Latino immigrants have unique stressors that can influence mental health. The challenges of adapting to a new society include language barriers, separation from family, and feelings of loss, which can lead to depression. Low health literacy may make it difficult to obtain health care services, and depression may then go untreated. This secondary data analysis examined the relationships of immigration demands, health literacy, and depression in a sample of recent Latino immigrants. Depressive symptoms were a significant problem; 26% of the participants reported symptoms that were suggestive of depression. Furthermore, low health literacy and greater immigration demands predicted higher depression scores. The study suggests that recent Latino immigrants would benefit from health literacy training, education on depressive symptoms, and better access to mental health services. Latinos who do access health care services need to be screened for depression; furthermore, home health care nurses can promote access to support and health care services.
Agency for Health Care Research and Quality. ( 2005). National health care disparities report (AHRQ Publication No. 06-0017). Rockville, MD: Author .
2.
Alegria, M., Canino, G., Shrout, P.E., Woo, M., Duan, N., Vila, D., et al. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry, 165, 359-369.
3.
Alegria, M., Mulvaney-Day, N., Torres, M., Polo, A., Cao, Z., & Canino, G. ( 2007). Prevalence of psychiatric disorders across Latino subgroups in the United States. American Journal of Public Health, 97(1), 68-75.
4.
Aroian, K.J. ( 1990). A model of psychological adaptation to migration and resettlement. Nursing Research, 39(1), 5-10.
Aroian, K.J., Norris, A.E., Tran, T.V., & Schappler-Morris, N. (1998). Development and psychometric evaluation of the Demands of Immigration Scale. Journal of Nursing Measurement, 6, 175-193.
7.
Bennett, I.M., Culhane, J.F., McCollum, K.F., Mathew, L., & Elo, I.T. ( 2007). Literacy and depressive symptomatology among pregnant Latinas with limited English proficiency. American Journal of Orthopsychiatry, 77, 243-248.
8.
Bernhardt, J.M., Brownfield, E.D., & Parker, R.M. ( 2005). Understanding health literacy. In G. Schwartzberg, J. B. VanGeest, & C. C. Wang (Eds.), Understanding health literacy: Implications for medicine and public health (pp. 3-16). Chicago : AMA Press.
9.
Brislin, R.W. ( 1970). Back-translation for cross-cultural research. Journal of Cross Cultural Psychology, 1, 185-216.
10.
Burnham, M.A., Hough, R.L., Karno, M., Escobar, J.I., & Telles, C.A. ( 1987). Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. Journal of Health and Social Behavior, 28, 89-102.
11.
Coffman, M.J., Shobe, M.A., Dmochowski, J., & Fox, S.D. ( 2007). Health care access and utilization among Latino immigrants . Hispanic Health Care International, 5(2), 73-80.
12.
Dewalt, D.A., Berkman, N.D., Sheridan, S., Lohr, K.N., & Pignone, M.P. ( 2004). Literacy and health outcomes: A systematic review of the literature. Journal of General Internal Medicine, 19, 1228-1239.
13.
Finch, B.K., Hummer, R.A., Kolody, B., & Vega, W.A. ( 2001). The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hispanic Journal of Behavioral Sciences, 23, 399-429.
14.
Gazmararian, J., Baker, D., Parker, R., & Blazer, D.G. ( 2000). A multivariate analysis of factors associated with depression . Archives of Internal Medicine, 160, 3307-3314.
15.
Golding, J.M., & Burnam, M.A. ( 1990). Immigration, stress, and depressive symptoms in a MexicanAmerican community. Journal of Nervous and Mental Disease , 178, 161-171.
16.
Grzywacz, J.G., Quandt, S.A., Arcury, T.A., & Marín, A. (2005). The work-family challenge and mental health: Experiences of Mexican immigrants. Community, Work & Family, 8, 271-279.
17.
Heilemann, M.V., Lee, K., & Kury, F.S. ( 2003). Psychometric properties of the Spanish version of the Resilience Scale. Journal of Nursing Measurement, 11(1), 61-71.
18.
Hiott, A., Grzywacz, J.G., Arcury, T.A., & Quandt, S.A. ( 2006). Gender differences in anxiety and depression among immigrant Latinos. Families, Systems, & Health, 24, 137-146.
19.
Interian, A., Martinez, I.E., Guarnaccia, P.J., Vega, W.A., & Escobar, J.I. ( 2007). A qualitative analysis of the perception of stigma among Latinos receiving antidepressants. Psychiatric Services, 58, 1591-1584.
20.
Kochhar, R., Suro, R., & Tafoya, S. ( 2005). The new Latino South: The context and consequences of rapid population growth. Retrieved December 22, 2005, from http://pewhispanic.org/reports/report.php?ReportID=50
21.
Lee, S.D., Bender, D.E., Ruiz, R.E., & Cho, Y.I. ( 2006). Development of an easy-to-use Spanish health literacy test. Health Services Research, 41, 1392-1412.
22.
Lewis-Fernandez, R., Das, A.K., Alfonso, C., Weissman, M.M., & Olfson, M. ( 2005). Depression in U.S. Hispanics: Diagnostic and management considerations in family practice. Journal of the American Board of Family Practice, 18, 282-296.
23.
Moscicki, E.K., Locke, B.Z., Rae, D.S., & Boyd, J.H. ( 1989). Depressive symptoms among Mexican Americans: The Hispanic Health and Nutrition Examination Survey. American Journal of Epidemiology, 130, 348-360.
24.
Munet-Vilarό, F., Folkman, S., & Gregorish, S. ( 1999). Depressive symptomatology in three Latino groups. Western Journal of Nursing Research, 21, 209-224.
25.
Nielson-Bohlman, L., Panzer, A., & Kinding, D. ( 2005). Health literacy: A prescription to end confusion. Washington, DC: National Academies Press.
26.
Paasche-Orlow, M.K., Parker, R.M., Gazmararian, J.A., Nielson-Bohlman, L.T., & Rudd, R.R. ( 2005). The prevalence of limited health literacy. Journals of General Internal Medicine, 20, 175-184.
27.
Radloff, L.S. ( 1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychology Measures, 1, 385-401.
28.
Schmaling, K.B., & Hernandez, D.V. (2005). Detection of depression among low-income Mexican Americans in primary care. Journal of Health Care for the Poor and Underserved, 16, 780-790.
29.
Scott, T., Gazmararian, J.A., Williams, M.V., & Baker, D.W. ( 2002). Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Medical Care, 40, 395-404.
30.
Shobe, M.A., Coffman, M.J., & Dmochowski, J. (2009). Achieving the American dream: Facilitators and barriers to health and mental health for Latino immigrants . Journal of Evidence-Based Social Work, 6(1), 92-110.
31.
Smith, H.A., & Furuseth, O.J. (2008). Nuevo south: Latino place making and community building in the middle-ring suburbs of Charlotte. In A. Singer, S. W. Hardwick, & C. B. Brettell (Eds.), Twenty-first century gateways: Immigrant incorporation in suburban America (pp. 279-305). Washington, DC: Brookings Institution Press.
32.
Suarez-Orozco, C., & Suarez-Orozco, M.M. (1995). Transformations: Immigration, family life, and achievement motivation among Latino adolescents. Palo Alto, CA: Stanford University Press.
33.
Sullivan, M.M., & Rehm, R. ( 2005). Mental health of undocumented Mexican immigrants. Advances in Nursing Science, 28, 240-251.
34.
Suro, R., & Singer, A. ( 2002). Latino growth in metropolitan America: Changing patterns, new locations. Washington, DC: Brookings Institution Press.
35.
Tsai, J.H.C. ( 2002). Psychometric evaluation of the Demands of Immigration Scale with Taiwanese-Chinese immigrants: a pilot study. Journal of Advanced Nursing, 39(3), 274-280.
36.
U.S. Census Bureau. (2008). Population by age, Hispanic origin, race and sex. Retrieved December 1, 2008, from http://www.census.gov/Press-Release/www./releases/archives/population/006808.html
37.
U.S. Department of Health and Human Services. ( 2000). Healthy people 2010. Health communication: Understanding and improving health (2nd ed.). Washington, DC: Government Printing Office.
38.
U.S. Department of Health and Human Services. ( 2001). Mental health: Culture, race, and ethnicity-A supplement to mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.
39.
University of North Carolina at Charlotte Urban Institute. ( 2006). Mecklenburg County Latino community needs assessment . Retrieved January 7, 2009, from http://www.provost.uncc.edu/msexap/Documents/MeckCoLatinoCommunityNeedsAssessment.pdf
40.
Van Voorhees, B.W., Walters, A.E., Prochaska, M., & Quinn, M.T. ( 2007). Reducing health disparities in depressive disorders outcomes between non-Hispanic whites and ethnic minorities. Medical Care Research and Review, 64, 157S-194S.
41.
Vega, W.A., Karno, M., Alegria, M., Alvidrez, J., Bernal, G., Escamilla, M., et al. (2007). Research issues for improving treatment of U.S. Hispanics with persistent mental disorders. Psychiatric Services, 58, 385-394.
42.
Vega, W.A., Kolody, B., Aguilar-Gaxiola, S.A., Alderete, E., Catalano, R., & Caraveo-Anduaga, J. (1998). Lifetime and 12 month prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Archives of General Psychiatry, 55, 771-778.
43.
Vega, W., Kolody, B., Valle, R., & Hough, R. ( 1986). Depressive symptoms and their correlates among immigrant Mexican women in the U.S. Social Science & Medicine, 22, 645-652.
