ingest
cdrApp
2018-06-13T21:03:03.264Z
51cd2fe2-3fd7-401f-a923-a97bc3db68a2
modifyDatastreamByValue
RELS-EXT
fedoraAdmin
2018-06-13T22:31:22.964Z
Setting exclusive relation
addDatastream
MD_TECHNICAL
fedoraAdmin
2018-06-13T22:31:34.463Z
Adding technical metadata derived by FITS
addDatastream
MD_FULL_TEXT
fedoraAdmin
2018-06-13T22:31:57.467Z
Adding full text metadata extracted by Apache Tika
modifyDatastreamByValue
RELS-EXT
fedoraAdmin
2018-06-13T22:32:19.596Z
Setting exclusive relation
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-07-11T00:38:55.383Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-07-17T20:37:31.466Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-08-08T20:04:50.467Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-08-15T17:13:40.164Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-08-16T20:16:07.182Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-09-21T17:40:55.201Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-09-26T20:43:18.532Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-10-11T21:30:19.312Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2019-03-20T14:54:49.171Z
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
University of North Carolina at Chapel Hill
Degree granting institution
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Creator
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Epidemiology
Acculturation; Depression; Education; Intergenerational; Latinos; Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
2018
2018-12
Julia
Ward
Author
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
Winter 2018
2018
Epidemiology
Acculturation, Depression, Education, Intergenerational, Latinos, Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Epidemiology
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Julia
Ward
Creator
Department of Epidemiology
Gillings School of Global Public Health
Generational and Neighborhood Sociocultural Factors & Depression Among Latinos
Socioeconomic position (SEP) and acculturation have been identified as two salient factors for Latino mental health. These factors may change and accumulate over multiple generations and within neighborhoods, especially among Latino populations. However, existing literature examining the mental health effects of SEP and acculturation is limited to examination of individual-level variables within a single generation. The role of the accumulation of socioeconomic and cultural factors across generations and within neighborhoods in shaping Latino mental health remains virtually unexplored. Linking data from the Sacramento Area Latino Study on Aging, the Niños Lifestyle & Diabetes Study, and 2000 US Census, this dissertation addressed three gaps in our understanding of depression etiology: the association of (1) socioeconomic and (2) acculturation trajectories across generations with depressive symptoms; and (3) the association of neighborhood cultural factors with depressive symptoms.
Overall, our study populations had a high depressive symptom prevalence comparable to that of larger, more representative samples of US Latinos. Our results suggested that intergenerational and community-level factors may play a role in this high prevalence. Firstly, we found that compared to stable-low educational mobility, stable-high education and upward educational mobility were associated with fewer depressive symptoms. Downwardly mobile participants also had slightly fewer depressive symptoms compared to stable-low participants. Secondly, decreased Spanish use and stable-equal English/Spanish use across generations appeared to protect against depressive symptoms in offspring, compared to stable-high Spanish use. Notably, stable-low Spanish use across generations did not confer a mental health benefit. Finally, we found a strong positive association between neighborhood cultural segregation measures and depressive symptoms that was attenuated toward the null upon adjustment for individual-level education. Overall our study suggests the importance of access to educational resources across generations and within neighborhoods in addition to exposure to cultural heritage and ties for Latino mental health.
Our study highlights the importance of collecting and examining data regarding how socioeconomic and cultural contexts change across generations and accumulate within communities to impact depression in minority populations. This dissertation contributes to a more comprehensive and contextual understanding of depression etiology and the dynamic community and intergenerational pathways that shape Latino mental health.
2018-12
2018
Epidemiology
Acculturation; Depression; Education; Intergenerational; Latinos; Neighborhoods
eng
Doctor of Philosophy
Dissertation
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Allison
Aiello
Thesis advisor
Sandra
Albrecht
Thesis advisor
Joanna
Maselko
Thesis advisor
Brian
Pence
Thesis advisor
Whitney
Robinson
Thesis advisor
text
Ward_unc_0153D_17405.pdf
uuid:cb2c4c2f-a34b-4a13-ba9e-eed063797ccb
2020-06-13T00:00:00
2018-01-25T03:46:46Z
proquest
application/pdf
1990569