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De Oliveira G, Cianelli R, Solorzano Martinez AJ, Villegas N, Iriarte E. Biopsychosocial Factors of Depression Among Hispanic Women Aged ≥50 Years. J Psychosoc Nurs Ment Health Serv 2023; 61:32-42. [PMID: 37256745 DOI: 10.3928/02793695-20230523-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The purpose of the current study was to identify biopsychosocial factors associated with depressive symptoms among Hispanic women aged ≥50 years. Cross-sectional data related to 10 biological, psychological, and social factors were analyzed. Center for Epidemiologic Studies Depression Scale scores suggested that 32% of the sample had depressive symptoms. Self-esteem, self-perception of health status, income, and chronic pain had statistically significant associations with depressive symptoms. A logistic regression analysis showed that increasing self-esteem scores were associated with decreases in the likelihood of having depressive symptoms. Findings underscore that depression is associated with biological, psychological, and social factors. Culturally tailored interventions that aim at targeting these factors may have an impact on Hispanic women's depression and overall well-being. [Journal of Psychosocial Nursing and Mental Health Services, 61(11), 32-42.].
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Pérez-Flores NJ, Pineros-Leano M, Damian K, Toney AM, Aguayo L. Barriers and facilitators of physical activity among Latina immigrant and Mexican mothers living in the US and Mexico: A qualitative study. PLoS One 2023; 18:e0290227. [PMID: 37651357 PMCID: PMC10470970 DOI: 10.1371/journal.pone.0290227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 08/04/2023] [Indexed: 09/02/2023] Open
Abstract
Latina immigrant women are among the least physically active when compared with women in other racial/ethnic groups in the US. Similarly, Mexican mothers in Mexico have low rates of physical activity. Motherhood and immigration experiences are recognized barriers to engage in physical activity among Latina immigrant mothers. Less is known about the factors that promote and limit physical activity engagement among Mexican mothers in Mexico, and how their experiences compare with their immigrant counterparts. This transnational qualitative study aimed to investigate the barriers and facilitators of physical activity of 25 Latina mothers in Mexico and the US. Low-income Mexican mothers of kindergarten aged children and Latino mothers of similar aged children were recruited in San Luis Potosí, Mexico and central Illinois, US. Semi-structured interviews were administered by two bilingual and bicultural researchers in participants language of preference. Interviews were transcribed verbatim and analyzed using a thematic network approach and multi-stage coding analysis guided by the Socio-Ecological Model framework. We found that at the macro-level: 1) familial obligations, and 2) cold weather after migrating; at the mezzo-level: 1) changes in walking patterns, and 2) social cohesion (e.g., lack of an invitation to engage in activities); and at the micro-level: 1) individual perceptions, particularly unattainable perceptions of physical activity and 2) shift exhaustion were perceived as barriers and occasionally facilitators of physical activity by mothers in both countries. Context-specific interventions are needed to increase women's physical activity levels in the US and Mexico.
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Affiliation(s)
| | - María Pineros-Leano
- School of Social Work, Boston College, Chestnut Hill, Massachusetts, United States of America
| | - Katherine Damian
- Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, Illinois, United States of America
| | - Ashley M. Toney
- Department of Cardiovascular and Metabolic Sciences, Cleveland Clinic Lerner Research Institute, Cleveland, Ohio, United States of America
| | - Liliana Aguayo
- Hubert Department of Global Health, Emory University, Atlanta, Georgia, United States of America
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Cabrera Tineo YA, Dillon FR, Ertl MM, Rentería R, De La Rosa M. Discrimination-Based Acculturative Stress, Depression, and Alcohol Use among Latina Emerging Adults During Initial Months in the USA. Int J Ment Health Addict 2022; 20:553-568. [PMID: 35321450 PMCID: PMC8937027 DOI: 10.1007/s11469-020-00386-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Background The present study examined the links between discrimination-based acculturative stress (DAS), depressive symptoms, and alcohol use among recently immigrated Latina young adults and explored potential within-group Latina ethnic differences. Methods Structural equation modeling was used to assess these relations among 530 Latina young adults (age 18-23) who had immigrated to the U.S. within approximately 12 months prior to assessment. Results Women reporting more DAS indicated more depressive symptoms and alcohol use than counterparts reporting less DAS. Women reporting more time in the U.S. experienced higher levels of DAS. Undocumented participants, and those who had lived in the U.S. for less time, reported more depressive symptoms than their peers. Discussion Findings highlight the need for mental health clinicians to attend to their local sociopolitical climate context for discriminatory practices and integrate cultural factors in mental health and alcohol use interventions targeting Latina young adults who recently immigrated to the U.S.
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Affiliation(s)
- Yajaira A. Cabrera Tineo
- Department of Educational & Counseling Psychology, University at Albany, State University of New York, Albany, NY
| | - Frank R. Dillon
- Counseling & Counseling Psychology, Arizona State University, Tempe, AZ
| | - Melissa M. Ertl
- Department of Educational & Counseling Psychology, University at Albany, State University of New York, Albany, NY
| | - Roberto Rentería
- Counseling & Counseling Psychology, Arizona State University, Tempe, AZ
| | - Mario De La Rosa
- Center for Research on U. S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, FL
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Urzúa A, Henríquez D, Caqueo-Urízar A, Smith-Castro V. Validation of the brief scale for the evaluation of acculturation stress in migrant population (EBEA). ACTA ACUST UNITED AC 2021; 34:3. [PMID: 33404826 PMCID: PMC7785782 DOI: 10.1186/s41155-020-00168-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 12/20/2020] [Indexed: 11/20/2022]
Abstract
Background Acculturation stress is associated with poorer physical and mental health and a lower level of psychological well-being. The causes of acculturation stress are diverse, but most are similar in the migrant population. Despite the importance of evaluating this variable, few studies have reported culturally adapted and validated instruments for specific populations. Based on this, the aim of this study was to evaluate the psychometric properties of a short scale for the evaluation of acculturation stress (EBEA). Methods Two studies were conducted, involving 1725 first-generation Colombian and Peruvian migrants living in Chile, between the ages of 18 and 60 years. In addition to the EBEA and as evidence of validity, the Beck Anxiety Scale and the WHOQOL-BREF psychological health domain were applied. A confirmatory factor analysis was carried out, and the reliability and nomological validity were evaluated. Results The results in both studies indicated that the scale presents a factorial structure of three dimensions: (a) the stress derived from the preparation and departure from the country of origin, (b) the stress produced by socioeconomic concerns in the host country, and (c) the tensions typical of adaptation to sociocultural changes or Chilean society. The reliability coefficients and the analysis of their nomological validity were very good. Conclusions The EBEA is a measure that offers quick, useful screening for researchers who need a short measure for research among migrants. This tool contributes to the work of education, prevention, and intervention in the field of general health and migrants’ mental health.
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Affiliation(s)
- Alfonso Urzúa
- Escuela de Psicología, Universidad Católica del Norte, Avda. Angamos, 0610, Antofagasta, Chile.
| | - Diego Henríquez
- Escuela de Psicología, Universidad Católica del Norte, Avda. Angamos, 0610, Antofagasta, Chile
| | | | - Vanessa Smith-Castro
- Instituto de Investigaciones Psicológicas, Universidad de Costa Rica, San José, Costa Rica
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Urzúa M. A, Caqueo-Urízar A, Flores J. Fuentes de estrés por aculturación en la infancia y adolescencia. Propuesta del instrumento de medición FEAC-IA. UNIVERSITAS PSYCHOLOGICA 2019. [DOI: 10.11144/javeriana.upsy18-5.feai] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
El estrés por aculturación ha sido asociado fuertemente al surgimiento de problemas en la salud de las personas, principalmente en la salud mental. Pese a su importancia como factor de riesgo, su estudio se ha realizado mayoritariamente en población adulta, siendo menor la investigación realizada al respecto en población infantil y adolescente. En esta investigación, se evalúan las propiedades psicométricas del FEAC-IA, cuestionario destinado a evaluar las fuentes de estrés por aculturación. Se recogieron datos de 401 escolares entre 8 a 18 años (M = 12.4; K = 2.5). Se realizaron análisis de confiabilidad y de los indicadores de bondad de ajuste para la evaluación de modelos de la estructura factorial, mediante análisis de ecuaciones estructurales exploratorias (MEEE) y análisis factorial confirmatorio (AFC). El cuestionario presenta buenos indicadores de bondad de ajuste para un modelo trifactorial: añoranza y diferencias con el país de origen, adaptación en la escuela, familia y relación con los pares y experiencias de discriminación (CFI = 0.98; TLI = 0.976; RMSEA = 0.052). La escala propuesta puede constituirse en un aporte importante para recoger insumos en población migrante infanto-juvenil sobre las fuentes de estrés, que permitan elaborar planes específicos de intervención.
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Frequency of breakfast consumption is inversely associated with the risk of depressive symptoms among Chinese university students: A cross-sectional study. PLoS One 2019; 14:e0222014. [PMID: 31469883 PMCID: PMC6716653 DOI: 10.1371/journal.pone.0222014] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 08/20/2019] [Indexed: 12/11/2022] Open
Abstract
Introduction Eating breakfast has been proved to positively influence human health. However, evidence for the association between breakfast consumption and depressive symptoms is lacking, especially among young adults. The aim of this study was to determine whether breakfast consumption is associated with depressive symptoms among Chinese university students. Methods A cross-sectional study involving 10,174 undergraduate students (6,287 males and 3,887 females) was conducted in 2015. Breakfast consumption was assessed using a self-reported questionnaire. Depressive symptoms were assessed using the Zung self-rating depression scale (SDS) score. Three cut-off values of the SDS score (40, 45, and 50) were used to assess the severity of the depressive symptoms. Logistic regression models were used to analyze the association between the frequency of breakfast consumption and depressive symptoms. Results The mean SDS score was 37.1±8.0 in present study. In crude model, a higher frequency of breakfast consumption was primarily associated with a lower prevalence of depressive symptoms in all three SDS groups (p = 0.001, < 0.001, = 0.009 for SDS cut-off value 40, 45, and 50 points, respectively). These associations remained significant after adjustment for confounding factors. Conclusions A higher frequency of breakfast consumption was strongly associated with a lower prevalence of depressive symptoms among Chinese university students. These results corroborate the evidence that the habit of eating breakfast may be beneficial to mental health.
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Depressive Symptoms and Weight Status Among Women Recently Immigrating to the US. Matern Child Health J 2017; 20:1578-85. [PMID: 27010552 DOI: 10.1007/s10995-016-1957-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objectives Depressive symptoms have been associated with obesity. Little is known about this relationship among immigrants. We examined relationships between depressive symptoms and weight status in immigrant women from three ethnic groups. Methods Participants were Brazilian, Haitian, and Latina women (n = 345) enrolled in Live Well, a community-based, randomized intervention designed to prevent weight gain in recent immigrants. Study data are from baseline when participants completed the Center for Epidemiological Studies Depression Scale (CES-D), Perceived Stress Scale, a physical activity questionnaire, and socio-demographic questions; BMI was calculated from measured height and weight. Results Forty-four percent of participants (36 % of Brazilians, 66 % of Haitians, 30 % of Latinas) had high depressive symptoms (CES-D ≥ 16), and 38 % (26 % of Brazilians, 49 % of Haitians, 42 % of Latinas) were obese (BMI ≥ 30.0). Those reporting more depressive symptoms were more likely to be obese (Wald Chi square = 4.82, p < .05). An interaction between depressive symptoms, ethnic group, and income was revealed (F(4,340) = 2.91, p < .05), such that higher depressive symptoms were associated with higher BMI among Brazilians earning ≥$30,000 per year and with lower BMI among Brazilians earning <$30,000. The relationship between depressive symptoms and obesity did not differ by income among Haitians or Latinas. Conclusions Depressive symptoms and obesity were highly prevalent among these recently-immigrated women. Positive relationships between these variables were consistent across ethnic and income groups, with the exception of lower-income Brazilians. While these findings suggest similar patterns and health needs across several groups of immigrants, cultural differences should be considered when addressing these health conditions.
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Lindsay AC, Greaney ML, Wallington SF, Wright JA, Hunt AT. Depressive Symptoms and Length of U.S. Residency Are Associated with Obesity among Low-Income Latina Mothers: A Cross-Sectional Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14080869. [PMID: 28767094 PMCID: PMC5580573 DOI: 10.3390/ijerph14080869] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 07/24/2017] [Accepted: 07/27/2017] [Indexed: 11/25/2022]
Abstract
Latinos are the largest minority population group in the United States (U.S.), and low-income Latina women are at elevated risk of depression and obesity. Thus, the prevention of these two problems is a pressing public health concern in this population. Both depressive symptoms and obesity are modifiable factors that can be addressed by culturally relevant interventions. However, the association between depressive symptoms and obesity in Latina immigrant women is not well understood. Therefore, this cross-sectional study examined the association between depressive symptoms and obesity among Latina women of childbearing age (15–44). Participants (n = 147) were low-income, predominantly immigrant Latina mothers enrolled in the Latina Mothers′ Child Feeding Practices and Style Study. Women were eligible to participate if they self-identified as Latina; were enrolled in or eligible for the Special Supplemental Nutrition Program for Women, Infants and Children program; had a child between ages two and five years; and were living in the U.S. for at least one year, and residing in Rhode Island. Enrolled participants completed a survey in their language of preference (English or Spanish) administered by bilingual interviewers. About one-third (34%) of participants were classified as having obesity (BMI ≥ 30 kg/m2), 28.3% had elevated depressive symptoms (CES-D ≥ 16), and 70.1% were immigrants. Women with elevated depressive symptoms had increased odds of having obesity (odds ratio (OR) = 2.80, 95% confidence interval (CI): 1.24–6.33). Additionally, among immigrants, length of U.S. residency was associated with increased odds of obesity (OR = 1.05, 95% CI: 1.02–1.09). Findings underscore the need for screening and culturally relevant interventions designed to address both depressive symptoms and obesity among low-income Latina women of childbearing age. Furthermore, findings highlight the importance of taking into account the length of residency in the U.S. when designing interventions targeting Latina immigrants.
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Affiliation(s)
- Ana Cristina Lindsay
- Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USA.
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
| | - Mary L Greaney
- Health Studies and Department of Kinesiology, University of Rhode Island, Kingston, RI 02881, USA.
| | - Sherrie F Wallington
- Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20057, USA.
| | - Julie A Wright
- Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USA.
| | - Anne T Hunt
- Hunt Consultants Associates; Chapel Hill, NC 27517 USA.
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De Oliveira G, Cianelli R, Gattamorta K, Kowalski N, Peragallo N. Social Determinants of Depression Among Hispanic Women. J Am Psychiatr Nurses Assoc 2017; 23:28-36. [PMID: 27624770 PMCID: PMC5621785 DOI: 10.1177/1078390316669230] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Depression is the number one cause of disability in the world. Hispanic women are at a higher risk for depression than Caucasian and African American women. This is in part due to multiple social determinants of health that affect the individual, family, aggregates, and community. OBJECTIVE To investigate the social determinants of depression among Hispanic women in South Florida. DESIGN This is a secondary cross-sectional data analysis. A total of 280 Hispanic women from South Florida between 18 and 50 years of age were analyzed. RESULTS Depression is prevalent among Hispanic women in South Florida (37.5%). Education, health status, and living with partner were significant predictors of depression in the sample. CONCLUSION Development of a culturally tailored risk assessment tool that highlights the social determinants of depression in Hispanic women is essential, as it could be used as a standard practice in primary care and other appropriate settings.
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Affiliation(s)
| | - Rosina Cianelli
- Rosina Cianelli, PhD, University of Miami, Coral Gables, FL, USA
| | | | - Norma Kowalski
- Norma Kowalski, PsyD, Center for Advanced Neuropsychology, Tamarac, FL, USA
| | - Nilda Peragallo
- Nilda Peragallo, DrPH, University of Miami, Coral Gables, FL, USA
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Sternberg RM, Nápoles AM, Gregorich S, Paul S, Lee KA, Stewart AL. Development of the Stress of Immigration Survey: A Field Test Among Mexican Immigrant Women. FAMILY & COMMUNITY HEALTH 2016; 39:40-52. [PMID: 26605954 PMCID: PMC4747418 DOI: 10.1097/fch.0000000000000088] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The Stress of Immigration Survey (SOIS) is a screening tool used to assess immigration-related stress. The mixed methods approach included concept development, pretesting, field testing, and psychometric evaluation in a sample of 131 low-income women of Mexican descent. The 21-item SOIS screens for stress related to language, immigrant status, work issues, yearning for family and home country, and cultural dissonance. Mean scores ranged from 3.6 to 4.4 (a scale of 1-5, higher is more stress). Cronbach α values were more than 0.80 for all subscales. The SOIS may be a useful screening tool for detecting high levels of immigration-related stress in low-income Mexican immigrant women.
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