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Neighbourhood composition and depressive symptoms among older Mexican Americans

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 neig...

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Published in:Journal of epidemiology and community health (1979) 2003-12, Vol.57 (12), p.987-992
Main Authors: Ostir, G V, Eschbach, K, Markides, K S, Goodwin, J S
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creator Ostir, G V
Eschbach, K
Markides, K S
Goodwin, J S
description 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
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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&lt;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.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech.57.12.987</identifier><identifier>PMID: 14652267</identifier><identifier>CODEN: JECHDR</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Activities of Daily Living ; ADL ; Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; aging ; Biological and medical sciences ; Causes of ; Census tracts ; Censuses ; Center for Epidemioligc Studies-Depression ; CES-D scale ; Chronic Disease ; Chronic illnesses ; Communities ; Depression ; Depression - ethnology ; Depression - etiology ; Depression, Mental ; Depressive disorders ; Female ; H-EPESE ; Health aspects ; Hispanic Americans ; Hispanic established population for the epidemiologic study of the elderly ; Hispanics ; Households ; Humans ; Male ; Medical sciences ; Mental depression ; Mexican American ; Mexican Americans - psychology ; Minority &amp; ethnic groups ; Mood disorders ; Neighborhoods ; neighbourhood ; Older adults ; Poverty ; Poverty Areas ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Research Report ; Residence Characteristics ; Retirement communities ; Risk Factors ; Social Environment ; Social status ; Socioeconomic Factors ; Tropical medicine ; United States - epidemiology</subject><ispartof>Journal of epidemiology and community health (1979), 2003-12, Vol.57 (12), p.987-992</ispartof><rights>Copyright 2003 Journal of Epidemiology and Community Health</rights><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2003 Copyright 2003 Journal of Epidemiology and Community Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b615t-b04c0870631d802e044c8f2a8717892c53a51f7e7b6f78306b6d6f357f4ab2d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jech.bmj.com/content/57/12/987.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jech.bmj.com/content/57/12/987.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>112,113,230,314,727,780,784,885,3194,27924,27925,53791,53793,58238,58471,77594,77595</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=15340077$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14652267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ostir, G V</creatorcontrib><creatorcontrib>Eschbach, K</creatorcontrib><creatorcontrib>Markides, K S</creatorcontrib><creatorcontrib>Goodwin, J S</creatorcontrib><title>Neighbourhood composition and depressive symptoms among older Mexican Americans</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>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&lt;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.</description><subject>Activities of Daily Living</subject><subject>ADL</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>aging</subject><subject>Biological and medical sciences</subject><subject>Causes of</subject><subject>Census tracts</subject><subject>Censuses</subject><subject>Center for Epidemioligc Studies-Depression</subject><subject>CES-D scale</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Communities</subject><subject>Depression</subject><subject>Depression - ethnology</subject><subject>Depression - etiology</subject><subject>Depression, Mental</subject><subject>Depressive disorders</subject><subject>Female</subject><subject>H-EPESE</subject><subject>Health aspects</subject><subject>Hispanic Americans</subject><subject>Hispanic established population for the epidemiologic study of the elderly</subject><subject>Hispanics</subject><subject>Households</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mexican American</subject><subject>Mexican Americans - psychology</subject><subject>Minority &amp; ethnic groups</subject><subject>Mood disorders</subject><subject>Neighborhoods</subject><subject>neighbourhood</subject><subject>Older adults</subject><subject>Poverty</subject><subject>Poverty Areas</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Research Report</subject><subject>Residence Characteristics</subject><subject>Retirement communities</subject><subject>Risk Factors</subject><subject>Social Environment</subject><subject>Social status</subject><subject>Socioeconomic Factors</subject><subject>Tropical medicine</subject><subject>United States - epidemiology</subject><issn>0143-005X</issn><issn>1470-2738</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNqFkt-LEzEQxxdRvHr66puyIAo-bM3Pnd0XodTfnncoh_gWstnZNr3dpCbb4-6_N6Wld4ooeciQ-cx3-E4myx5TMqWUl69WaJZTCVPKpnUFd7IJFUAKBry6m00IFbwgRP44yh7EuCIpBFbfz46oKCVjJUyys1O0i2XjN2HpfZsbP6x9tKP1LteuzVtcB4zRXmIer4f16IeY68G7Re77FkP-Ba-s0S6fDRi2QXyY3et0H_HR_j7Ozt-9PZ9_KE7O3n-cz06KpqRyLBoiDKmAlJy2FWFIhDBVx3QFFKqaGcm1pB0gNGUHFSdlU7ZlxyV0Qjes5cfZ653setMM2Bp0Y9C9Wgc76HCtvLbq94yzS7Xwl4oCZ1ywJPBiLxD8zw3GUQ02Gux77dBvooI0OkoJTeCzP8BVGpZL3pIW1IwzEFuq2FEL3aOyrvOpq1mgw9TcO-xsep5RSssaRFUnfvoXPp0WB2v-VWCCjzFgd_BKidpugtpugpKgKFNpE1LB09sTusH3X5-A53tAR6P7LmhnbLzhJBeEwJZ7suNWcfThkGdSAmH8lnUbR7w65HW4UKkLSHX6fa7Y1zeEf_v8SYnEv9zxzbD6n4lfAx_h6A</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Ostir, G V</creator><creator>Eschbach, K</creator><creator>Markides, K S</creator><creator>Goodwin, J S</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20031201</creationdate><title>Neighbourhood composition and depressive symptoms among older Mexican Americans</title><author>Ostir, G V ; Eschbach, K ; Markides, K S ; Goodwin, J S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b615t-b04c0870631d802e044c8f2a8717892c53a51f7e7b6f78306b6d6f357f4ab2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Activities of Daily Living</topic><topic>ADL</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>aging</topic><topic>Biological and medical sciences</topic><topic>Causes of</topic><topic>Census tracts</topic><topic>Censuses</topic><topic>Center for Epidemioligc Studies-Depression</topic><topic>CES-D scale</topic><topic>Chronic Disease</topic><topic>Chronic illnesses</topic><topic>Communities</topic><topic>Depression</topic><topic>Depression - ethnology</topic><topic>Depression - etiology</topic><topic>Depression, Mental</topic><topic>Depressive disorders</topic><topic>Female</topic><topic>H-EPESE</topic><topic>Health aspects</topic><topic>Hispanic Americans</topic><topic>Hispanic established population for the epidemiologic study of the elderly</topic><topic>Hispanics</topic><topic>Households</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Mexican American</topic><topic>Mexican Americans - psychology</topic><topic>Minority &amp; ethnic groups</topic><topic>Mood disorders</topic><topic>Neighborhoods</topic><topic>neighbourhood</topic><topic>Older adults</topic><topic>Poverty</topic><topic>Poverty Areas</topic><topic>Psychology. 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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&lt;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.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>14652267</pmid><doi>10.1136/jech.57.12.987</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living
ADL
Adult and adolescent clinical studies
Aged
Aged, 80 and over
aging
Biological and medical sciences
Causes of
Census tracts
Censuses
Center for Epidemioligc Studies-Depression
CES-D scale
Chronic Disease
Chronic illnesses
Communities
Depression
Depression - ethnology
Depression - etiology
Depression, Mental
Depressive disorders
Female
H-EPESE
Health aspects
Hispanic Americans
Hispanic established population for the epidemiologic study of the elderly
Hispanics
Households
Humans
Male
Medical sciences
Mental depression
Mexican American
Mexican Americans - psychology
Minority & ethnic groups
Mood disorders
Neighborhoods
neighbourhood
Older adults
Poverty
Poverty Areas
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Research Report
Residence Characteristics
Retirement communities
Risk Factors
Social Environment
Social status
Socioeconomic Factors
Tropical medicine
United States - epidemiology
title Neighbourhood composition and depressive symptoms among older Mexican Americans
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