Association of Depression, Psycho-Social Stress and Acculturation with Respiratory Disease Among Puerto Rican Adults in Massachusetts
| Autor: | Doug Brugge, Luis M. Falcón, Katherine L. Tucker, Imrana Qawi, Stanislav Henkin, Xiang Gao |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Epidemiology Health Status Health Behavior Respiratory Tract Diseases Logistic regression Article Sex Factors medicine Humans Association (psychology) Exercise Depression (differential diagnoses) Aged Depression Public health Puerto Rico Smoking Respiratory disease Confounding Age Factors Public Health Environmental and Occupational Health Hispanic or Latino Middle Aged medicine.disease Acculturation Massachusetts Socioeconomic Factors Female Psychology Psychosocial Stress Psychological Demography |
| Zdroj: | Journal of Immigrant and Minority Health. 13:214-223 |
| ISSN: | 1557-1920 1557-1912 |
| Popis: | To assess associations between acculturation, depression, and self-reported stress score with reported diagnosis of respiratory disease (RD) in Puerto Rican adults, participants (N = 1,168) were identified from areas of high Hispanic density in the Boston, MA metropolitan area. Eligible participants were interviewed in the home by bilingual interviewers in either Spanish or English. Scales included topics ranging from general background to depressive symptomatology. Respiratory disease was self-reported and checked against prescribed medication. More than one-third (37.8%) of subjects reported doctor-diagnosed RD. A final binary logistical regression model (N = 850), which was adjusted for potential confounders (sex, age, education, poverty) showed that RD was significantly associated with psychological acculturation (OR = 1.97, P = 0.005), depressive symptomatology (OR = 1.52, P = 0.03) high perceived stress score (OR = 1.97, P = 0.009), and current smoking (OR = 1.61, P = 0.03). Significant inverse associations included a high level of language acculturation (OR = 0.65, P = 0.03), light (OR = 0.67, P = 0.01) and moderate to heavy physical activity versus sedentary physical activity (OR = 0.40, P = 0.03). We found self reported physician diagnosed RD was associated with high perceived stress and depression, as well as higher levels of psychological acculturation. Longitudinal research is needed to determine if there is a causal pathway for these associations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink