2.82±0.89）、“因意外之事而烦恼”（2.47±1.10）以及感到“无法控制重要事情”（2.33±1.13）。正向表述的条目如“觉得事情如你所愿”（1.47±1.12）和“觉得能掌控局面”（1.80±1.04）得分最低，表明感知控制和乐观程度有限。
结论与意义：参与者报告了高水平的感知压力和移民相关逆境，凸显了海地移民所面临的心理社会负担。在癌症结局的背景下理解这些压力暴露非常重要，因为它们可能影响医疗参与、风险认知和生物学易感性。未来的分析将探讨压力与其他癌症相关结局之间的关系，包括对免疫和炎症生物标志物的潜在影响，以为基于文化的预防策略提供依据。
查看英文原文 English abstract
Introduction: Psychosocial stress plays a critical role in shaping cancer-related outcomes, influencing both health behaviors and biological processes such as inflammation and immune function. Among immigrant populations, stress is often compounded by migration-related challenges and structural barriers. This study provides a descriptive profile of perceived stress and immigration-related demands among Haitian adults participating in the Florida Cancer Health Disparity Registry.
Methods: Seventy-five Haitian adults residing in South Florida completed a cross-sectional survey. The Perceived Stress Scale (PSS-10) was used to assess global stress levels, while the Immigration Demand Scale captured migration-related stressors. Participants also provided sociodemographic data, including age, education, income, employment status, and family history of cancer. Descriptive statistics were used to summarize responses.
Results: The mean age was 43.45 years (±13.47), with the majority aged 31-45 (40.0%) and 46-60 (29.3%). Most participants reported low income (66.7% earning < $10,000/year), and 56.8% were not employed. Only 19.7% reported a family history of cancer. On the Immigration Demand Scale (0-3 scale), the most strongly endorsed stressors included “Job market disadvantage” (1.96 ±0.21), “Missing people from country of origin” (1.92±0.31), and “Not feeling accepted” (1.81±0.16), with additional concerns about accent discrimination and language barriers. On the PSS-10, the mean stress score was 2.26 (±0.50). The most frequently reported experiences were feeling “nervous and stressed” (2.82 ± 0.89), being “upset by something unexpected” (2.47±1.10), and feeling “unable to control important things” (2.33±1.13). Positively framed items such as “Felt things were going your way” (1.47 ± 1.12) and “Felt on top of things” (1.80 ± 1.04) scored lowest, suggesting limited perceived control and optimism.
Conclusions and Implications: Participants reported high levels of perceived stress and immigration-related adversity, highlighting the psychosocial burden faced by Haitian immigrants. These stress exposures are important to understand in the context of cancer outcomes, as they may influence healthcare engagement, risk perception, and biological vulnerability. Future analyses will explore the relationship between stress and other cancer-relevant outcomes, including potential impacts on immune and inflammatory biomarkers, to inform culturally grounded prevention strategies.
利益披露 Disclosure
J. Ravix, None..
M. Chery, None..
S. St. Hilaire, None..
M. Dioum, None..
L. Smith, None..
T. Murphy, None..
I. Saborit, None..
J. Penso, None..
N. Jacques, None..
S. Cherise, None..
L. Jean, None..
P. Barreto Coelho, None..
R. Denis, None.