Strengths and Vulnerabilities of Women of Mexican Descent in Relation to Depressive Symptoms

Heilemann, MarySue V.; Lee, Kathryn A.; Kury, Felix Salvador

doi:10.1097/00006199-200205000-00006

Cited by 80 publications

(74 citation statements)

References 34 publications

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“…Drinking among males is acceptable in both contexts, while the low proportions of drinkers among foreign-born Mexican American females in the U.S. may reflect socialization in Mexico where there are sanctions against among women consuming alcohol (Alaniz et al, 1999). Studies have also found that women who immigrated to the U.S. in childhood consume more alcohol than women who immigrated to the U.S. as adults (Heilemann et al, 2002) and as Mexican American women acculturate and achieve higher status positions in the work force they use alcohol more and believe there are positive consequences to its use (Gilbert et al, 1994). However, it has also been suggested that although the risk of substance use dependence increases with acculturation among Mexican immigrants, one reason it does not have the same effect among U.S.-born Mexican Americans is because of the small percentage of Mexican-born adults in the U.S. who score low on acculturation (Vega et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

Country of origin, age of drinking onset, and drinking patterns among Mexican American young adults

Strunin

Edwards

Godette

et al. 2007

Drug and Alcohol Dependence

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Section: Discussionmentioning

confidence: 99%

Country of origin, age of drinking onset, and drinking patterns among Mexican American young adults

Strunin

Edwards

Godette

et al. 2007

Drug and Alcohol Dependence

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“…Resilience was measured with a 6-item modifi ed version of the Acceptance of Self and Life subscale of the Resilience Scale. 30,[46][47][48] Item scores range from 6 to 24 for the modifi ed subscale of the Resilience Scale with high scores indicating high resilience. Social support was measured with a modifi ed version of the Medical Outcomes Study Social Support Survey related to instrumental support (eg, receiving transportation favors) and emotional support (eg, having someone to talk to) from formal and informal sources.…”

Section: Design Of the Structured Interviewmentioning

confidence: 99%

Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women

Rodríguez¹,

Heilemann²,

Fielder³

et al. 2008

The Annals of Family Medicine

163

126

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PURPOSE We undertook a study to describe factors related to depression and posttraumatic stress disorder (PTSD) among pregnant Latinas who were or were not exposed to intimate partner violence. METHODSWe interviewed 210 pregnant Latinas attending prenatal clinics located in Los Angeles, California. Latinas who did and did not have histories of intimate partner violence were recruited. We then assessed the women for strengths, adverse social behavioral circumstances, posttraumatic stress disorder (PTSD), and depression. RESULTSSignifi cantly more women exposed to intimate partner violence scored at or above the cutoff point for depression than women who were not (41% vs 18.6%; P <.001). Signifi cantly more women exposed to intimate partner violence scored at or above the cutoff point for PTSD than women who were not (16% vs 7.6%; P <.001). Lack of mastery, which measures feelings of being in control of forces that affect life (odds ratio [OR], 0.72; 95% confi dence interval [CI], 0.62-0.84), a history of trauma not associated with intimate partner violence (OR, 1.33; 95% CI, 1.08-1.63), and exposure to intimate partner violence (OR, 2.43; 95% CI, 1.16-5.11) were associated with depression after adjusting for age, language of interview, and site effects. Stress (OR, 1.72; 95% CI, 1.34-2.2) and a history of trauma (OR, 1.45; 95% CI, 1.03-2.04) were independently associated with PTSD, whereas higher income was associated with decreased risk of PTSD (OR, 0.10; 95% CI, 0.02-0.63), after adjusting for age, language of interview, and site effects.CONCLUSIONS Intimate partner violence was signifi cantly associated with depression and PTSD but was associated with depression only after controlling for other factors in the multivariate model. The risk for depression declined with greater mastery but increased with a history of trauma or exposure to intimate partner violence. Stress, a history of trauma not associated with intimate partner violence, and lower income were all independently associated with increased risk for PTSD. INTRODUCTIONA pproximately 1.5 million women in the United States experience intimate partner violence every year. [1][2][3][4][5][6][7][8][9][10][11][12][13] The prevalence among pregnant women is estimated at 5.2%.14 Thus, intimate partner violence is at least as common as gestational diabetes (2% to 3%) and approaches rates of preeclampsia (5.7% to 14.3%). 15 Moreover, 23% to 52% of women who experienced abuse during pregnancy were battered in the year before conception. 5,16,17 Women abused during pregnancy have 3 times the odds of attempted or completed homicide, 18 are more likely to have unplanned pregnancies and seek pregnancy care after 20 weeks, and are at greater risk for adverse birth outcomes 19 and maternal complications. [20][21][22][23] Intimate partner violence is also associated with such adverse health behaviors as smoking [24][25][26] and problem drinking. 26,27 The prevalence of intimate partner violence among Latinas in the United States during pregnancy and the perin...

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“…Low-income, ethnic minority patients with cancer also encounter economic and other barriers to cancer care [16][17][18][19] and an association between economic stress and depressive symptoms has been found for cancer [20] and non-cancer patients [21].…”

Section: Introductionmentioning

confidence: 99%

Depression, Correlates of Depression, and Receipt of Depression Care Among Low-Income Women With Breast or Gynecologic Cancer

Ell

Sanchez

Vourlekis

et al. 2005

JCO

277

209

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Purpose-To assess the prevalence of depression among low-income, ethnic minority women with breast or gynecological cancer, receipt of antidepressant medications or counseling services, and correlates of depression.Patients and Methods-Study patients were 472 women receiving cancer care in an urban public medical center. Women had a primary diagnosis of breast (Stage 0-III) or gynecological cancer (FIGO 0-3B). A diagnostic depression screen and baseline questionnaire was administered prior to or during active treatment or during active follow-up. Self-report data was collected on receipt of depression treatment, use of supportive counseling, pain and receipt of pain medication, functional status and well-being, and perceived barriers to cancer care.Results-Twenty-four percent of women reported moderate to severe levels of depressive disorder, 30% of breast cancer patients and 17% of gynecological cancer patients. Only 12% of women meeting criteria for major depression reported currently receiving medications for depression and only 5% of women reported seeing a counselor or participating in a cancer support group. Neither cancer stage or treatment status was correlated with depression. Primary diagnosis of breast cancer, younger age, greater functional impairment, poorer social/family well-being, anxiety, comorbid arthritis, and fears about treatment side effects were correlated with depression.Conclusion-Findings indicate that depressive disorder among ethnic minority, low-income women with breast or gynecological cancer is prevalent and is correlated with pain, anxiety and health-related quality of life (HRQL). Because these women are unlikely to receive depression treatment or supportive counseling, there is a need for routine screening, evaluation and treatment in this population.

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Strengths and Vulnerabilities of Women of Mexican Descent in Relation to Depressive Symptoms

Abstract: Although intrinsic strength factors have rarely been included in research related to depression in women of Mexican descent, they were more directly related to lack of depressive symptoms than traditional demographic risk factors.

Cited by 80 publications

References 34 publications

Country of origin, age of drinking onset, and drinking patterns among Mexican American young adults

Country of origin, age of drinking onset, and drinking patterns among Mexican American young adults

Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women

Depression, Correlates of Depression, and Receipt of Depression Care Among Low-Income Women With Breast or Gynecologic Cancer

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