Protective Neighborhoods: Neighborhood Proportion of Mexican Americans and Depressive Symptoms in Very Old Mexican Americans
Protective Neighborhoods: Neighborhood Proportion of Mexican Americans and Depressive Symptoms in Very Old Mexican Americans
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DOI：
10.1111/j.1532-5415.2010.03244.x
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发表时间：
2011-02-01
影响因子：
6.3
通讯作者：
Markides, Kyriakos S.
中科院分区：
文献类型：
--
作者：
Gerst, Kerstin;Miranda, Patricia Y.;Markides, Kyriakos S.
研究表明，邻里环境会对老年人的健康产生重大影响。有证据表明，生活在种族同质社区的墨西哥裔美国人可能会受益于身体健康，尽管这些社区的经济风险相对较高，但很少有研究考虑社区种族密度对老年人心理健康结果的影响。这项研究评估了墨西哥裔美国人比例较高的社区与老年墨西哥裔美国人抑郁症状之间的关联。使用分层线性模型来检查西班牙裔老年人流行病学研究第 5 波（2004/05）的数据。受试者包括居住在美国西南部五个州（亚利桑那州、加利福尼亚州、科罗拉多州、新墨西哥州、德克萨斯州）386 个社区的 1,875 名 75 岁及以上社区居民墨西哥裔美国人。使用流行病学研究中心抑郁量表（α = 0.88）测量抑郁症状。结果显示，在老年男性中，社区中墨西哥裔美国人的比例与抑郁症状之间存在显着的负相关关系 (P=.01)。在女性中，关联的方向是相同的，但效果并不显着。这些发现表明，社区中墨西哥裔美国人的比例对于年长的墨西哥裔美国男性来说比女性更重要。进一步的研究可能会为基于社区构成差异的抑郁症状的筛查和治疗提供信息。建议包括文化定制计划，为年长的墨西哥裔美国人提供更大的流动性以及参与具有文化认同的社区的计划和机会。
Research indicates that neighborhood context can have a significant effect on the health of older adults. The evidence suggests that there may be physical health benefits afforded to Mexican Americans living in ethnically homogenous neighborhoods, despite the relatively high economic risk in such neighborhoods, but few studies have considered the effect of neighborhood ethnic density on mental health outcomes in older adults. This study evaluated the association between neighborhoods with a high proportion of Mexican Americans and depressive symptoms in very old Mexican Americans. Hierarchical linear modeling was used to examine data from Wave 5 (2004/05) of the Hispanic Established Populations for the Epidemiologic Study of the Elderly. Subjects included 1,875 community-dwelling Mexican Americans aged 75 and older living in 386 neighborhoods in five states in the southwestern United States (Arizona, California, Colorado, New Mexico, Texas). Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (alpha=0.88). Results showed that, in very old men, there was a significant negative association between percentage of Mexican Americans in the neighborhood and depressive symptoms (P=.01). In women, the direction of the association was the same, but the effect was not significant. These findings suggest that the proportion of Mexican Americans in the neighborhood matter more for very old Mexican American men than women. Further research may inform screening and treatment for depressive symptoms based on differences in neighborhood composition. Recommendations include culturally customized programs that offer older Mexican Americans greater mobility and access to programs and opportunities in culturally identifiable neighborhoods.