Depression among Latinas in the United States

Bruce DeForge
University of Maryland, Baltimore
School of Social Work
West Redwood Street
Baltimore MD 21201
USA
Phone: 410-706-5612
FAX: 410-706-6046
Email: bdeforge@ssw.umaryland.edu
 
Nilda Peragallo
University of Maryland, Baltimore
School of Nursing
655 Wes Lombard Street
Baltimore Maryland 21201
USA
Phone: 410-706-7835
Email: peragallo@son.umaryland.edu
 
Patricia O'Campo
Johns Hopkins University
Bloomberg School of Public Health
Baltimore Maryland
Email: pocampo@jhsph.edu
 
Sun Mi Lee
University of Maryland, Baltimore
School of Nursing
Baltimore  Maryland 21201
EMail: sun-mi@son.umaryland.edu
 
Young Ju Kim
University of Maryland, Baltimore
School of Nursing
Baltimore Maryland 21201
EMail: ykim007@son.umaryland.edu
 
Background:  To assess the relationship between demographics, acculturation, domestic violence, self-esteem, and satisfaction with relationships with partners on depression among Latinas of childbearing age.

Methodology: Baseline interview data from 657 sexually active Mexican and Puerto Rican women, aged 18-44, recruited to be participants in a randomized evaluation of a culturally tailored HIV risk intervention in Chicago. Data collected included: demographics (years of school, ethnicity, marital status, income, employment status), Hispanic and Non-Hispanic acculturation, relationship with partner (number of sexual partner in the last 3 months and relationship with partner), domestic violence (partner), self-esteem (Rosenberg) and depressive symptoms (CES-D).

Results: Over half (54%) of the women had clinically significant depressive symptoms (CESD > 16, mean = 19, SD = 12).  Women who had depressive symptoms were less satisfied with their relationships with their partners, had lower self-esteem, and reported more partner aggression (nonphysical, physical, and sexual).  Also, they had less years of education, lower incomes, and were less likely to be married.  A multiple regression analysis indicated that women who were Catholic, Puerto Rican, more acculturated to the Hispanic culture, more dissatisfied with their partner relationships, had more nonphysical aggression (domestic violence) and had lower self-esteem had more depressive symptoms (R= .649, R2 = .42, p<.001).

Conclusion: The likelihood of having significant depressive symptoms involved women who were more acculturated to the Hispanic culture, had more verbal aggression and less satisfaction in their relationships with their partners, and poorer self-images.  Especially vulnerable may be women who are Puerto Rican and Catholic.  Therefore, effective interventions for Latinas must be culturally tailored and address their relationship with their partners (satisfaction and domestic violence).