Perceived discrimination and depressive symptoms among US Latinos: the modifying role of educational attainment
| Autor: | Mary N. Haan, Anissa I. Vines, Whitney R. Robinson, Lydia Feinstein, Allison E. Aiello, Julia B. Ward |
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| Rok vydání: | 2017 |
| Předmět: |
Cultural Studies
Male medicine.medical_specialty Population Article socioeconomic status 03 medical and health sciences 0302 clinical medicine depressive symptoms Arts and Humanities (miscellaneous) Sociology Clinical Research Discrimination Behavioral and Social Science medicine Humans 030212 general & internal medicine Psychiatry education Association (psychology) Socioeconomic status Depressive symptoms education.field_of_study 030505 public health Depression Prevention Public Health Environmental and Occupational Health Hispanic or Latino Social Discrimination Middle Aged Mental health Educational attainment Brain Disorders latinos Mental Health Good Health and Well Being Socioeconomic Factors Scale (social sciences) Public Health and Health Services Educational Status Cognitive Sciences Female Perception Public Health 0305 other medical science Psychology Clinical psychology |
| Zdroj: | Ethnicity & health, vol 24, iss 3 |
| ISSN: | 1465-3419 |
| Popis: | ObjectiveDespite growing evidence that discrimination may contribute to poor mental health, few studies have assessed this association among US Latinos. Furthermore, the interaction between discrimination and educational attainment in shaping Latino mental health is virtually unexplored. This study aims to examine the association between perceived discrimination and depressive symptoms and the modifying role of education among a population of Mexican-origin adults.DesignWe utilized population-based data from 629 Mexican-origin adults (mean age = 52.8 years) participating the Niños Lifestyle and Diabetes Study (2013-2014). Perceived discrimination was defined as responding 'sometimes' or 'often' to at least one item on the 9-item Everyday Discrimination Scale. High depressive symptoms were defined as scoring ≥10 on the CESD-10. We used log-binomial and linear-binomial models to estimate prevalence ratios (PR) and prevalence differences (PD), respectively, of high depressive symptoms for levels of perceived discrimination. Final models were adjusted for age, sex, education, cultural orientation, and nativity. General estimating equations were employed to account for within-family clustering.ResultsPrevalence of perceived discrimination and high depressive symptoms were 49.5% and 29.2%, respectively. Participants experiencing discrimination had higher depressive symptom prevalence than those never or rarely experiencing discrimination [PR = 1.94, 95% confidence interval (CI): 1.46-2.58; PD = 0.19, 95% CI: 0.12-0.27]. The strength of this association varied by education level. The association between discrimination and depressive symptoms was stronger among those with >12 years of education (PR = 2.69; PD = 0.24) compared to those with ≤12 years of education (PR = 1.36; PD = 0.09).ConclusionUS Latinos suffer a high burden of depressive symptoms, and discrimination may be an important driver of this burden. Our results suggest that effortful coping strategies, such as achieving high education despite high perceived discrimination, may magnify discrimination's adverse effect on Latino mental health. |
| Databáze: | OpenAIRE |
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