International Journal of Environmental Research and Public Health
Volume 14, Issue 8, 2017

Depressive symptoms and length of U.S. residency are associated with obesity among low-income Latina mothers: A cross-sectional analysis (Article) (Open Access)

Lindsay A.C.* , Greaney M.L. , Wallington S.F. , Wright J.A. , Hunt A.T.
  • a Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, United States, Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, United States
  • b Health Studies and Department of Kinesiology, University of Rhode Island, Kingston, RI 02881, United States
  • c Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20057, United States
  • d Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, United States
  • e Hunt Consultants Associates, Chapel Hill, NC 27517, United States

Abstract

Latinos are the largest minority population group in the United States (U.S.), and low-income Latina women are at elevated risk of depression and obesity. Thus, the prevention of these two problems is a pressing public health concern in this population. Both depressive symptoms and obesity are modifiable factors that can be addressed by culturally relevant interventions. However, the association between depressive symptoms and obesity in Latina immigrant women is not well understood. Therefore, this cross-sectional study examined the association between depressive symptoms and obesity among Latina women of childbearing age (15–44). Participants (n = 147) were low-income, predominantly immigrant Latina mothers enrolled in the Latina Mothers′ Child Feeding Practices and Style Study. Women were eligible to participate if they self-identified as Latina; were enrolled in or eligible for the Special Supplemental Nutrition Program for Women, Infants and Children program; had a child between ages two and five years; and were living in the U.S. for at least one year, and residing in Rhode Island. Enrolled participants completed a survey in their language of preference (English or Spanish) administered by bilingual interviewers. About one-third (34%) of participants were classified as having obesity (BMI ≥ 30 kg/m2), 28.3% had elevated depressive symptoms (CES-D ≥ 16), and 70.1% were immigrants. Women with elevated depressive symptoms had increased odds of having obesity (odds ratio (OR) = 2.80, 95% confidence interval (CI): 1.24–6.33). Additionally, among immigrants, length of U.S. residency was associated with increased odds of obesity (OR = 1.05, 95% CI: 1.02–1.09). Findings underscore the need for screening and culturally relevant interventions designed to address both depressive symptoms and obesity among low-income Latina women of childbearing age. Furthermore, findings highlight the importance of taking into account the length of residency in the U.S. when designing interventions targeting Latina immigrants. © 2017 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

maternal health Obesity Latina Immigrant Depression Low-income United States Mothers

Index Keywords

depression educational status immigrant lowest income group maternal health Center for Epidemiological Studies Depression Scale demography health survey health risk poverty mental health human Odds Ratio statistics and numerical data controlled study social aspect obesity Hispanic Americans Cross-Sectional Studies Surveys and Questionnaires United States cross-sectional study migrant psychology Hispanic Adolescent Humans Emigrants and Immigrants female risk factor Risk Factors questionnaire high risk population Mothers cultural factor symptom Latino people Article major clinical study mother adult length of residency low income population body mass disease association health literacy public health immigrant population

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85026827597&doi=10.3390%2fijerph14080869&partnerID=40&md5=ab0ff49a545da2953f1bee92ea3d7e91

DOI: 10.3390/ijerph14080869
ISSN: 16617827
Cited by: 2
Original Language: English