Coping with mental health issues among older Hispanic adults

"Accepting the Poem of Destiny": Identity Reconstruction in a Chinese Online Depression Community

As online health communities become important platforms for people with depression to express themselves, digital narratives provide a lens for understanding their identity work. Drawing on the communication theory of identity (CTI), this article explored the members' identity reconstruction by analyzing their narratives posted in a Chinese online depression community. The four levels of identities constructed by the members include "laggard" and "pioneer" at the personal layer, "idler" and "fighter" at the enacted level, "stress-maker" and "escaper" at the relational layer, and support providers and receivers at the communal layer. These identities at different levels usually interact in the narratives, showing that identity gaps exist among the members. The study shows that the members' autobiographical accounts of depression entail multiplicities and ambivalences, denying the dominant and stigmatizing representation of it by common sense and the media as a reductionist downward and one-way experience that is valueless and offers no possibility for personal growth. The findings regarding the communal level of identity show that narratives can help the narrators to create bonds of solidarity of an experience that is often marginalized.

Mental Health and Religiosity in Older Latin American Immigrants Living in Australia

Ageing in a non-native land brings numerous challenges that may complicate adaptation and health for older Latin American immigrants in Australia. While religiosity emerges as a protective factor for mental health, there is scarce research focused on exploring the multifaceted dimensions of religiosity in this population. As part of a broad Constructivist Grounded Theory study, the aim of this qualitative descriptive analysis was to explore and understand this population's religious practices and experiences, focusing on the impact on their mental health. Following ethical approval, 23 Spanish-speaking Latin American immigrants aged 60 and older living in Australia were interviewed. Data analysis was performed on a constant comparative basis and concurrent with data collection to understand the findings. Three key categories were identified: "Being involved in religious groups and communities," "Connecting with God," and "Changing how one lives one's faith." Regardless of their religious practices, all participants engaged in social activities that helped them integrate into their communities. Several barriers to religious practices were identified. The findings add to the field of religiosity as a protective factor in older Latin American immigrants' mental health. Future research should identify barriers to religious practices and targeted interventions.

Strengthening the Voices of Hispanic/Latine Immigrants Managing Chronic Disease: A Mixed Methods Approach to Understanding Perspectives of Health

Individuals who migrate from their home country face a variety of challenges while adapting to the culture in the United States. Immigrant communities are at a significantly higher risk for poor health outcomes; therefore, assessing healthcare treatment for diverse and resilient immigrant populations, including Hispanic/Latine communities, is crucial to preserving their health, culture, and spirit. A paucity of literature exists surrounding perceptions of well-being in immigrant, Hispanic/Latine adults managing chronic diseases. Past studies have shown a discrepancy between providers' and patients' perceptions of healthcare options for overall well-being. We aim to share varying perspectives found within our work geared towards improving the quality of life for Hispanic/Latine immigrants managing chronic disease, especially type 2 diabetes mellitus and hypertension. The primary objective of this article is to strengthen the understanding of intersections between social, physical, financial, and spiritual health within an (im)migrant Hispanic/Latine community using semi-structured ethnographic interviews. These interviews have highlighted community resilience, demonstrating that individuals can adapt to major life transitions while maintaining balance across dimensions of health. This knowledge could be implemented by actively listening to patient concerns regarding their health dimensions to improve individualized and patient-centric care.

Rural Hispanic Perceptions of Mental Health: A Qualitative Study

INTRODUCTION

In 2020, 18.4% of Hispanics experienced mental illness, yet only about a third received treatment compared with nearly half of non-Hispanic Whites. In Montana, where only 11% of the mental health needs are currently met, service utilization is low. The purpose of this study was to determine the perceptions of the Hispanic immigrant population in a rural state on mental health and professional service utilization.

METHODS

Using a descriptive phenomenological approach, we conducted semi-structured telephone interviews in Spanish. Audio recordings were transcribed, translated to English, and analyzed for themes.

RESULTS

We recruited a sample of 14 participants from Mexico, Ecuador, Colombia, and Venezuela ranging in age from 33 to 59. We identified five themes: definitions of mental health, maintaining mental health, familismo/socialization, stigma, and acculturation stress.

DISCUSSION

Novel findings point to the need for Spanish-language services focused on reducing stigma around mental illness and incorporating the importance of social connections.

Serial Mediation of Environmental Preference and Place Attachment in the Relationship between Perceived Street Walkability and Mood of the Elderly

Urban streets are important public spaces for daily activities that play a crucial role in promoting health in the elderly. The purpose of this study was to investigate the association between perceived street walkability and mood in the elderly, and specifically, the mediating effect of environmental preference and place attachment. We surveyed a total of 269 elderly residents from six streets in Guangzhou, China. We collected assessments of the street environments, environmental preferences, place attachment, and mood status from the elderly. A serial multiple mediator model was constructed using the structural equation modeling method. The results showed that the perceived street walkability was sequentially associated first with an increased level of place attachment (β = 0.798, SE = 0.358, p < 0.000) and then environmental preference (β = 0.191, SE = 0.033, p = 0.038), which was in turn related to improvement of positive mood in the elderly (β = 0.595 SE = 0.341, p < 0.000). Environmental preference alone was found to be significantly associated with positive mood (β = 0.595, SE = 0.341, p < 0.000), while no significant effect of place attachment was found when considered individually (β = -0.075, SE = 0.089, p = 0.395). These findings provide a greater understanding of the possible mechanism through which street environment impacts mood in the elderly. Therefore, when promoting the emotional experience of the elderly, we might consider not only physical environment factors but also psychological conditions in street environments.