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Biological and cultural influences i...

Bullard, Kai McKeever.

Biological and cultural influences in the relationship between depressive symptoms, type 2 diabetes risk, and all-cause mortality in older Mexican Americans.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Biological and cultural influences in the relationship between depressive symptoms, type 2 diabetes risk, and all-cause mortality in older Mexican Americans./
Author:	Bullard, Kai McKeever.
Description:	96 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5167.
Contained By:	Dissertation Abstracts International68-08B.
Subject:	Health Sciences, Mental Health. -
Online resource:	Download PDF (下載PDF全文)
ISBN:	9780549174189

Biological and cultural influences in the relationship between depressive symptoms, type 2 diabetes risk, and all-cause mortality in older Mexican Americans.
Bullard, Kai McKeever.

Biological and cultural influences in the relationship between depressive symptoms, type 2 diabetes risk, and all-cause mortality in older Mexican Americans. - 96 p.

Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5167.

Thesis (Ph.D.)--University of Michigan, 2007.

A confluence of biological and cultural factors may impact the relation of high depressive symptoms to elevated mortality risk and incident type 2 diabetes among older Mexican Americans. The present study examined this association between depressive symptoms, incident diabetes, and all-cause mortality risk, while elucidating plausible mechanisms in this population. Longitudinal data were analyzed from the Sacramento Latino Study on Aging, a cohort study initiated in 1998. Cox proportional hazards models were used to test the influence of depressive symptoms on mortality and Type 2 diabetes incidence in Latinos aged 60-101 in 1998-99. The sample comprised self-identified Latinos, of whom 49% were of Mexican origin. The Center for Epidemiologic Studies Depression scale (CES-D) was used to measure depressive symptoms (<16 vs. =>16). High depressive symptoms were associated with elevated mortality risk among foreign-born Mexican Americans and US-born Mexican Americans. Within the foreign-born, cultural orientation modified the effect of depressive symptoms on mortality. Depressive symptoms were associated with an approximate 58% percent excess risk of incident Type 2 diabetes in this population of elderly Mexican Americans with a greater than two-fold risk among foreign-born Mexican American drinkers. Since diabetes is the one of the leading causes of death among Hispanic elderly, understanding the pathways in the association between depressive symptoms and diabetes may elucidate plausible mechanisms between depressive symptoms and mortality. This study also demonstrated the importance of observing subgroups even within ethnic minority populations when examining the effect of depressive symptoms on adverse health outcomes.

ISBN: 9780549174189Subjects--Topical Terms:

1000006199
Health Sciences, Mental Health.

Biological and cultural influences in the relationship between depressive symptoms, type 2 diabetes risk, and all-cause mortality in older Mexican Americans.
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245 1 0 $a Biological and cultural influences in the relationship between depressive symptoms, type 2 diabetes risk, and all-cause mortality in older Mexican Americans.
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500 $a Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5167.
500 $a Adviser: Mary N. Haan.
502 $a Thesis (Ph.D.)--University of Michigan, 2007.
520 $a A confluence of biological and cultural factors may impact the relation of high depressive symptoms to elevated mortality risk and incident type 2 diabetes among older Mexican Americans. The present study examined this association between depressive symptoms, incident diabetes, and all-cause mortality risk, while elucidating plausible mechanisms in this population. Longitudinal data were analyzed from the Sacramento Latino Study on Aging, a cohort study initiated in 1998. Cox proportional hazards models were used to test the influence of depressive symptoms on mortality and Type 2 diabetes incidence in Latinos aged 60-101 in 1998-99. The sample comprised self-identified Latinos, of whom 49% were of Mexican origin. The Center for Epidemiologic Studies Depression scale (CES-D) was used to measure depressive symptoms (<16 vs. =>16). High depressive symptoms were associated with elevated mortality risk among foreign-born Mexican Americans and US-born Mexican Americans. Within the foreign-born, cultural orientation modified the effect of depressive symptoms on mortality. Depressive symptoms were associated with an approximate 58% percent excess risk of incident Type 2 diabetes in this population of elderly Mexican Americans with a greater than two-fold risk among foreign-born Mexican American drinkers. Since diabetes is the one of the leading causes of death among Hispanic elderly, understanding the pathways in the association between depressive symptoms and diabetes may elucidate plausible mechanisms between depressive symptoms and mortality. This study also demonstrated the importance of observing subgroups even within ethnic minority populations when examining the effect of depressive symptoms on adverse health outcomes.
590 $a School code: 0127.
650 4 $a Health Sciences, Mental Health. $3 1000006199
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650 4 $a Hispanic American Studies. $3 1000006237
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