More than 2 million older Americans suffer from some form of depression. Yet late-life depression is often undiagnosed or underdiagnosed. The aim of this study was to explore the reasons for the observed differences in the level of depressive symptoms between older African Americans, Hispanics, and Whites. The data are from Wave 1 of the Asset and Health Dynamics Among the Oldest Old survey administered during 1993-1994. Ordinary least-squares regression results indicate that language acculturation, the number of years of education, and the number of years of U.S. residency are significant factors that help to explain differences in self-reported levels of depressive symptoms among this older population. In general, those who are men, are married, have more education, and are in better health have lower levels of depressive symptoms.
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References
1.
Alderete, E.
, W. A. Vega, B. Kolody, and S. Aguilar-Gaxiola. 1999. “Depressive Symptomatology: Prevalence and Psychosocial Risk Factors Among Mexican Migrant Farmworkers in California.”Journal of Community Psychology27: 457-471.
2.
American Association of Retired Persons
. 1990. A Portrait of Older Minorities. Washington, DC: Author.
3.
Axelson, J. A.1985. Counseling and Development in a Multicultural Society. Monterey, CA: Brooks/Cole.
4.
Baker, F. M.
, J. Okwumabua, V. Phillipose, and S. Wong. 1996. “Screening African American Elderly for the Presence of Depressive Symptoms: A Preliminary Investigation.”Journal of Geriatric Psychiatry and Neurology9: 127-132.
5.
Biafora, F.1995. “Cross-Cultural Perspectives on Illness and Wellness: Implications for Depression.”Journal of Social Distress and the Homeless4: 105-129.
6.
Black, S. A.
, K. S. Markides, and T. Q. Miller. 1998. “Correlates of Depressive Symptomatology Among Older Community-Dwelling Mexican American: The Hispanic EPESE.”Journal of Gerontology Series B—Psychological Sciences and Social Sciences53: S198-S208.
7.
Blazer, D. G.
, B. Burchett, C. Service, and L. K. George. 1991. “The Association of Age and Depression Among the Elderly: An Epidemiologic Exploration.”Journal of Gerontology-Medical Sciences46: M210-M215.
8.
Blazer, D. G.
, L. R. Landerman, J. C. Hays, E. M. Simonsick, and W. B. Saunders. 1998. “Symptoms of Depression Among Community-Dwelling Elderly African American and White Older Adults.”Psychological Medicine28: 1311-1320.
9.
Brandt, J.
, M. Spencer, and M. Folstein. 1988. “The Telephone Interview for Cognitive Status Neuropsychiatry.”Neuropsychiatry and Behavioral Neurology1: 111-117.
10.
Bruce, M. L.
, T. E. Seeman, S. S. Merrill, and D. G. Blazer. 1994. “The Impact of Depressive Symptomatology on Physical Disability: MacArthur Studies of Successful Aging.”American Journal of Public Health84: 1796-1799
11.
Campbell, J. C.
1999. “Critical Theory: A Research Approach for Improving the Health of African American Elders.” Presented at the Summer Training Workshop on African American Aging Research, June 6-9, Wayne State University—University of Michigan.
12.
Conger, R. D.
, G. H. Elder, Jr., R. L. Simons, and X. Ge. 1993. “Husband and Wife Differences in Response to Undesirable Life Event.”Journal of Health and Social Behavior34: 71-88.
13.
Covino, N. A.
, J. F. Dirks, R. A. Kinsman, and J. V. Seidel. 1982. “Patterns of Depression in Chronic Illness.”Psychotherapy & Psychosomatics37: 144-153
14.
Forsell, Y.
and B. Winblad. 1998. “Feelings of Anxiety and Associated Variables in a Very Elderly Population.”International Journal of Geriatric Psychiatry13: 454-458
15.
Frank, R. G.
, J. M. Chaney, D. L. Clay, and M. S. Shutty. 1992. “Dysphoria: A Major Symptom Factor in Persons with Disability or Chronic Illness.”Psychiatry Research43: 231-241
16.
Gallo, J. J.
, L. Cooper-Patrick, and S. Lasikar. 1998. “Depressive Symptoms of Whites and African Americans Aged 60 years and Older.”Journals of Gerontology Series B-Psychological Sciences and Social Sciences55: P277-P286.
17.
Goodwin, J. S.
, S. A. Black, and S. Satish. 1999. “Aging Versus Disease: The Opinions of Older Black, Hispanic, and Non-Hispanic White Americans About the Causes and Treatment of Common Medical Conditions.”Journal of the American Geriatrics Society47: 973-979.
18.
Gove, W.
, M. Hughes, and C. Style. 1983. “Does Marriage Have Positive Effects on the Well-being of the Individual?”Journal of Health and Social Behavior24: 122-131.
19.
Greenberg, J. S.
, J. R. Greenley, and P. Benedict. 1994. “Contributions of Persons With Serious Mental Illness to Their Families.”Hospital and Community Psychiatry45: 475-480.
20.
Gutmann, M. C.1999. “Ethnicity, Alcohol, and Acculturation.”Social Science and Medicine48: 173-184.
21.
Herzfeld, M.1987. Anthropology Through the Looking Glass: Critical Ethnography in the Margins of Europe. New York: Cambridge University Press.
22.
Husaini, B. A.1997. “Predictors of Depression Among the Elderly: Racial Differences Over Time.”American Journal of Orthopsychiatry67: 7-11.
23.
Kearney, M.
(1995). “The Local and the Global: The Anthropology of Globalization and Transnationalism.”Annual Review of Anthropology24: 547-565.
24.
Kemp, B.
, J. S. Krause, and R. Adkins. 1999. “Depression Among African Americans, Latinos, and Caucasians With Spinal Cord Injury: An Exploratory Study.”Rehabilitation Psychology44: 235-247.
25.
Koenig, H. G.1999. “Late-Life Depression: How to Treat Patients With Comorbid Chronic Illness.”Geriatrics54: 56-61.
26.
Kohout, F. J.
, L. F. Berkman, D. A. Evans, and J. Cornoi-Huntley. 1993. “Two Shorter Forms of the CES-D Depression Symptoms Index.”Journal of Aging and Health52: 179-193.
27.
Llorente, A. M.
, M. O. Ponton, I. M. Taussig, and P. Satz. 1999. “Patterns of American Immigration and Their Influence on the Acquisition of Neuropsychological Norms for Hispanics.”Archives of Neuropsychology14: 603-614.
28.
Magana, B. D.1996. “A Stress Model of Acculturation, Depressive Symptoms, and Self-esteem Among Mexican American Undergraduates.”Dissertation Abstracts International: Section B: The Sciences & Engineering57: 702.
29.
Malgady, R. G.
and G. Costantino. 1998. “Symptom Severity in Bilingual Hispanics as a Function of Clinician Ethnicity and Language of Interview.”Psychological Assessment10: 120-127.
30.
Miller, T. Q.
, K. S. Markides, and S. A. Black. 1997. “The Factor Structure of the CES-D in Two Surveys of Elderly Mexican Americans.”Journal of Gerontology—Social Sciences52B: S259-S269.
31.
Mills, T. L.
In press. “Comorbid Depressive Symptomatology: Isolating the Effects of Chronic Medical Conditions on Self-Reported Depressive Symptoms Among Community-Dwelling Older Adults.”Social Science and Medicine.
32.
Mills, T. L.2000. “Depression, Mental Health and Psychosocial Well-Being Among Older African Americans.”African American Research Perspectives6: 93-104.
33.
Mirowsky, J.1996. “Age and the Gender Gap in Depression.”Journal of Health and Social Behavior37: 362-380.
34.
Mouton, C. P.1997. “Special Health Considerations in African American Elders.”American Family Physician55: 1243-1253.
35.
Mui, A. C.1993. “Self-reported Depressive Symptoms Among Black and Hispanic Frail Elders: A Sociocultural Perspective.”Journal of Applied Gerontology12: 170-187
36.
Neff, J. A.
and Schluter, T. D.1993. “Marital Status and Depressive Symptoms—The Role of Race, Ethnicity, and Sex.”Journal of Divorce and Marriage20: 137-160.
37.
Neighbors, H. W.1997. “The (Mis)diagnosis of Mental Disorders in African Americans.”African American Research Perspectives3: 1-11.
38.
National Institute on Mental Health
. 1999. Mental Health: A Report of the Surgeon General [Online]. Available: http://www.nimh.nih.gov/mhsgrpt/chapter5/sec3.html
39.
National Institute on Mental Health
. 1998. Depression Awareness Recognition and Treatment: Depressive Illnesses are a Major Public Health Problem [Online]. Available: http://www.nih.gov/newdart/dep_fac.html
40.
Older Americans 2000: Key Indicators of Well-Being. Federal Interagency Forum on Aging Related Statistics [Online]. Available: http://www.agingstats.gov/chartbook2000/default.htm
41.
Penninx, B. W. J. H.
, S. Leveille, and L. Ferrucci. 1999. “Exploring the Effect of Depression on Physical Disability: Longitudinal Evidence from the Established Populations for Epidemiologic Studies of the Elderly.”American Journal of Public Health89: 1346-1352.
42.
Ponton, M. O.
and A. Ardila. 1999. “The Future of Neuropsychology with Hispanic Populations in the United States.”Archives of Neuropsychology14: 565-580.
43.
Portes, A.
and C. Truelove. 1987. “Making Sense of Diversity: Recent Research on Hispanic Minorities in the United States.”Annual Review of Sociology3: 359-385.
44.
Radloff, L. S.1977. “The CES-D Scale: A Self-Report Depression Scale for Research in the General Population.”Applied Psychological Measurement1: 385-401.
45.
Rice, D. P.
and M. P. LaPlante. 1988. “Chronic Illness, Disability, and Increasing Longevity.” Pp. 42-45 in The Economics and Ethics of Long-term Care and Disability, edited by S. Sullivan and M. E. Lewin. American Enterprise Institute for Public Policy Research: Washington, DC.
46.
Roberts, R. E.
, G. A. Kaplan, S. J. Shema, and W. J. Strawbridge. 1997. “Prevalence and Correlates of Depression in an Aging Cohort: The Alemeda County Study.”Journal of Gerontology-Social Sciences52B: S252-S258.
47.
Rouse, R.1991. “Mexican Migration and the Social Space of Postmodernism.”Diaspora1: 8-23.
48.
Seeman, T. E.
and L. F. Berkman. 1988. “Structural Characteristics of Social Networks and their Relationship with Social Support in the Elderly: Who Provides Support.”Social Science and Medicine26: 737-749.
49.
Snowdon, J.1990. “Editorial: The Prevalence of Depression in Old Age.”International Journal of Geriatric Psychiatry5: 151-144.
50.
Steffens, D. C.
, D. L. Artigues, K. A. Ornstein, and K. R. R. Krishnan. 1997. “A Review of Racial Differences in Geriatric Depression: Implications for Care and Clinical Research.”Journal of the National Medical Association89: 731-736.
51.
Strakowski, S. M.
, M. Flaum, X. Amador, H. S. Bracha, A. K. Pandurangi, D. Robinson, and M. Tohen. 1996. “Racial Differences in the Diagnosis of Psychosis.”Schizophrenia Research21: 117-124.
52.
Torres-Gil, F. M.
1990. “Aging in Hispanic America.” Pp. 147-164 in American Association of Retired Persons (AARP), Aging and Old Age in Diverse Populations: Research Papers Presented at Minority Affairs Initiative Empowerment Conferences [Online]. Available: http://iml.umkc.edu/casww/hispanic.htm
53.
Tower, R. B.
, S. V. Kasl, and D. J. Moritz. 1997. “The Influence of Spouses Cognitive Impairment on Respondent’s Depressive Symptoms: The Moderating Role of Marital Closeness.”Journal of Gerontology52B: S270-S278.
54.
Vega, W. A.
, B. Kolody, S. Aguilar-Gaxiola, E. Alderete, R. Catalano, and J. Caraveo-Anduaga. 1998. “Lifetime Prevalence of DSM-III Psychiatric Disorders Among Urban and Rural Mexican American in California.”Archives of General Psychiatry55: 771-778.
55.
Weinberger, M.
, W. M. Tierney, P. Booher, and S. L. Hiner. 1990. “Social Support, Stress and Functional Status in Patients with Osteoarthritis.Social Science and Medicine30: 503-508
56.
Weissman, M. M.
, M. Sholomskas, B. A. Pottenger, and B. Z. Locke. 1977. “Assessing Depressive Symptoms in Five Psychiatric Populations: A Validation Study.”Journal of Epidemiology106: 203-214.
57.
Whaley, A. L.1997. “Ethnicity/Race, Paranoia, and Psychiatric Diagnoses: Clinician Bias versus Sociocultural Differences.”Journal of Psychopathology and Behavioral Assessment19: 1-20.
58.
Williams, D. R.
, Takeuchi, D. T., and Adair, R. K.1992. “Marital Status and Psychiatric Disorders Among Blacks and Whites.”Journal of Health and Social Behavior33: 140-157.
59.
Yzaguirre, R.1991. Becoming Involved in the Aging Network: A Planning and Resource Guide for Hispanic Community-based Organizations. Washington, DC: Policy Analysis Center and Office of Institutionalized Development, National Council of La Raza.
60.
Zylstra, R. G.
and J. A. Steitz. 1999. “Public Knowledge of Late-Life Depression and Aging.”Journal of Applied Gerontology18: 63-76.
