267109 Masculinity and depression among formerly incarcerated Latino men

Monday, October 29, 2012 : 8:30 AM - 8:50 AM

Miguel Muñoz-Laboy, DrPH , Department of Sociomedical Sciences, Columbia University, New York, NY
Objectives: Depression among Latino men who have served time in prison and jail is a significant problem that has been overlooked by public health research. This presentation examines the social-contextual factors associated with differences in depressive symptoms among formerly incarcerated Latino men (FILM). We conducted a cross-sectional survey (n=270) and life-history interviews (n=20) with FILM ages 18 to 49. Data analysis methods included: linear regression modeling and thematic analysis. Quantitative results: 26.9% reported symptoms of major depression in the prior 7 days. The strongest factors associated with depressive symptoms among FILM were hostility and anxiety. Low familism, high distance of residence from close family members, low utilization of social/health services, high loneliness and high frequency of crack cocaine drug use in the past 30 days were positively correlated with high depressive symptoms. Qualitative results: 1) it was “imperative” for FILM to maintain a public image of masculinity characterized by self-reliance and denial of physical and mental weaknesses; 2) “street families” or gangs, provided material and informational support consistently, but not emotional support; 3) those FILM who were able to navigate health and social service systems post-incarceration stated the importance of educating themselves on “the system and how it operates” while those with lower utilization often interpreted the convolutions and complications of the systems as something that was created to assure their “abandonment.” Discussion: Depression is a major problem among FILM. Addressing untreated depression among FILM must be a social work and public health priority.

Learning Areas:
Public health or related education
Social and behavioral sciences

Learning Objectives:
1) To describe levels of depression among formerly incarcerated Latino men (FILM) 2) To describe the impact of ideas about masculinity in men's accessing of mental health services 3) To identify social and cultural factors associated with depression among FILM

Keywords: Male Health, Latino Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed the study and conducted the analysis for this presentation
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.