Life Expectancies with Depression by Age of Migration and Gender among Older Mexican Americans

Catherine García, Marc A. Garcia, Chi Tsun Chiu, Fernando I. Rivera, Mukaila Raji

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background and Objectives Prior studies examining depression among older Mexican Americans suggest both women and immigrants are at higher risk of depressive symptomatology than males and U.S.-born Mexican Americans. We use data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine whether life expectancy with depression and without depression varies by nativity, age of migration, and gender. Research Design and Methods Sullivan-based life tables were used to estimate depression life expectancies among Mexican Americans aged 65 years and older residing in the Southwestern United States. Depression is based on the 20-item Center for Epidemiological Studies Depression scale (CES-D). The CES-D is a continuous scale (0-60) with higher values indicating worse mental health. We dichotomize depression as a score of 16 or greater. Results Immigrant women, particularly those who migrated in late-life (after age 50) are at a significant disadvantage in the number of years after age 65 lived with depression and the ratio of years spent without depression relative to U.S.-born women. Among men, only late-life immigrants were disadvantaged in the number of years spent with depression. Early- and mid-life immigrant males did not differ from U.S.-born males. Discussion and Implications Our results highlight the heterogeneity among older Mexican Americans in life expectancies with depression. These findings illustrate the importance of considering age of migration as a high-risk factor for depression among Mexican-origin immigrants. Including this risk factor as a part of depression screening is a key step for timely interventions in preventing disability and comorbidities associated with untreated depression.

Original languageEnglish (US)
Pages (from-to)877-885
Number of pages9
JournalGerontologist
Volume59
Issue number5
DOIs
StatePublished - Sep 17 2019

Keywords

  • Age of migration
  • Depression
  • Life expectancy
  • Mexican-origin population

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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