Advertisement

Journal of Immigrant and Minority Health

, Volume 9, Issue 1, pp 29–34 | Cite as

Effect of Immigrant Status on Risk of Depressive Symptoms Associated with Spouse’s Chronic Conditions

  • Jim P. Stimpson
  • Karl Eschbach
  • M. Kristen Peek
Original Paper

Abstract

The aim of this prospective cohort study was to assess whether the prevalence of chronic disease of one spouse would be associated with a change in depressive symptoms of the other spouse and whether this relationship varies by immigrant status. Negative binomial regression was used to calculate risk ratios from a matched sample of 553 husbands and 553 wives aged 65 years or older of Mexican Americans. Overall, prevalence of chronic disease of one spouse was associated with change in high depressive symptoms for the other spouse. When the results were stratified by immigrant status, respondents born in the US exhibited higher risk of depressive symptoms associated with the chronic conditions of their spouse, while foreign born respondents did not exhibit higher risk for depressive symptoms. These findings highlight how immigrant status and the marital relationship may be related to chronic disease and depression.

Keywords

Marriage Chronic disease Spouses Depression Mexican Americans Immigrants 

Notes

Acknowledgements

This research was supported by the National Institute of Aging (R01AG10939, R01AG21098, T32AG000270) and the National Cancer Institute (1 P50 CA105631-02). J.P. Stimpson was affiliated with the Sealy Center on Aging at the University of Texas Medical Branch during work on this manuscript.

References

  1. 1.
    Ferrer RL, Palmer R, Burge S: The family contribution to health status: a population-level estimate. Ann Fam Med 2005; 3:102–108PubMedCrossRefGoogle Scholar
  2. 2.
    Dufouil C, Alperovitch A: Couple similarities for cognitive functions and psychological health. J Clin Epidemiol 2000; 53:589–593PubMedCrossRefGoogle Scholar
  3. 3.
    Townsend AL, Miller B, Guo S: Depressive symptomatology in middle-aged and older married couples: a dyadic analysis. J Gerontol B Soc Sci 2001; 56:S352–S364Google Scholar
  4. 4.
    Siegel MJ, Bradley EH, Gallo WT, Kasl SV: The effect of spousal mental and physical health on husbands’ and wives’ depression among older adults: longitudinal evidence from the health and retirement survey. J Aging and Health 2004; 16:398–425CrossRefGoogle Scholar
  5. 5.
    Peek MK, Markides KS: Blood pressure concordance in older married Mexican American couples. J Am Geriatr Soc 2003; 51:1655–1659PubMedCrossRefGoogle Scholar
  6. 6.
    Stimpson JP, Peek MK: Concordance of chronic conditions in older Mexican American couples. Prev Chronic Dis [serial online] 2005; 2:1–7Google Scholar
  7. 7.
    Hippisley-Cox J, Coupland C, Pringle M, Crown N, Hammersley V: Married couples’ risk of same disease: cross sectional study. BMJ 2002; 325:636–640PubMedCrossRefGoogle Scholar
  8. 8.
    Cano A, Johansen AB, Geisser M: Spousal congruence on disability, pain, and spouse responses to pain. Pain 2004; 109:258–265PubMedCrossRefGoogle Scholar
  9. 9.
    Knuiman MW, Divitini ML, Bartholomew HC: Spouse selection and environmental effects on spouse correlation in lung function measures. Ann Epidemiol 2005; 15:39–43PubMedCrossRefGoogle Scholar
  10. 10.
    Fultz NH, Rahrig Jenkins K, Ostbye T, Taylor DH Jr, Kabeto MU, Langa KM: The impact of own and spouse’s urinary incontinence on depressive symptoms. Soc Sci Med 2005; 60:2537–2548PubMedCrossRefGoogle Scholar
  11. 11.
    Wallhagen MI, Strawbridge WJ, Shema SJ, Kaplan GA: Impact of self-assessed hearing loss on a spouse: a longitudinal analysis of couples. J Gerontol B Soc Sci 2004; 59B:S190–S196Google Scholar
  12. 12.
    Krause N, Markides K: Illness of spouse and psychological well-being in older adults. Compr Gerontol B 1987; 1:105–108PubMedGoogle Scholar
  13. 13.
    Hagedoorn M, Sanderman R, Ranchor AV, Brilman EI, Kempen GI, Ormel J: Chronic disease in elderly couples: are women more responsive to their spouses’ health condition than men? J Psychosom Res 2001; 51:693–696PubMedCrossRefGoogle Scholar
  14. 14.
    Kim Y, Duberstein PR, Sorensen S, Larson MR: Levels of depressive symptoms in spouses of people with lung cancer: effects of personality, social support, and caregiving burden. Psychosomatics. 2005; 46:123–130PubMedCrossRefGoogle Scholar
  15. 15.
    Black SA, Markides KS, Miller TQ: Correlates of depressive symptomatology among older community-dwelling Mexican Americans: the Hispanic EPESE. J Gerontol B Psychol Sci Soc Sci 1998; 53:S198–S208PubMedGoogle Scholar
  16. 16.
    Markides KS, Eschbach K: Aging, migration, and mortality: current status of research on the Hispanic paradox. J Gerontol Soc Sci 2005; 60B:68–75Google Scholar
  17. 17.
    Patel KV, Eschbach K, Rudkin LL, Peek MK, Markides KS: Neighborhood context and self-rated health in older Mexican Americans. Ann Epidemiol 2003; 13:620–628PubMedCrossRefGoogle Scholar
  18. 18.
    Eschbach K, Ostir GV, Patel KV, Markides KS, Goodwin JS: Neighborhood context and mortality among older Mexican Americans: is there a barrio advantage? Am J Public Health 2004; 94:1807–1812PubMedCrossRefGoogle Scholar
  19. 19.
    Ostir GV, Eschbach K, Markides KS, Goodwin JS: Neighborhood composition and depressive symptoms among older Mexican Americans. J Epidemiol Community Health 2003; 57:987–992PubMedCrossRefGoogle Scholar
  20. 20.
    Gonzalez HM, Haan MN, Hinton L: Acculturation and the prevalence of depression in older Mexican Americans: baseline results of the Sacramento Area Latino Study on Aging. J Am Geriatr Soc 2001; 49:948–53PubMedCrossRefGoogle Scholar
  21. 21.
    Cuellar I, Bastida E, Braccio SM: Residency in the United States, subjective well-being, and depression in an older Mexican-origin sample. J Aging Health 2004; 16:447–466PubMedCrossRefGoogle Scholar
  22. 22.
    US Bureau of the Census: Census 2000 Summary File 3 (SF 3). Washington, DC: US Bureau of the Census; 2003Google Scholar
  23. 23.
    Escobar JI: Immigration and mental health: why are immigrants better off? Arch Gen Psychiatry 1998; 55:781–782PubMedCrossRefGoogle Scholar
  24. 24.
    Paniagua FA: Assessing and treating culturally diverse clients: a practical guide. Thousand Oaks: Sage, 1994Google Scholar
  25. 25.
    Markides KS, Stroup-Benham CA, Black SA, Satish S, Perkowki LC, Ostir G: The health of Mexican American elderly: selected findings from the Hispanic EPESE. In: Wykle ML, Ford AB, editors. Serving minority elders in the 21st century. New York: Springer; 1999. pp. 72–90Google Scholar
  26. 26.
    Radloff LS, Locke BZ: The community mental health survey and CES-D scale. In: Weisman MM, Myers JD, Ross CE, editors. Community survey of psychiatric disorders. New Brunswick, NJ: Rutgers University Press; 1986Google Scholar
  27. 27.
    Greenland S: Model-based estimation of relative risks and other epidemiologic measures in studies of common outcomes and in case-control studies. Am J Epidemiol 2004; 160:301–305PubMedCrossRefGoogle Scholar
  28. 28.
    Becker G, Newsom E: Resilience in the face of serious illness among chronically ill African Americans in later life. J Gerotol B Soc Sci 2005; 60:S214–S223Google Scholar
  29. 29.
    Hagedoorn M, Sanderman R, Buunk BP, Wobbes T: Failing in spousal caregiving: the ’identity-relevant stress’ hypothesis to explain sex differences in caregiver distress. Br J Health Psychol 2002; 7:481–494PubMedCrossRefGoogle Scholar
  30. 30.
    Arefjord K, Hallaråker E, Havik OE, Maeland JG: Illness understanding, causal attributions and emotional reactions in wives of myocardial infarction patients. Psychol Psychother 2002; 75:101–114PubMedCrossRefGoogle Scholar
  31. 31.
    Tower RB, Kasl SV: Gender, marital closeness, and depressive symptoms in elderly couples. J Gerontol B Psychol Sci 1996; 51:P115–P129Google Scholar
  32. 32.
    Golding JM, Aneshensel CS, Hough RL: Responses to depression scale items among Mexican-Americans and non-Hispanic whites. J Clin Psychol 1991; 47:61–75PubMedGoogle Scholar
  33. 33.
    Nuyen J, Volkers AC, Verhaak PF, Schellevis FG, Groenewegen PP, Van Den Bos GA: Accuracy of diagnosing depression in primary care: the impact of chronic somatic and psychiatric co-morbidity. Psychol Med 2005; 35:1185–1195PubMedCrossRefGoogle Scholar
  34. 34.
    Rhodes A, Jaakkimainen L, Bondy S, Fung K: Depression and mental health visits to physicians—a prospective records-based study. Soc Sci Med 2006; 62:828–834Google Scholar
  35. 35.
    Offson M, Marcus SC, Druss B, Elinson L, Tanielian T, Pincus HA: National trends in the outpatient treatment of depression. JAMA 2002; 287(2):203–209CrossRefGoogle Scholar
  36. 36.
    Pinquart M, Schiller F, Sorensen S: Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging 2003; 18:250–267PubMedCrossRefGoogle Scholar
  37. 37.
    Jeglic EL, Pepper CM, Ryabchenko KA, Griffith JW, Miller AB, Johson MD: A caregiving model of coping with a partner’s depression. Fam Relat 2005; 54:37–45CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Jim P. Stimpson
    • 1
  • Karl Eschbach
    • 1
    • 2
  • M. Kristen Peek
    • 1
    • 3
  1. 1.Department of Social and Behavioral SciencesUniversity of North Texas Health Science Center, Educational and Administration BuildingFort WorthUSA
  2. 2.Division of Geriatrics, Department of Internal MedicineUniversity of Texas Medical BranchGalvestonUSA
  3. 3.Department of Preventive Medicine and Community HealthUniversity of Texas Medical BranchGalvestonUSA

Personalised recommendations