Journal of Immigrant and Minority Health
Volume 21, Issue 2, 2019, Pages 383-392

Exploring the Role of Depression as a Moderator of a Workplace Obesity Intervention for Latino Immigrant Farmworkers (Article)

Kemmick Pintor J.* , Mitchell D.C. , Schenker M.B.
  • a Department of Public Health Sciences, University of California, Davis, Davis, United States, Department of Health Management & Policy, Drexel University Dornsife School of Public Health, 3215 Market St. 352, Philadelphia, PA 19104, United States, Center for Health and the Environment, University of California, 1250 Old Davis Road, Davis, CA 95616, United States
  • b Department of Public Health Sciences, University of California, Davis, Davis, United States
  • c Department of Public Health Sciences, University of California, Davis, Davis, United States

Abstract

We explored if and how depression moderated the treatment effect of Pasos Saludables, a successful pilot workplace obesity intervention for Latino immigrant farmworkers. The original randomized controlled study assigned 254 participants 2:1 to a 10-session educational intervention versus control. We assessed the relationship between change in BMI (primary outcome) and interaction of treatment allocation and baseline risk for depression. Baseline CES-D scores indicated that 27.3% of participants were at risk for depression. The interaction between treatment allocation and baseline risk for depression was significant (p = 0.004). In adjusted models among women, intervention participants with no indication of depression at baseline reduced their BMI by 0.77 on average (95% CI − 1.25, − 0.30) compared to controls. The reduction im BMI between the intervention group at risk for depression at baseline and either control was not significantly different from zero. Findings from our post-hoc, exploratory study indicate that depression may inhibit significant weight loss. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Obesity intervention Mental health Latino immigrants Migrant farmworkers

Index Keywords

depression Randomized Controlled Trials as Topic randomized controlled trial (topic) agricultural worker occupational disease human middle aged obesity Farmers ethnology procedures Hispanic Americans Young Adult Humans migrant psychology Hispanic California male Emigrants and Immigrants female Agricultural Workers' Diseases Weight Reduction Programs weight loss program adult
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046654933&doi=10.1007%2fs10903-018-0743-4&partnerID=40&md5=3c8e8ae2406b6125924165c19b417143
DOI: 10.1007/s10903-018-0743-4
ISSN: 15571912
Original Language: English