Predictors of Function Among Older Hispanic Immigrants

Ailinger, Rita L.; Dear, Margaret R.; HOLLEY-WILCOX, RAM

doi:10.1097/00006199-199307000-00009

Cited by 19 publications

(7 citation statements)

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“…This is surprising given the documented association of political violence with PTSD among immigrants. 33 This could be linked to political violence being overrepresented among political dissidents, who are typically altruistic, 34 may anticipate violence, and prepare for it psychologically. In addition, we did not find a higher overall rate of probable PTSD for Latinos, as previously reported.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Risk, and Correlates of Posttraumatic Stress Disorder Across Ethnic and Racial Minority Groups in the United States

et al. 2013

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Objectives We assess whether posttraumatic stress disorder (PTSD) varies in prevalence, diagnostic criteria endorsement, and type and frequency of traumatic events (PTEs) among a nationally representative U.S. sample of 5071 non-Latino whites, 3264 Latinos, 2178 Asians, 4249 African Americans, and 1476 Afro-Caribbeans. Methods PTSD and other psychiatric disorders were evaluated using the World Mental Health-Composite International Diagnostic Interview (WMH-CIDI) in a national household sample that oversampled ethnic/racial minorities (n=16,238) but was weighted to produce results representative of the general population. Results Asians have lower prevalence rates of probable lifetime PTSD while African Americans have higher rates as compared to non-Latino whites, even after adjusting for type and number of exposures to traumatic events, and for sociodemographic, clinical and social support factors. Afro-Caribbeans and Latinos seem to demonstrate similar risk to non-Latino whites, adjusting for these same covariates. Higher rates of probable PTSD exhibited by African Americans and lower rates for Asians, as compared to non-Latino whites, do not appear related to differential symptom endorsement, differences in risk or protective factors or differences in types and frequencies of PTEs across groups. Conclusions There appears to be marked differences in conditional risk of probable PTSD across ethnic/racial groups. Questions remain about what explains risk of probable PTSD. Several factors that might account for these differences are discussed as well as the clinical implications of our findings. Uncertainty of the PTSD diagnostic assessment for Latinos and Asians requires further evaluation.

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Section: Discussionmentioning

confidence: 99%

Prevalence, Risk, and Correlates of Posttraumatic Stress Disorder Across Ethnic and Racial Minority Groups in the United States

et al. 2013

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“…However, it is quite possible that having more education provides protection from distress and mental health consequences through enhanced social status, resources, and benefits in the US. Education can empower individuals and communities which may help buffer the emotional consequences of political violence and immigration (Ailinger, Dear, & Holley-Wilcox, 1993; Texidor del Portillo, 1987). …”

Section: Discussionmentioning

confidence: 99%

Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States

2008

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Objectives We present the prevalence of political violence (PV) of immigrant Latinos in the US, and perceived need for and correlates of mental health services use among this population. Methods We use the National Latino and Asian American Study (NLAAS), a nationally representative epidemiological survey of US Latinos, including a probability sample of 1630 immigrant Latinos. We use a conceptual framework that assumes a strong role of social and cultural factors in understanding the risk for psychopathology and mental health service use. Results Eleven percent of all immigrant Latinos reported PV exposure and 76% described additional lifetime traumas. Among those with a history of PV, an increased likelihood of using mental health services was associated with female gender, English language proficiency, experiencing personal assaults, higher perceived discrimination, and having an anxiety or substance disorder. Specific subgroups of Latinos, including men and Mexican immigrants, were less likely to access mental health services after experiencing PV. Perceived need for mental health services use is the strongest correlate of any lifetime and last 12 months service use. Conclusions The strong consequences of PV suggest the need for systematic screening and referral strategies. Specific outreach interventions focused on perceptions of need could be helpful for subgroups of Latinos including men who are particularly underrepresented in mental health services but who exhibit significant trauma histories.

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“…Almost two‐thirds require assistance in transferring from bed to chair, and about the same percentage have walking difficulties. The cause of these functional impairments are multifactorial and include lack of motivation ( Mulrow et al 1994 ), social issues and cultural expectations ( Aller & Coeling 1995, MacRae et al 1996 ), environmental factors ( MacRae et al 1996 ), co‐existing disease states ( Ailinger et al 1993 , Bloom 1993), fear of falling ( Hill et al 1996 ), and/or nursing care that creates dependency ( Jirovec & Kasno 1993, Waters 1994, Beck et al 1997 ).…”

Section: Introductionmentioning

confidence: 99%

Motivation to perform activities of daily living in the institutionalized older adult: can a leopard change its spots?

Resnick

1999

Journal of Advanced Nursing

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The concept of motivation has great relevance for the older adult because of the multiple problems that can result in functional limitations. The ability to overcome and transcend these problems is related to the individuals' motivation to maintain and/or improve function. The purpose of this study, which used a naturalistic or constructivist inquiry, was to explore what motivates the institutionalized older adult to perform functional activities. Primary selection was used to obtain the sample which included 44 older adults, 37 (84%) females, and 7(16%) males. The average of participants was 88 +/- 6.4, and they were institutionalized for 2.8 +/- 2.8 years. Semi-structured interviews were done in the participants room. Data analysis involved content analysis. A total of 27 codes were initially identified, and these were categorized and developed into five major themes: Personality, Goals, Beliefs, Fear and Physical factors. The participants indicated that basic personality had a major on motivation, i.e. 'a leopard can't change his spots'. Further findings suggested that although personality may be central to the individuals' motivation to perform, goals, fear, beliefs and physiological sensations also influenced motivation and behavior. Appropriate interventions can be used to foster motivation to perform functional activities for institutionalized older adults.

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Predictors of Function Among Older Hispanic Immigrants

Cited by 19 publications

References 0 publications

Prevalence, Risk, and Correlates of Posttraumatic Stress Disorder Across Ethnic and Racial Minority Groups in the United States

Prevalence, Risk, and Correlates of Posttraumatic Stress Disorder Across Ethnic and Racial Minority Groups in the United States

Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States

Motivation to perform activities of daily living in the institutionalized older adult: can a leopard change its spots?

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