Depression and chronic health conditions among Latinos: The moderating and mediating role of social networks
Methods. Cross-sectional self-report data from the San Diego Prevention Research Center’s (SDPRC) community survey were used. Separate multivariate linear regression models were tested using the log of the Patient Health Questionnaire (PHQ-9) for depression as the dependent variable for each gender group and the total sample.
Results. Participants (N=393) were 44 years old (± 17), predominantly female (73%), married (60%), unemployed (54%), and born outside the US (77%). Males with diabetes reported fewer depressive symptoms when there was a lower percentage of women in the social network (moderation). Among all participants, hypertension and having multiple conditions were related to more depressive symptoms mainly because of a higher percentage of women in the network (mediation). Finally, males with hypertension reported more depressive symptoms when there were longer-lasting relationships in the network (moderation).
Conclusions. Findings suggest an important though negative role of women and long-time social network members in the mental health of Latinos, and especially Latino men with chronic conditions. Interventions should aim to improve the support provided by women and long-time friends/family to Latinos with chronic health conditions.
Learning Areas:Chronic disease management and prevention
Diversity and culture
Public health or related research
Social and behavioral sciences
Identify the social network characteristics involved in the relationship between chronic health conditions and depressive symptoms. Explain the role of social network characteristics in the relationship between chronic health conditions and depressive symptoms.
Keyword(s): Depression, Latinos
Qualified on the content I am responsible for because: I have been the lead author of multiple conference presentations and a manuscript investigating the role of social support, friends, and family in the maintenance of chronic conditions and promotion of health behaviors.
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.