Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Subject: search.filters.subject.Depression

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Now showing 1 - 7 of 7
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    Racial/Ethnic Disparities, Social Support, and Depression: Examining a Social Determinant of Mental Health
    (2012) Shim, Ruth S.; Ye, Jiali; Baltrus, Peter; Fry-Johnson, Yvonne; Daniels, Elvan; Rust, George
    Abstract available at publisher's website.
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    Coping with racism: a selective review of the literature and a theoretical and methodological critique
    (2009) Brondolo, Elizabeth; Brady ver Halen, Nisha; Pencille, Melissa; Beatty, Danielle; Contrada, Richard J.
    Abstract available at publisher's website.
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    Depression among Hispanic women with type 2 diabetes.
    (2005) Shah, Zara C; Huffman, Fatma G
    Depression had not been previously assessed by any healthcare providers seen by participants or addressed in most participants in this study. While the literature abounds with findings on the depression in diabetes and potential for improved compliance when depression is treated, this concept seems to not yet be adopted into mainstream diabetes care for our Hispanic population.
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    Correlates of elevated depressive symptoms among rural African American adults with type 2 diabetes.
    (2007) Kogan, Steven M; Brody, Gene H; Crawley, Connie; Logan, Patricia; Murry, Velma McBride
    Both health-related and psychosocial stressors contribute to depressive symptoms among rural African Americans. Problems in patient-healthcare provider relationships may impede identification of depressive symptoms among these patients. Providers require training and support to identify and treat depression among rural African Americans.
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    Anxiety mediates the relationship between sleep onset latency and emotional eating in minority children
    (2010) Nguyen-Rodriguez, Selena T.; McClain, Arianna D.; Spruijt-Metz, Donna
    This study examined associations between sleep onset latency and emotional eating in a minority sample of children. A cross-sectional school-based study of sleep, psychological constructs, diet and physical activity was conducted in 6 public and private schools in Los Angeles County. An ethnically diverse sample of 356 third through fifth graders completed confidential self-report surveys. Multilevel regression (MLM) analyses were conducted to study associations while controlling for gender, ethnicity, and the random effect of school. Girls made up 57% of the total sample, which was predominantly Latino (42.6%), followed by African Americans (21.6%) and Asians (19.2%). MLM revealed that there were significant associations between sleep onset latency and emotional eating (p=.030), depressive symptomology (p<.0001) and trait anxiety (p<.0001). Sobel's test for mediation showed that trait anxiety (p=.011) but not depressive symptomology (p=.141) was a mediator of the relationship between sleep onset latency and emotional eating. Thereby providing a mechanism through which sleep onset latency is related to emotional eating. These findings suggest that sleep onset latency is associated with increased anxiety, depressive symptoms, and emotional eating. Although causal inferences cannot be drawn from this cross-sectional data, future studies should examine the possibility that problems falling asleep could lead to emotional dysregulation that in turn leads to emotional eating. Emotional eating may be one avenue by which sleep disturbances lead to overweight and obesity.
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    Depression, Stress, and Blood Pressure in Urban African-American Women
    (2006) Artinian, Nancy T.; Washington, Olivia G.M.; Flack, John M.; Hockman, Elaine M.; Jen, Kai-Lin Catherine
    African-American women have disturbingly high rates of hypertension, exceeding those of African-American men and other ethnic groups. Reasons for these disparities are not understood. Depression, more common in women than men, has been linked to endothelial dysfunction, inflammation, metabolic and hematologic abnormalities, and increased sympathetic nervous system activity--all factors associated with cardiovascular disease. A descriptive correlational design was used to test the following hypotheses: 1) African-American women with higher levels of depression will have higher blood pressure (BP) levels, more cardiovascular risk factors, greater stress, and lower social support; and 2) depression will mediate the relationship between stress and BP. A convenience sample of 245 hypertensive African-American women (mean age, 61+/-12.7 years) was recruited through free BP screenings offered in the community. All data were collected during a structured interview and brief physical examination. Pearson r correlation coefficients, analysis of variance, and multiple regression analyses were used to analyze the hypotheses. Women with higher levels of depression had higher diastolic BP and were more likely to smoke, eat fewer fruits and vegetables, and have more stress and less social support. Depression mediated the relationship between stress and diastolic BP. The findings emphasize the importance of assessing both behavioral and psychosocial factors in urban African-American women with hypertension.
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    Depression and health-related quality of life in ethnic minorities seeking care in general medical settings
    (2000) Jackson-Triche, Maga E.; Sullivan, J. Greer; Wells, Kenneth B.; Rogers, William; Camp, Patti; Mazel, Rebecca
    Background: To examine ethnic groups differences in (a) prevalence of depressive disorders and (b) health related quality of life in fee-for-service and managed care patients (n=21 504) seeking care in general medical settings. Methods: Data are from the Medical Outcomes Study, a multi-site observational study of outpatient practices. The study screened patients of clinicians (family practice, internal medicine, cardiology, diabetology and endocrinology) for four chronic medical conditions; depression, coronary heart disease, hypertension and diabetes. A brief eight-item depression screener followed by the Diagnostic Interview Schedule-Depression Section (DIS) for screener positives identified depressed patients (n=2195). The Short Form Health Survey (SF-36) assessed health-related quality of life. Patient self-report determined ethnicity. Results: Before adjusting for demographic factors, African-Americans and Hispanics had highest rates of depressive symptoms. Asian-Americans had the lowest. adjusting for demographics (particularly gender and income), we found few statistically significant differences in prevalence or severity of depression. However, among the depressed, Whites were the most, and African-Americans the least likely to report suicidal ideation (p<0.01), and Hispanics and Whites were more likely to have melancholia (p<0.01). African-Americans reported the poorest quality of life. Limitations: DSM III criteria (though few changes in DSM IV), and relatively small sample size of Asian-Americans compared to other groups. Conclusions: Gender and socioeconomic status are more significant factors than ethnicity in determining risk for depressive disorder. However, ethnic differences in symptom presentation, and health-related quality of life could have clinical and social consequences, and merit further study.