scholarly journals Metabolic Risk and Depression among Elderly Mexican Americans: The Roles of Nativity Status of Nativity Status

2021 ◽  
Vol 31 (2) ◽  
pp. 243-252
Author(s):  
Weihui Zhang ◽  
Elizabeth Vasquez ◽  
Anda Botoseneanu ◽  
Recai Yucel
Keyword(s):  
Mexican Americans ◽  
Random Effect ◽  
Epidemiologic Study ◽  
The Elderly ◽  
Life Course Perspective ◽  
Metabolic Risk ◽  
Foreign Born ◽  
Nativity Status ◽  
Age At Migration ◽  
Using Data

Objective: To evaluate the relationship be­tween metabolic risk (MR) and depression in a sample of older Mexican Americans and examine whether the association differs by age at migration.Methods: Longitudinal study using data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly (HEPESE) (N=807, mean age = 84.3). The analytical sample was compiled from wave 6 (2007) to wave 7 (2010-2011) of HEPESE. Random-effect logistic regression examined the association between MR and depression and tested the model stratified by nativity status and age at migration.Results: MR was associated with higher odds of depression for US-born Mexican Americans after controlling for potential confounders. Similarly, among Mexican Americans who migrated before age 20, MR was associated with higher odds of depres­sion.Conclusion: The findings highlight the importance of age at migration when evalu­ating the health of foreign-born Mexican Americans from a life-course perspective. Particularly among Mexican Americans who migrated before age 20, those with MR were more vulnerable to depression than their counterparts without MR.Ethn Dis. 2021;31(2):243-252; doi:10.18865/ed.31.2.243

scholarly journals METABOLIC SYNDROME AND LATE-LIFE DEPRESSION AMONG MEXICAN AMERICANS: THE ROLE OF NATIVITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S320-S320
Author(s):  
Weihui Zhang
Keyword(s):  
Metabolic Syndrome ◽  
Sex Education ◽  
Psychological Health ◽  
Mexican Americans ◽  
Random Effect ◽  
Epidemiologic Study ◽  
Self Report ◽  
Foreign Born ◽  
Late Life Depression

Abstract Metabolic syndrome (MS) has been reported to predict depression. However, studies evaluating if there are differences by nativity status among Mexican Americans are scarce. This study aims to examine the association between metabolic syndrome and depression among Mexican-American older adults. We also evaluated the role of nativity, sociodemographic and health risk factors. We use three waves (2006-2013) from the Hispanic Established Populations for the Epidemiologic Study of the Elderly (HEPESE; N=1,542, mean age =83.45 in 2006). MS was defined according to the National Cholesterol Education Programme (NCEP-ATP III) using abdominal obesity, use of antihypertensive medication, and insulin. Depression was ascertained by self-report of a CES-D score greater than 16. We applied random-effect logistic regression models which accounted for inter-individual correlation and adjusted for age, sex, education, smoking, alcohol use, physical performance, and self-esteem. We also tested for interaction between MS and nativity. Approximately 30% of foreign-born and 22% of US-born reported depression. The prevalence of MS was higher in the Foreign-born when compare to the US-born (5.89% vs. 5.35%). In the total sample, MS was associated with a higher risk of depression (OR=4.34, p=0.007). Foreign-born Mexican Americans were more likely to have depression (OR=1.70, p=0.002) when compared to US-born; however, foreign-born with MS reported lower depression (OR=0.26, p=0.052) after adjusting for potential confounders. Our finding adds to the concept of “metabolic depression,” and further highlights the importance of evaluating nativity to explain the differences in physical and psychological health among a sample of the Hispanic population at old age.

scholarly journals The Role of Education in the Relationship Between Age of Migration to the United States and Risk of Cognitive Impairment Among Older Mexican Americans

2017 ◽  
Vol 40 (5) ◽  
pp. 411-431 ◽  
Author(s):  
Brian Downer ◽  
Marc A. Garcia ◽  
Joseph Saenz ◽  
Kyriakos S. Markides ◽  
Rebeca Wong
Keyword(s):  
Cognitive Impairment ◽  
Mexican Americans ◽  
Epidemiologic Study ◽  
Decomposition Analysis ◽  
The Elderly ◽  
The United States ◽  
Foreign Born ◽  
And Gender ◽  
The Relationship

Prior research indicates age of migration is associated with cognitive health outcomes among older Mexican Americans; however, factors that explain this relationship are unclear. This study used eight waves from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine the role of education in the risk for cognitive impairment (CI) by nativity, age of migration, and gender. Foreign-born women had a higher risk for CI than U.S.-born women, regardless of age of migration. After adjusting for education, this risk remained significant only for late-life migrant women (risk ratio [RR] = 1.28). Foreign-born men who migrated at >50 had significantly higher risk for CI compared to U.S.-born men (RR = 1.33) but not significant after adjusting for education. Findings from a decomposition analysis showed education significantly mediated the association between age of migration and CI. This study highlights the importance of education in explaining the association between age of migration and CI.

scholarly journals Nativity, Family, Disability: Results from the Hispanic Established Populations for the Epidemiologic Study of the Elderly

2021 ◽  
Vol 31 (2) ◽  
pp. 253-262
Author(s):  
Elizabeth Vasquez ◽  
Weihui Zhang ◽  
Joanna Dreby ◽  
Sunghee Lee ◽  
Anda Botoseneanu
Keyword(s):  
Activities Of Daily Living ◽  
Family Support ◽  
Mexican Americans ◽  
Daily Living ◽  
Epidemiologic Study ◽  
The Elderly ◽  
Foreign Born ◽  
Cohort Differences ◽  
And Migration ◽  
Over Time

Objectives: Nativity and family support may influence attitudes and behaviors that delay or accelerate the disability process in older adults. The objectives of this study were twofold: 1) to evaluate nativity and migration cohort differences in trajecto­ries of disability (assessed by activities of daily living [ADL]) among older Mexican Americans; and 2) to determine the role of objectively measured family support in the association between nativity, migration cohort, and disability changes over time.Methods: This is a longitudinal study with up to 18 years follow-up (1993-2011) using data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly (N=2,785, mean age =72.4 years). Disability was assessed using self-reported limitations in activities of daily living (ADL). Nativity and migration cohort were self-reported. Family support was as­sessed by marital status and the number of their children participants saw each month. Linear growth curve models evaluated the trajectory of ADL disability over 18 years and assessed variations by nativity status, migration cohort and family support.Results: Foreign-born respondents who migrated before age 20 had more starting ADL limitations (β= .36, P<.001) and ac­cumulated disability faster (β=.04, P<.01) compared with their US-born counterparts. In contrast, foreign-born respondents who migrated at later ages showed disability trajectories similar to US-born respondents. Married respondents had a lower level of disability (β= -.14, P<.01) and a lower rate of accumulation over time (β= -.02, P=.001) compared with participants who were not married.Discussion: Mexican Americans who migrate at younger ages may experience greater disability over time; however, family support may help mitigate the accumula­tion of disability among older Mexican Americans.Ethn Dis. 2021;31(2):253-262; doi:10.18865/ed.31.2.253

scholarly journals Gender Differences in Neuropsychiatric Symptoms Among Community-Dwelling Mexican Americans Aged 80 and Older

2021 ◽  
Vol 36 ◽  
pp. 153331752110429
Author(s):  
Sadaf Arefi Milani ◽  
Phillip A Cantu ◽  
Abbey B. Berenson ◽  
Yong-Fang Kuo ◽  
Kyriakos S. Markides ◽  
...  
Keyword(s):  
Gender Differences ◽  
Mexican Americans ◽  
Neuropsychiatric Symptoms ◽  
The Elderly ◽  
Community Dwelling ◽  
Treatment Programs ◽  
Depression And Anxiety ◽  
Logistic Regression Models ◽  
Using Data ◽  
Design And Methods

Background and Objectives To assess gender differences in prevalence of neuropsychiatric symptoms (NPS) among community-dwelling Mexican Americans ≥80 years. Research Design and Methods: Using data from Wave 7 (2010–2011) of the Hispanic Established Population for the Epidemiological Study of the Elderly, we analyzed the NPS of 914 participants as determined by the Neuropsychiatric Inventory (NPI) with assessments conducted by their caregivers. Multivariate logistic regression models were used to test the association of individual NPS with gender, adjusting for relevant characteristics. Results: The average age of our sample was 86.1 years, and 65.3% were women. Over 60% of participants had at least one informant/caregiver reported NPS. After adjustment, women had lower odds than men of agitation/aggression but higher odds of dysphoria/depression and anxiety. Discussion: Recognizing gender differences in NPS phenotype could help guide development of culturally appropriate NPS screening and treatment programs.

scholarly journals Mid-Life Patterns and the Residential Mobility of Older Men

2004 ◽  
Vol 23 (1) ◽  
pp. 73-89
Author(s):  
Lynda M. Hayward
Keyword(s):  
Proportional Hazards ◽  
Baby Boom ◽  
Economic Status ◽  
Family Relations ◽  
Later Life ◽  
The Elderly ◽  
Cox Proportional Hazards ◽  
Life Course Perspective ◽  
Future Research ◽  
Using Data

ABSTRACTThere are numerous ways to better integrate the elderly into communities, many of which are contingent upon whether they will remain in their pre-retirement homes or make a move. Using a life course perspective, this paper establishes that residential history, social and family relations, socio-economic status, and health trajectories measured at mid-life can be associated with moves in later life, either directly, or indirectly through their effect on the mid-life residential trajectory. These relationships are examined with multivariate Cox proportional hazards and Poisson regression models, using data from the Ontario Longitudinal Study of Aging. These findings suggest directions for future research, to aid the development of public policy for the large baby-boom cohorts that are just entering mid-life.

scholarly journals Documentation of Dementia as a Cause of Death Among Mexican-American Decedents With Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 59-60
Author(s):  
Brian Downer ◽  
Lin-Na Chou ◽  
Soham Al Snih ◽  
Cheyanne Barba ◽  
Yong-Fang Kuo ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Mexican Americans ◽  
Mexican American ◽  
Hospice Care ◽  
Healthcare Resource ◽  
Epidemiologic Study ◽  
The Elderly ◽  
Medical Specialist ◽  
Physician Visits ◽  
Lower Odds

Abstract There is lack of data on the frequency and correlates of dementia being documented as a cause of death in Hispanic populations. We investigated characteristics associated with dementia as a cause of death among Mexican-American decedents diagnosed with dementia. Data came from the Hispanic Established Populations for the Epidemiologic Study of the Elderly, Medicare claims files, and the National Death Index. Of the 744 decedents diagnosed with dementia before death, 26.9% had dementia documented as a cause of death. More health comorbidities (OR=0.38, 95% CI=0.25-0.57), older age at death (OR=1.05, 95% CI=1.01-1.08), and longer dementia duration (OR=1.09, 95% CI=1.03-1.16) were associated with dementia as a cause of death. In the last year of life, any ER admission with (OR=0.56, 95% CI=0.32-0.98) or without (OR=0.31, 95% CI=0.14-0.70) a hospitalization, more physician visits (OR=0.95, 95% CI=0.92-0.98) and seeing a medical specialist (OR=0.41, 95% CI=0.24-0.70) were associated with lower odds for dementia as a cause of death. In the last 30-days of life, any hospitalization with an ICU stay (OR=0.57, 95% CI=0.37-0.88) and ER admission with (OR=0.58, 95% CI=0.40-0.84) or without (OR=0.48, 95% CI=0.25-0.94) a hospitalization were associated with lower odds for dementia as a cause of death. Receiving hospice care in the last 30-days of life was associated with 2.09 (95% CI=1.38-3.16) higher odds for dementia as a cause of death. The possible under-documentation of dementia as a cause of death on death certificates may result in underestimation of healthcare resource need of dementia care for Mexican-Americans.

scholarly journals Testing the Spatial Assimilation Model on Black Ethnic Immigrant Locational Outcomes within Mature and Developing Suburbs

Urban Science ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 80
Author(s):  
Argeros
Keyword(s):  
Group Differences ◽  
Place Of Birth ◽  
Foreign Born ◽  
Logistic Regression Models ◽  
Spatial Assimilation ◽  
Nativity Status ◽  
Using Data ◽  
The One ◽  
The Impact ◽  
Assimilation Model

This study investigates black ethnic immigrant group differences in residential outcomes between developing and mature suburbs. It evaluates the extent to which foreign-born black ethnic groups’ socioeconomic status (SES) and acculturation characteristics agree with the outlines of the spatial assimilation model. Binomial logistic regression models are calculated, using data from the 2012–2016 IPUMS ACS, to examine the impact of place of birth/nativity status, SES, acculturation, family/household characteristics, and region on residence in developing versus mature suburbs within U.S. metropolitan areas. The results reveal mixed results for the expectations of the spatial assimilation model. On the one hand, and in agreement with the spatial assimilation model, residence in mature and developing suburbs is a function of increments in household income and educational levels. On the other hand, the multivariate results reveal suburban type residential outcomes that vary by place of birth and nativity status. The effects of acculturation also reveal findings that diverge from the expectations of the spatial assimilation model.

scholarly journals ROLE OF SOCIAL DETERMINANTS IN ENROLLMENT AND DISENROLLMENT IN MEDICARE INSURANCE PLANS IN OLDER MEXICAN AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S563-S563
Author(s):  
Amit Kumar ◽  
Maricruz Rivera-Hernandez ◽  
Lin-Na Chou ◽  
Amol Karmarkar ◽  
Yong-Fang Kuo ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Mexican Americans ◽  
Epidemiologic Study ◽  
The Elderly ◽  
Fee For Service ◽  
Clinical Factor ◽  
Medical Risk ◽  
Medicare Data ◽  
Dual Eligible

Abstract Objective: The objective of this study is to examine the association between social-medical risk factor with disenrollment from Medicare Fee-for-Service (FFS) and enrollment in a Medicare Advantage (MA) plan in Older Mexican Americans. Methods: The sample included older adults participating in the Hispanic Established Populations for the Epidemiologic Study of the Elderly linked with Medicare data. We used logistic regression to estimate odds ratios (OR) for the association of each sociodemographic and clinical factor with insurance plan switching. Results: FFS enrollees were more likely to speak Spanish, less educated, lower income, disability, and be dual eligible compared to MA enrollees. At 2-year follow up, older adults with social support had higher odds of switching from FFS to MA after controlling for all covariates (OR; 1.73, 95% CI: 1.11-2.69). Conclusion: Having social support from family and the community was strongly associated with disenrollment from FFS and transition to an MA plan.

scholarly journals Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013

2017 ◽  
Vol 40 (4) ◽  
pp. 311-339 ◽  
Author(s):  
Marc A. Garcia ◽  
Adriana M. Reyes
Keyword(s):  
Mexican Americans ◽  
Daily Living ◽  
Mexican American ◽  
Age Groups ◽  
The Elderly ◽  
Activity Of Daily Living ◽  
Foreign Born ◽  
Age Cohorts ◽  
And Gender ◽  
Reduced Activity

This study examines the prevalence of morbidity and disability among older Mexican Americans using 5-year age groups. Twenty-year panel data from the Hispanic Established Populations for the Epidemiological Study of the Elderly are used to make detailed comparisons by nativity and gender. Results show that prevalence rates for most chronic conditions for both males and females do not vary by nativity. For disabilities, nativity is a significant predictor of increased instrumental activity of daily living disability for foreign-born females and reduced activity of daily living disability for U.S.-born males. Additionally, results show significant interactions between nativity and age cohorts, with the gap increasing with age for males and decreasing with age for females. These results have important implications for health services and health policy. Given the rapid aging of the Mexican American population, the prevention and treatment of medical conditions, particularly among the foreign-born, should be a major public health priority to reduce dependence from disabilities.

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