Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Background Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds. Objective To study the construct of anxious-depression among 16,064 H...

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Published in:Social Psychiatry and Psychiatric Epidemiology 2015-11, Vol.50 (11), p.1669-1677
Main Authors: Camacho, Álvaro, Gonzalez, Patricia, Buelna, Christina, Emory, Kristen T., Talavera, Gregory A., Castañeda, Sheila F., Espinoza, Rebeca A., Howard, Annie G., Perreira, Krista M., Isasi, Carmen R., Daviglus, Martha L., Roesch, Scott C.
Format: Article
Language:English
Subjects:
Adult
Anxiety
Anxiety - ethnology
Anxiety - psychology
Central America - ethnology
Depression - ethnology
Depression - psychology
Epidemiology
Female
Health Surveys
Hispanic Americans
Hispanic or Latino - psychology
Hispanic or Latino - statistics & numerical data
Humans
Male
Medicine
Medicine & Public Health
Mental depression
Mexico - ethnology
Minority & ethnic groups
Original Paper
Primary care
Psychiatry
Puerto Rico - ethnology
Risk Factors
South America - ethnology
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Summary:Background Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds. Objective To study the construct of anxious-depression among 16,064 Hispanic/Latinos of different backgrounds participating in the Hispanic Community Health Study/Study of Latinos. We hypothesized that Hispanic/Latinos will cluster in 3 classes: low anxiety/high depression, high anxiety/low depression and a combined anxious-depression construct. Methods Using latent profile analysis, symptoms of depression and anxiety measured by the 10-item Center for Epidemiologic Studies Depression Scale and 10-item State-Trait Anxiety Inventory were evaluated to determine if an anxious-depression typology would result. A multinomial logistic regression analysis explored the association of the 3-class solution with different Hispanic/Latino backgrounds controlling for age, gender, language, education and income. Results A 3-class mixed anxious-depression structure emerged with 10 % of Hispanic/Latinos in the high, 30 % in the moderate and 60 % in the low anxious-depression category. After adjusting for age, gender, language preference, income and education, individuals of Puerto Rican background were more likely to experience high (OR = 1.79, p  
ISSN:0933-7954
1433-9285
DOI:10.1007/s00127-015-1120-4