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Mental Health and Exposure to the United States: Key Correlates from the Hispanic Community Health Study of Latinos.

TitleMental Health and Exposure to the United States: Key Correlates from the Hispanic Community Health Study of Latinos.
Publication TypePublication
Year2015
AuthorsPerreira KM, Gotman N, Isasi CR, Arguelles W, Castañeda SF, Daviglus ML, Giachello AL, Gonzalez P, Penedo FJ, Salgado H, Wassertheil-Smoller S
JournalJ Nerv Ment Dis
Volume203
Issue9
Pagination670-8
Date Published2015 Sep
ISSN1539-736X
KeywordsAcculturation, Adolescent, Adult, Aged, Anxiety, Depression, Female, Hispanic Americans, Humans, Logistic Models, Male, mental health, Middle Aged, Prejudice, Psychiatric Status Rating Scales, Psychology, Risk Factors, social support, Stress, Psychological, United States, Young Adult
Abstract

We examined the association between exposure to the U.S. and symptoms of poor mental health among adult Hispanic/Latinos (N = 15,004) overall and by Hispanic/Latino background. Using data from the Hispanic Community Health Study of Latinos (HCHS/SOL), we estimated logistic regressions to model the risk of moderate to severe symptoms of psychological distress, depression, and anxiety as a function of years in the U.S. and six key psychosocial risk and protective factors. In unadjusted models, increased time in the U.S. was associated with higher risk of poor mental health. After adjustment for just three key factors--perceived discrimination, perceived U.S. social standing, and the size of close social networks--differences in the odds of poor mental health by years in the U.S became insignificant for Hispanics/Latinos overall. However, analyses by Hispanic/Latino background revealed different patterns of association with exposure to the U.S. that could not be fully explained.

DOI10.1097/NMD.0000000000000350
Alternate JournalJ Nerv Ment Dis
PubMed ID26237134
PubMed Central IDPMC4552578
Grant ListT32 HL007426 / HL / NHLBI NIH HHS / United States
N01HC65236 / HL / NHLBI NIH HHS / United States
N01HC65235 / HL / NHLBI NIH HHS / United States
N01-HC65237 / HC / NHLBI NIH HHS / United States
N01HC65234 / HL / NHLBI NIH HHS / United States
N01HC65233 / HL / NHLBI NIH HHS / United States
N01HC65237 / HL / NHLBI NIH HHS / United States
N01-HC65233 / HC / NHLBI NIH HHS / United States
N01-HC65234 / HC / NHLBI NIH HHS / United States
N01-HC65236 / HC / NHLBI NIH HHS / United States
R24 HD050924 / HD / NICHD NIH HHS / United States
P2C HD050924 / HD / NICHD NIH HHS / United States
N01-HC65235 / HC / NHLBI NIH HHS / United States
MS#: 
0017
Manuscript Lead/Corresponding Author Affiliation: 
Coordinating Center - Collaborative Studies Coordinating Center - UNC at Chapel Hill
ECI: 
Manuscript Status: 
Published