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. 2003 Dec;57(12):987–992. doi: 10.1136/jech.57.12.987

Neighbourhood composition and depressive symptoms among older Mexican Americans

G Ostir 1, K Eschbach 1, K Markides 1, J Goodwin 1
PMCID: PMC1732342  PMID: 14652267

Abstract

Study objective: Research suggests that economically disadvantaged neighbourhoods confer an increased risk of depression to their residents. Little research has been reported about the association between ethnic group concentration and depression. This study investigated the association between neighbourhood poverty and neighbourhood percentage Mexican American and depressive symptoms for older Mexican Americans in the south western United States.

Design: A population based study of older non-institutionalised Mexican Americans from the baseline assessment (1993/94) of the Hispanic established population for the epidemiologic study of the elderly (H-EPESE) merged with 1990 census data.

Setting: Five south western states in the United States.

Participants: 3050 Mexican Americans aged 65 years or older.

Main results: There was a strong correlation between the percentage of neighbourhood residents living in poverty and the percentage who were Mexican American (r = 0.62; p<0.001). Percentage neighbourhood poverty and percentage Mexican American had significant and opposite effects on level of depressive symptoms among older Mexican Americans. After adjusting for demographic and other individual level factors, each 10% increase in neighbourhood population in poverty was associated with a 0.763 (95% CI 0.06 to 1.47) increase in CES-D score, while each 10% increase in Mexican American neighbourhood population was associated with a -0.548 (95% CI -0.96 to -0.13) unit decrease in CES-D score among older Mexican Americans residing in their neighbourhoods.

Conclusions: The findings suggest a sociocultural advantage conferred by high density Mexican American neighbourhoods, and suggest the need to include community level factors along with individual level factors in community based epidemiological health studies.

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Selected References

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  1. Beekman A. T., Deeg D. J., van Tilburg T., Smit J. H., Hooijer C., van Tilburg W. Major and minor depression in later life: a study of prevalence and risk factors. J Affect Disord. 1995 Dec 24;36(1-2):65–75. doi: 10.1016/0165-0327(95)00061-5. [DOI] [PubMed] [Google Scholar]
  2. Berkman L. F., Glass T., Brissette I., Seeman T. E. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000 Sep;51(6):843–857. doi: 10.1016/s0277-9536(00)00065-4. [DOI] [PubMed] [Google Scholar]
  3. Branch L. G., Katz S., Kniepmann K., Papsidero J. A. A prospective study of functional status among community elders. Am J Public Health. 1984 Mar;74(3):266–268. doi: 10.2105/ajph.74.3.266. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cubbin C., Hadden W. C., Winkleby M. A. Neighborhood context and cardiovascular disease risk factors: the contribution of material deprivation. Ethn Dis. 2001 Fall;11(4):687–700. [PubMed] [Google Scholar]
  5. Diez Roux A. V., Merkin S. S., Arnett D., Chambless L., Massing M., Nieto F. J., Sorlie P., Szklo M., Tyroler H. A., Watson R. L. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med. 2001 Jul 12;345(2):99–106. doi: 10.1056/NEJM200107123450205. [DOI] [PubMed] [Google Scholar]
  6. Dohrenwend B. P., Levav I., Shrout P. E., Schwartz S., Naveh G., Link B. G., Skodol A. E., Stueve A. Socioeconomic status and psychiatric disorders: the causation-selection issue. Science. 1992 Feb 21;255(5047):946–952. doi: 10.1126/science.1546291. [DOI] [PubMed] [Google Scholar]
  7. Franzini L., Ribble J. C., Keddie A. M. Understanding the Hispanic paradox. Ethn Dis. 2001 Autumn;11(3):496–518. [PubMed] [Google Scholar]
  8. Gallo J. J. The effect of social support on depression in caregivers of the elderly. J Fam Pract. 1990 Apr;30(4):430–440. [PubMed] [Google Scholar]
  9. Hjern Anders, Lindblad Frank, Vinnerljung Bo. Suicide, psychiatric illness, and social maladjustment in intercountry adoptees in Sweden: a cohort study. Lancet. 2002 Aug 10;360(9331):443–448. doi: 10.1016/S0140-6736(02)09674-5. [DOI] [PubMed] [Google Scholar]
  10. House J. S., Landis K. R., Umberson D. Social relationships and health. Science. 1988 Jul 29;241(4865):540–545. doi: 10.1126/science.3399889. [DOI] [PubMed] [Google Scholar]
  11. Larson R. Thirty years of research on the subjective well-being of older americans. J Gerontol. 1978 Jan;33(1):109–125. doi: 10.1093/geronj/33.1.109. [DOI] [PubMed] [Google Scholar]
  12. Lebowitz B. D., Pearson J. L., Schneider L. S., Reynolds C. F., 3rd, Alexopoulos G. S., Bruce M. L., Conwell Y., Katz I. R., Meyers B. S., Morrison M. F. Diagnosis and treatment of depression in late life. Consensus statement update. JAMA. 1997 Oct 8;278(14):1186–1190. [PubMed] [Google Scholar]
  13. Markides K. S., Coreil J. The health of Hispanics in the southwestern United States: an epidemiologic paradox. Public Health Rep. 1986 May-Jun;101(3):253–265. [PMC free article] [PubMed] [Google Scholar]
  14. Mirowsky J., 2nd, Ross C. E. Minority status, ethnic culture, and distress: a comparison of Blacks, Whites, Mexicans, and Mexican Americans. AJS. 1980 Nov;86(3):479–495. doi: 10.1086/227277. [DOI] [PubMed] [Google Scholar]
  15. Muntaner C., Eaton W. W., Diala C., Kessler R. C., Sorlie P. D. Social class, assets, organizational control and the prevalence of common groups of psychiatric disorders. Soc Sci Med. 1998 Dec;47(12):2043–2053. doi: 10.1016/s0277-9536(98)00309-8. [DOI] [PubMed] [Google Scholar]
  16. Palloni A., Morenoff J. D. Interpreting the paradoxical in the hispanic paradox: demographic and epidemiologic approaches. Ann N Y Acad Sci. 2001 Dec;954:140–174. doi: 10.1111/j.1749-6632.2001.tb02751.x. [DOI] [PubMed] [Google Scholar]
  17. Pickett K. E., Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001 Feb;55(2):111–122. doi: 10.1136/jech.55.2.111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Pérez-Stable E. J., Ramirez A., Villareal R., Talavera G. A., Trapido E., Suarez L., Marti J., McAlister A. Cigarette smoking behavior among US Latino men and women from different countries of origin. Am J Public Health. 2001 Sep;91(9):1424–1430. doi: 10.2105/ajph.91.9.1424. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Ross C. E., Mirowsky J. Neighborhood disadvantage, disorder, and health. J Health Soc Behav. 2001 Sep;42(3):258–276. [PubMed] [Google Scholar]
  20. Seeman T. E. Health promoting effects of friends and family on health outcomes in older adults. Am J Health Promot. 2000 Jul-Aug;14(6):362–370. doi: 10.4278/0890-1171-14.6.362. [DOI] [PubMed] [Google Scholar]
  21. Seeman T. E. Social ties and health: the benefits of social integration. Ann Epidemiol. 1996 Sep;6(5):442–451. doi: 10.1016/s1047-2797(96)00095-6. [DOI] [PubMed] [Google Scholar]
  22. Waitzman N. J., Smith K. R. Phantom of the area: poverty-area residence and mortality in the United States. Am J Public Health. 1998 Jun;88(6):973–976. doi: 10.2105/ajph.88.6.973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Yen I. H., Kaplan G. A. Poverty area residence and changes in depression and perceived health status: evidence from the Alameda County Study. Int J Epidemiol. 1999 Feb;28(1):90–94. doi: 10.1093/ije/28.1.90. [DOI] [PubMed] [Google Scholar]

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