Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis

Abstract

Background and Objectives Providing appropriate and culturally sensitive care to the rapidly growing number of U.S. Latinx older adults with psychiatric conditions presents a major public health challenge. We know little about older Latinx adults’ perceived causes of mental health problems, offering clinicians limited insight to guide successful and culturally congruent treatment. Moreover, there is a paucity of mental health research examining heterogeneity in how Latinx individuals may attribute mental health symptoms. The present study sought to identify how Latinx and non-Latinx older adults attributed the sources of their mental health problems and how these types of attributions differ by ethnicity. Research Design and Methods This study analyzed data collected from a retrospective chart review and survey of 673 adults aged 55-95 (430 Mexican origin, 244 non-Latinx) from a rural psychiatric outpatient clinic near the California-Mexico border. We conducted stratified latent class analysis (LCA) by race/ethnicity to explore the mental health attribution beliefs of Mexican-origin and non-Latinx clinic patients. Results Different LCA patterns for Mexican-origin Latinx vs. non-Latinx groups. For non-Latinx adults, there was a class who attributed their mental health issues to social and financial problems. For Mexican-origin adults, there was a class who attributed their mental health issues to spiritual and/or supernatural factors, unaffected by acculturation level, depressive symptom severity, and time spent in the U.S., but differing by gender. We found within-group heterogeneity: Not all Mexican-origin or non-Latinx older adults were alike in how they conceptualized their mental health. Discussion and Implications Mexican-origin Latinx and non-Latinx older adults attributed their mental health issues to different causes. More Mexican-origin older adults attributed their symptoms to spiritual causes, even after controlling for contextual factors. Further research is needed to determine whether attribution beliefs are impacted by specific mental health diagnoses and other cultural factors not measured in this study.

Home Healthcare Patients With Distinct Psychological, Cognitive, and Behavioral Symptom Profiles and At-Risk Subgroup for Hospitalization and Emergency Department Visits Using Latent Class Analysis

“…For those Hispanics who want to seek care given their high symptom severity, they may not receive appropriate care if they lose health insurance coverage. All of these factors are problematic because Hispanic patients have a longer life expectancy than the general U.S. population, indicating that they have to live years of life with untreated poor mental health (Mendez et al, 2020).…”

Race and Mental Health Among Older Adults: Within- and Between-Group Comparisons

“…In order to better understand and treat mental health issues of older Latinx groups, Mendez and colleagues (2020) focus on older Latinx adults’ attributions of mental health problems. They examine perceptions of mental health symptoms among older Mexican-origin Latinx and non-Latinx adult outpatient clients of a rural psychiatric clinic.…”