Acculturation and the prevalence of depression in older Mexican Americans

Baseline results of the Sacramento area Latino study on aging

Hector M. González, Mary N. Haan, W Ladson Hinton

Research output: Contribution to journalArticle

223 Citations (Scopus)

Abstract

OBJECTIVE: To determine the association between acculturation, immigration, and prevalence of depression in older Mexican Americans. DESIGN: Cross-sectional analysis from a cohort study. SETTING: Urban and rural counties of the Central Valley of Northern California. PARTICIPANTS: One thousand seven hundred and eighty-nine Latinos recruited from a population-based sample (85% Mexican Americans) with a mean age of 70.6 (range 60-100; standard deviation (SD) = 7.13); 58.2% were women. MEASUREMENTS: Depressive symptoms were assessed with the Center for Epidemiologic Studies - Depression scale (CES-D). Acculturation was measured with the Acculturation Rating Scale for Mexican Americans - II. Psychosocial, behavioral, and medical histories were also obtained. RESULTS: The prevalence of depression (CES-D ≥ 16) was 25.4%. Women were at greater risk (32.0%) than men (16.3%; male/female odds ratio (OR) = 2.43, 95% confidence interval (CI) = 1.90-3.09). The prevalence of depression was higher among immigrants (30.4%, OR = 1.70, 95% CI = 1.36-2.13), bicultural participants (24.2%, OR = 1.66, 95% CI = 1.24-2.24), and less-acculturated participants (36.1%, OR = 2.95, 95% CI = 2.22-3.93) compared with U.S.-born (20.5%) and more- acculturated groups (16.1%). When adjustments for education, income, psychosocial, behavioral, and health-problem factors were made, the least-acculturated participants were at significantly higher risk of depression than highly acculturated Mexican Americans (OR = 1.56, 95% CI = 1.06-2.31). CONCLUSIONS: These findings are consistent with previously reported estimates of a higher prevalence of depression for older Mexican Americans than non-Hispanic Caucasians and African Americans and are the first to report the prevalence and risk of depression for older U.S.-born and immigrant Mexican Americans. The high prevalence of depression of the least acculturated group may be related to cultural barriers encountered by immigrants and less-acculturated older Mexican Americans and to poorer health status.

Original languageEnglish (US)
Pages (from-to)948-953
Number of pages6
JournalJournal of the American Geriatrics Society
Volume49
Issue number7
DOIs
StatePublished - 2001

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Acculturation
Hispanic Americans
Depression
Odds Ratio
Confidence Intervals
Epidemiologic Studies
Emigration and Immigration
African Americans
Health Status
Cohort Studies
Cross-Sectional Studies
Education

Keywords

  • Acculturation
  • Depression
  • Geriatric
  • Hispanic Americans
  • Mexican Americans

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

@article{57f4d4afceea47039c7d1443d882b999,
title = "Acculturation and the prevalence of depression in older Mexican Americans: Baseline results of the Sacramento area Latino study on aging",
abstract = "OBJECTIVE: To determine the association between acculturation, immigration, and prevalence of depression in older Mexican Americans. DESIGN: Cross-sectional analysis from a cohort study. SETTING: Urban and rural counties of the Central Valley of Northern California. PARTICIPANTS: One thousand seven hundred and eighty-nine Latinos recruited from a population-based sample (85{\%} Mexican Americans) with a mean age of 70.6 (range 60-100; standard deviation (SD) = 7.13); 58.2{\%} were women. MEASUREMENTS: Depressive symptoms were assessed with the Center for Epidemiologic Studies - Depression scale (CES-D). Acculturation was measured with the Acculturation Rating Scale for Mexican Americans - II. Psychosocial, behavioral, and medical histories were also obtained. RESULTS: The prevalence of depression (CES-D ≥ 16) was 25.4{\%}. Women were at greater risk (32.0{\%}) than men (16.3{\%}; male/female odds ratio (OR) = 2.43, 95{\%} confidence interval (CI) = 1.90-3.09). The prevalence of depression was higher among immigrants (30.4{\%}, OR = 1.70, 95{\%} CI = 1.36-2.13), bicultural participants (24.2{\%}, OR = 1.66, 95{\%} CI = 1.24-2.24), and less-acculturated participants (36.1{\%}, OR = 2.95, 95{\%} CI = 2.22-3.93) compared with U.S.-born (20.5{\%}) and more- acculturated groups (16.1{\%}). When adjustments for education, income, psychosocial, behavioral, and health-problem factors were made, the least-acculturated participants were at significantly higher risk of depression than highly acculturated Mexican Americans (OR = 1.56, 95{\%} CI = 1.06-2.31). CONCLUSIONS: These findings are consistent with previously reported estimates of a higher prevalence of depression for older Mexican Americans than non-Hispanic Caucasians and African Americans and are the first to report the prevalence and risk of depression for older U.S.-born and immigrant Mexican Americans. The high prevalence of depression of the least acculturated group may be related to cultural barriers encountered by immigrants and less-acculturated older Mexican Americans and to poorer health status.",
keywords = "Acculturation, Depression, Geriatric, Hispanic Americans, Mexican Americans",
author = "Gonz{\'a}lez, {Hector M.} and Haan, {Mary N.} and Hinton, {W Ladson}",
year = "2001",
doi = "10.1046/j.1532-5415.2001.49186.x",
language = "English (US)",
volume = "49",
pages = "948--953",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
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TY - JOUR

T1 - Acculturation and the prevalence of depression in older Mexican Americans

T2 - Baseline results of the Sacramento area Latino study on aging

AU - González, Hector M.

AU - Haan, Mary N.

AU - Hinton, W Ladson

PY - 2001

Y1 - 2001

N2 - OBJECTIVE: To determine the association between acculturation, immigration, and prevalence of depression in older Mexican Americans. DESIGN: Cross-sectional analysis from a cohort study. SETTING: Urban and rural counties of the Central Valley of Northern California. PARTICIPANTS: One thousand seven hundred and eighty-nine Latinos recruited from a population-based sample (85% Mexican Americans) with a mean age of 70.6 (range 60-100; standard deviation (SD) = 7.13); 58.2% were women. MEASUREMENTS: Depressive symptoms were assessed with the Center for Epidemiologic Studies - Depression scale (CES-D). Acculturation was measured with the Acculturation Rating Scale for Mexican Americans - II. Psychosocial, behavioral, and medical histories were also obtained. RESULTS: The prevalence of depression (CES-D ≥ 16) was 25.4%. Women were at greater risk (32.0%) than men (16.3%; male/female odds ratio (OR) = 2.43, 95% confidence interval (CI) = 1.90-3.09). The prevalence of depression was higher among immigrants (30.4%, OR = 1.70, 95% CI = 1.36-2.13), bicultural participants (24.2%, OR = 1.66, 95% CI = 1.24-2.24), and less-acculturated participants (36.1%, OR = 2.95, 95% CI = 2.22-3.93) compared with U.S.-born (20.5%) and more- acculturated groups (16.1%). When adjustments for education, income, psychosocial, behavioral, and health-problem factors were made, the least-acculturated participants were at significantly higher risk of depression than highly acculturated Mexican Americans (OR = 1.56, 95% CI = 1.06-2.31). CONCLUSIONS: These findings are consistent with previously reported estimates of a higher prevalence of depression for older Mexican Americans than non-Hispanic Caucasians and African Americans and are the first to report the prevalence and risk of depression for older U.S.-born and immigrant Mexican Americans. The high prevalence of depression of the least acculturated group may be related to cultural barriers encountered by immigrants and less-acculturated older Mexican Americans and to poorer health status.

AB - OBJECTIVE: To determine the association between acculturation, immigration, and prevalence of depression in older Mexican Americans. DESIGN: Cross-sectional analysis from a cohort study. SETTING: Urban and rural counties of the Central Valley of Northern California. PARTICIPANTS: One thousand seven hundred and eighty-nine Latinos recruited from a population-based sample (85% Mexican Americans) with a mean age of 70.6 (range 60-100; standard deviation (SD) = 7.13); 58.2% were women. MEASUREMENTS: Depressive symptoms were assessed with the Center for Epidemiologic Studies - Depression scale (CES-D). Acculturation was measured with the Acculturation Rating Scale for Mexican Americans - II. Psychosocial, behavioral, and medical histories were also obtained. RESULTS: The prevalence of depression (CES-D ≥ 16) was 25.4%. Women were at greater risk (32.0%) than men (16.3%; male/female odds ratio (OR) = 2.43, 95% confidence interval (CI) = 1.90-3.09). The prevalence of depression was higher among immigrants (30.4%, OR = 1.70, 95% CI = 1.36-2.13), bicultural participants (24.2%, OR = 1.66, 95% CI = 1.24-2.24), and less-acculturated participants (36.1%, OR = 2.95, 95% CI = 2.22-3.93) compared with U.S.-born (20.5%) and more- acculturated groups (16.1%). When adjustments for education, income, psychosocial, behavioral, and health-problem factors were made, the least-acculturated participants were at significantly higher risk of depression than highly acculturated Mexican Americans (OR = 1.56, 95% CI = 1.06-2.31). CONCLUSIONS: These findings are consistent with previously reported estimates of a higher prevalence of depression for older Mexican Americans than non-Hispanic Caucasians and African Americans and are the first to report the prevalence and risk of depression for older U.S.-born and immigrant Mexican Americans. The high prevalence of depression of the least acculturated group may be related to cultural barriers encountered by immigrants and less-acculturated older Mexican Americans and to poorer health status.

KW - Acculturation

KW - Depression

KW - Geriatric

KW - Hispanic Americans

KW - Mexican Americans

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DO - 10.1046/j.1532-5415.2001.49186.x

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JO - Journal of the American Geriatrics Society

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