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

IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2024-05-01 DOI:10.1093/geronb/gbae032
Jaminette M Nazario-Acevedo, Takashi Yamashita, Jennifer Roebuck Bulanda, J Scott Brown
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Abstract

Objectives: 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.

Methods: 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: 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.

Discussion: 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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美国西班牙裔老年人的婚姻质量和抑郁症状。
目的:尽管婚姻作为一种社会支持系统在文化上具有重要意义,而且其与心理健康之间的联系也已得到充分证实,但作为最大的少数种族和族裔群体的西班牙裔老年人群仍未得到充分研究。本研究探讨了婚姻质量的积极和消极方面与抑郁症状的关系:从 2016 年和 2018 年健康与退休研究(HRS)波中获得了 51 岁及以上西班牙裔成年人的数据(n = 1,012)。将 CES-D 量表(0-8 个症状)作为积极和消极婚姻质量测量(1-4)以及相关协变量的函数进行建模:负二项回归模型的结果显示,积极和消极婚姻质量每变化一个单位,抑郁症状就会分别减少 23.61% 和增加 23.74%。婚姻质量与性别以及婚姻质量与宗教信仰的交互项在统计学上并不显著:在美国,很大比例的西班牙裔老年人是移民,他们的大家庭往往居住在原籍国。因此,西班牙裔老年人的社会网络可能较小,而婚姻质量很可能是晚年生活中一个具有文化重要性的社会支持网络。在家庭和公共卫生政策讨论中,应更多地关注西班牙裔老年人抑郁症状与婚姻质量之间的重要关联,尤其是考虑到美国社会日益多元化的现状。
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来源期刊
CiteScore
11.60
自引率
8.10%
发文量
178
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.
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