Marital Quality and Depressive Symptoms among Older Hispanic Adults in the United States

心理健康 民族 婚姻状况 人口学 公共卫生 心理学 抑郁症状 社会支持 医学 萧条(经济学) 老年学 精神科 人口 认知 环境卫生 社会心理学 社会学 护理部 人类学 经济 宏观经济学
作者
Jaminette M Nazario-Acevedo,Takashi Yamashita,Jennifer Roebuck Bulanda,J. Scott Brown
出处
期刊:The Journals of Gerontology: Series B [Oxford University Press]
卷期号:79 (5)
标识
DOI:10.1093/geronb/gbae032
摘要

Despite the cultural importance of marriage as a social support system and its well-established link to mental health, older Hispanic adult populations, which are the largest racial and ethnic minoritized groups, remain understudied. The current study examined how positive and negative dimensions of marital quality are associated with depressive symptoms.Data from Hispanic adults aged 51 years and older (n = 1,012) were obtained from the 2016 and 2018 Health and Retirement Study waves. The Center for Epidemiological Studies-Depression scale (0-8 symptoms) was modeled as a function of positive and negative marital quality measures (1-4), as well as the relevant covariates.Results from a negative binomial regression model showed that a 1-unit change in positive and negative marital quality was associated with a 23.61% reduction and a 23.74% increase, respectively, in depressive symptoms. The interaction terms with marital quality and gender, as well as marital quality and religion, were not statistically significant.In the United States, a large percentage of older Hispanic adults are immigrants, and their extended family tends to reside in their countries of origin. As such, older Hispanic adults may have smaller social networks, and marital quality most likely represents a culturally important social support network in later life. Significant associations between depressive symptoms and marital quality among older Hispanic adults should receive more attention in family and public health policy discussions, particularly given the increasing diversity in U.S. society.

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