262051 Comparing Depression and Anxiety Symptoms among elderly Puerto Ricans and Other Hispanics

Monday, October 29, 2012

Sean Sayers, PhD , Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC
Marisa Domino, PhD , Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC
Joseph Morrissey, PhD , Program on Mental Health Services Research, Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC
The mental health needs of elderly Hispanics have received relatively little research attention (Iannotta, 2002; Akincigil et al., 2012). Research literature tends to lump elderly populations among the 18 and over categories, presenting contradicting results among research findings associated with elderly Hispanic mental health issues. A secondary analysis was performed on the Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM-E) dataset (Levkoff et al., 2004). PRISM-E was a randomized clinical trial of integrated primary care-mental health treatment with 2,244 elderly primary care patients from 11 study sites across the U.S. The Center of Epidemiological Studies Depression Scale (CES-D) and the Beck Anxiety Inventory (BAI) were used to assess elderly participants for depression and anxiety. Performing an OLS regression model that was unadjusted for related characteristics, CES-D baseline scores indicate that all Hispanics are 9.5 points higher than Whites, but those born in Puerto Rico are 7 points lower on the CES-D than are other reported Hispanics. Both Blacks and Asian Americans are higher on CES-D (by 2.4 and 15.3 points respectively) than Whites. However, results on the BAI present no differences between those elderly born in Puerto Rico and other Hispanics, as well as no differences between Whites, Blacks, and Asian Americans. Preliminary findings indicate that elderly Hispanics should be considered as individuals from different ethnic backgrounds rather that one all-inclusive group. Future analysis will examine whether these differences are moderated by adjustments for family and social support systems, socioeconomic factors, and cultural beliefs.

Learning Areas:
Diversity and culture
Social and behavioral sciences

Learning Objectives:
Compare depression and anxiety symptoms among elderly Puerto Ricans and other Hispanics

Keywords: Latino Mental Health, Elderly

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a licensed clinical psychologist, researcher, and methodological and statistical consultant with a strong bicultural Hispanic background. For the last 10 years I have worked with Hispanic populations of all ages (children, adolescents, adults, and elderly) on different research projects associated with test development, translation, adaptation, and validation as well as group comparisons among Hispanics on topics such as mental illness, clinical psychiatric symptomatology, trauma, compassion fatigue, resilience, and spirituality.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3291.0: Psychiatric epidemiology