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Social, Occupational, and Spatial Exposures and Mental Health Disparities of Working-Class Latinas in the US

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Abstract

Grounded in ecosocial theory, this paper discusses the mental health disparities of working-class Latinas from multiple perspectives. An overview of working-class Latinas’ prevalent mental health disorders, barriers to care and suggestions for interventions and future studies are provided.

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References

  1. Krieger N. Theories for social epidemiology in the 21st century: an ecological perspective; 2001.

  2. Krieger N. A glossary for social epidemiology. J Epidemiol Community Health. 2001;55(10):693–700.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Krieger N. Workers are people too: societal aspects of occupational health disparities—ecological perspective. Am J Ind Med. 2010;53(2):104–15.

    Article  PubMed  Google Scholar 

  4. Camarota S. Immigrants in the United States, 2007: a profile of America’s foreign-born population; 2007.

  5. Pew Hispanic Center. Illegal immigration backlash worries, divides Latinos; 2010.

  6. Cordero A, Kurz B. Acculturation and the mental health of Latina women in the woman, infant, and children program. Affilia. 2006;21(1):46–58.

    Article  Google Scholar 

  7. US Department of Labor. The Latino labor force at a glance; 2012.

  8. US Department of Health and Human Services. Mental health: culture, race, and ethnicity. A supplement to mental health: a report of the surgeon general; 2001.

  9. National Alliance for Hispanic Health. Quality health services for hispanics: the cultural competency component; 2001.

  10. Jurkowski JN, Westin EL, Rossy-Millán J. Latina self-reported mental health and delay in health care in a new Latino destination. Women Health. 2010;50(3):213–28.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Miller E, Decker MR, Reed E, Raj A, Hathaway JE, Silverman JG. Male partner pregnancy-promoting behaviors and adolescent partner violence: findings from a qualitative study with adolescent females. Ambul Pediatr. 2007;7(5):360–6.

    Article  PubMed  Google Scholar 

  12. Hass GA, Dutton MA, Orloff LE. Lifetime prevalence of violence against Latina immigrant: legal and policy implications; 2000.

  13. Krieger N, Waterman PD, Hartman C, et al. Social hazards on the job: workplace abuse, sexual harassment, and racial discrimination—a study of Black, Latino, and White low-income women and men workers in the United States. Int J Health Serv. 2006;36(1):51–85.

    Article  PubMed  Google Scholar 

  14. Alegría M, Mulvaney-Day N, Torres M, Polo A, Cao Z, Canino G. Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health. 2007;97:68–75.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Shattell MM, Hamilton D, Starr SS, Jenkins CJ, Hinderliter NA. Mental health service needs of a Latino population: a community-based participatory research project. Issues Ment Health Nurs. 2008;29(4):351–70.

    Article  PubMed  Google Scholar 

  16. Ramos BM, Jurkowski J, Gonzalez BA, Lawrence C. Latina women: health and healthcare disparities. Soc Work Public Health. 2010;25(3):258–71.

    Article  PubMed  Google Scholar 

  17. Huang B, Appel H, Ai AL. The effects of discrimination and acculturation to service seeking satisfaction for Latina and Asian American women: implications for mental health professions. Soc Work Public Health. 2011;26(1):46–59.

    Article  PubMed  Google Scholar 

  18. Capps R, Fix M, Passel JF, Ost J, Perez-Lopez D. A profile of the low-wage immigrant workforce; 2003.

  19. US Bureau of Statistics. Occupational employment and wages; 2012.

  20. Schenker MB. A global perspective of migration and occupational health. Am J Ind Med. 2010;53(4):329–37.

    Article  PubMed  Google Scholar 

  21. Eamranond PP, Hu H. Environmental and occupational exposures in immigrant health. Environ Health Insights. 2008;1:45–50.

    PubMed  PubMed Central  Google Scholar 

  22. Krieger N, Kaddour A, Koenen K, et al. Occupational, social, and relationship hazards and psychological distress among low-income workers: implications of the ‘inverse hazard law’. J Epidemiol Community Health. 2011;65(3):260–72.

    Article  PubMed  Google Scholar 

  23. Krieger N, Chen JT, Waterman PD, et al. The inverse hazard law: blood pressure, sexual harassment, racial discrimination, workplace abuse and occupational exposures in US low-income black, white and Latino workers. Soc Sci Med. 2008;67(12):1970–81.

    Article  PubMed  Google Scholar 

  24. National Council of La Raza. Critical disparities in Latino mental health: transforming research into action [White paper]; 2005.

  25. Hudson CG. Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. Am J Orthopsychiatry. 2005;75(1):3–18.

    Article  PubMed  Google Scholar 

  26. National Poverty Center. Poverty in the United States frequently asked questions; 2009.

  27. Kaplan GA, Shema SJ, Leite MCA. Socioeconomic determinants of psychological well-being: the role of income, income change, and income sources during the course of 29 years. Ann Epidemiol. 2008;18(7):531–7.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Moskowitz D, Vittinghoff E, Schmidt L. Reconsidering the effects of poverty and social support on health: a 5-year longitudinal test of the stress-buffering hypothesis. J Urban Health. 2012;90(1):175–84.

    Article  PubMed Central  Google Scholar 

  29. United States Department of Health and Human Services. Poverty Guidelines; 2013. http://aspe.hhs.gov/poverty/13poverty.cfm. Accessed 01 June 2015.

  30. Shattell MM, Villalba J, Stokes N, et al. Depression in Latinas residing in emerging Latino immigrant communities in the United States. Hisp Health Care Int. 2009;7(4):190–202.

    Article  Google Scholar 

  31. Acevado G, Gonzalez MJ, Santiago V, Vargos-Ramos C. The state of Latino health and mental health; 2007.

  32. Hansen E, Donohoe M. Health issues of migrant and seasonal farmworkers. J Health Care Poor Underserv. 2003;14(2):153–64.

    Article  Google Scholar 

  33. Carroll D., Samardick RM, Bernard S, Gabbard S, Hernandez T. Findings from the National Agricultural Workers Survey (NAWS), 2001–2002: a demographic and employment profile of the United States farm workers. In: Labor USDo, editor. Washington, DC; 2005.

  34. Clingerman EM. Conceptualizations of health among Mexican and Mexican American women employed in migrant farm work. Hisp Health Care Int. 2006;4(1):45–55.

    Article  Google Scholar 

  35. Beseler CL, Stallones L, Hoppin JA, et al. Depression and pesticide exposures among private pesticide applicators enrolled in the agricultural health study. Environ Health Perspect. 2008;116(12):1713–9.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Winkelman SB, Chaney EH, Bethel JW. Stress, depression and coping among Latino migrant and seasonal farmworkers. Int J Environ Res Public Health. 2013;10(5):1815–30.

    Article  PubMed  Google Scholar 

  37. Nicklett EJ, Burgard SA. Downward social mobility and major depressive episodes among Latino and Asian-American immigrants to the United States. Am J Epidemiol. 2009;170(6):793–801.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Ro A. Occupational mobility and depression among the foreign-born in the United States. J Immigr Minor Health 2014;16(6):1149–1156.

    Article  PubMed  Google Scholar 

  39. Lorant V, Deliège D, Eaton W, Robert A, Philippot P, Ansseau M. Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol. 2003;157(2):98–112.

    Article  CAS  PubMed  Google Scholar 

  40. Pew Hispanic Center. 2007 national survey of Latinos: as illegal immigration issue heats up, Hispanics feel the chill; 2007.

  41. Easter MM, Linnan LA, Bentley ME, et al. “Una mujer trabaja doble aqui”: vignette-based focus groups on stress and work for Latina blue-collar women in Eastern North Carolina. Health Promot Pract. 2007;8(1):41–9.

    Article  PubMed  Google Scholar 

  42. McClure HH, Snodgrass JJ, Martinez CR Jr, Eddy JM, Jiménez RA, Isiordia LE. Discrimination, psychosocial stress, and health among Latin American immigrants in Oregon. Am J Hum Biol. 2010;22(3):421–3.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Cortina LM, Fitzgerald LF, Drasgow F. Contextualizing Latina experiences of sexual harassment: preliminary tests of a structural model. Basic Appl Soc Psychol. 2002;24:295–311.

    Article  Google Scholar 

  44. Waugh IM. Examining the sexual harassment experiences of Mexican immigrant farmworking women. Violence Against Women. 2010;16(3):237–61.

    Article  PubMed  Google Scholar 

  45. Berry JW. Acculturation: living successfully in two cultures. Int J Intercult Relat. 2005;29(6):697–712.

    Article  Google Scholar 

  46. Caplan S. Latinos, acculturation, and acculturative stress: a dimensional concept analysis. Policy Polit Nurs Pract. 2007;8(2):93–106.

    Article  PubMed  Google Scholar 

  47. Cervantes RC, Padilla AM, de Snyder NS. The Hispanic stress inventory: a culturally relevant approach to psychosocial assessment. Psychol Assess. 1991;3(3):438–47.

    Article  Google Scholar 

  48. Shattell MM, Quinlan-Colwell A, Villalba J, Ivers NN, Mails M. A cognitive-behavioral group therapy intervention with depressed Spanish-speaking Mexican women living in an emerging immigrant community in the United States. ANS Adv Nurs Sci. 2010;33(2):158–69.

    Article  PubMed  Google Scholar 

  49. Arbona C, Olvera N, Rodriguez N, Hagan J, Linares A, Wiesner M. Acculturative stress among documented and undocumented Latino immigrants in the United States. Hisp J Behav Sci. 2010;32(3):362–84.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Shattell MM, Smith KM, Quinlan-Colwell A, Villalba JA. Factors contributing to depression in Latinas of Mexican origin residing in the United States: implications for nurses. J Am Psychiatr Nurses Assoc. 2008;14(3):193–204.

    Article  PubMed  Google Scholar 

  51. Hovey JD, Magaña CG. Exploring the mental health of Mexican migrant farm workers in the midwest: psychosocial predictors of psychological distress and suggestions for prevention and treatment. J Psychol. 2002;136(5):493–513.

    Article  PubMed  Google Scholar 

  52. Alderete E, Vegam W, Kolody B, Aguilar-Gaxiola S. Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farmworkers in California. Am J Public Health. 2000;90(4):608–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Zemore SE. Acculturation and alcohol among Latino adults in the United States: a comprehensive review. Alcohol Clin Exp Res. 2007;31(12):1968–90.

    Article  PubMed  Google Scholar 

  54. Caetano R, Schafer J, Clark CL, Cunradi CB, Rasberry K. Intimate partner violence, acculturation, and alcohol consumption among Hispanic couples in the United States. J Interpers Violence. 2000;15(1):30–45.

    Article  Google Scholar 

  55. Weidel JJ, Provencio-Vasquez E, Watson SD, Gonzalez-Guarda R. Cultural considerations for intimate partner violence and HIV risk in Hispanics. J Assoc Nurses AIDS Care. 2008;19(4):247–51.

    Article  PubMed  Google Scholar 

  56. Santiago-Rivera AL, Arredondo P, Gallardo-Cooper M. Counseling Latinos and la familia: a practical guide. Thousand Oaks: Sage; 2002.

    Google Scholar 

  57. Perilla J. Domestic violence as a human rights issue: the case of immigrant Latinos. Hisp J Behav Sci. 1999;21(2):107–33.

    Article  Google Scholar 

  58. Arciniega GM, Anderson TC, Tovar-Blank ZG, Tracey TJG. Toward a fuller conception of machismo: development of a traditional machismo and Caballerismo scales. J Couns Psychol. 2008;55:19–33.

    Article  Google Scholar 

  59. Hirsch JS. A courtship after marriage: sexuality and love in Mexican transnational families. Berkeley: University of California Press; 2003.

    Google Scholar 

  60. Perilla JL, Bakeman R, Norris FH. Culture and domestic violence: the ecology of abused Latinas. Violence Victim. 1994;9(4):325–39.

    CAS  Google Scholar 

  61. Edelson MG, Hokoda A, Ramos-Lira L. Differences in effects of domestic violence between Latina and non-Latina women. J Fam Violence. 2007;22(1):1–10.

    Article  Google Scholar 

  62. Basile KC, Arias I, Desai S, Thompson MP. The differential association of intimate partner physical, sexual, psychological, and stalking violence and posttraumatic stress symptoms in a nationally representative sample of women. J Trauma Stress. 2004;17(5):413–21.

    Article  PubMed  Google Scholar 

  63. Zlotnick C, Johnson DM, Kohn R. Intimate partner violence and long-term psychosocial functioning in a national sample of American women. J Interpers Violence. 2006;21(2):262–75.

    Article  PubMed  Google Scholar 

  64. Hazen AL, Soriano F. Experiences with intimate partner violence among Latina women. Violence Against Women. 2007;13(6):562–82.

    Article  PubMed  Google Scholar 

  65. Rodriguez N. Clinical interventions with battered migrant farm worker women. In: Campbell JC, editor. Empowering survivors of abuse: health care for battered women and their children. Thousand Oaks: Sage; 1998. p. 271–9.

    Google Scholar 

  66. Cuevas CA, Sabina C, Milloshi R. Interpersonal victimization among a national sample of Latino women. Violence Against Women. 2012;18(4):377–403.

    Article  PubMed  Google Scholar 

  67. Morash M, Bui HN, Santiago A. Culture-specific gender role ideology and wife abuse in Mexican-descent families. Int Rev Victimol. 2000;7(Special Issue):67–91.

    Article  Google Scholar 

  68. Kasturirangan A, Nutt WE. Counseling Latina battered women: a qualitative study of the Latina perspective. J Multicult Couns Dev. 2003;31:162–78.

    Article  Google Scholar 

  69. Fedovskiy K, Higgins S, Paranjape A. Intimate partner violence: how does it impact major depressive disorder and post traumatic stress disorder among immigrant Latinas? J Immigr Minor Health. 2008;10(1):45–51.

    Article  CAS  PubMed  Google Scholar 

  70. Cuevas CA, Sabina C, Picard E. Interpersonal victimization patterns and psychopathology among Latino women: results from the SALAS study. Psychol Trauma Theory Res Pract Policy. 2010;2:296–306.

    Article  Google Scholar 

  71. Pole N, Best SR, Metzler T, Marmar CR. Why are Hispanics at greater risk for PTSD? Cult Divers Ethn Minor Psychol. 2005;11(2):144–61.

    Article  Google Scholar 

  72. Aisenberg E. The effects of exposure to community violence upon Latina mothers and preschool children. Hisp J Behav Sci. 2001;23(4):378–98.

    Article  Google Scholar 

  73. Davies CA, DiLillo D, Martinez IG. Isolating adult psychological correlates of witnessing parental violence: findings from a predominantly Latina sample. J Fam Violence. 2004;19(6):377–85.

    Article  Google Scholar 

  74. National Alliance on Mental Illness. Latina women and depression: fact sheet; 2009.

  75. Alegría M, Canino G, Ríos R, et al. Inequalities in use of specialty mental health services among Latinos, African Americans and non-Latino Whites. Psychiatr Serv. 2002;53(12):1547–55.

    Article  PubMed  Google Scholar 

  76. Blanco C, Patel SR, Liu L, et al. National trends in ethnic disparities in mental health care. Med Care. 2007;45:1012–9.

    Article  PubMed  Google Scholar 

  77. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelve-month use of mental health services in the United States. Arch Gen Psychiatry. 2005;62(6):629–40.

    Article  PubMed  Google Scholar 

  78. Vega WA, Alegria M. Latino mental health and treatment in the United States. In: Aguirre-Molina M, Molina CW, Zambrana R, editors. Health issues in the Latino community. San Francisco: Jossey-Bass; 2001. p. 179–208.

  79. Ortega A, Alegria M. Self-reliance, mental health need and use of mental healthcare among island Puerto Ricans. Ment Health Serv Res. 2002;4(3):131–40.

    Article  PubMed  Google Scholar 

  80. Cabassa LJ, Zayas LH, Hansen MC. Latino adults’ access to mental health care: a review of epidemiological studies. Adm Policy Ment Health. 2006;33(3):316–30.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Heilemann M, Coffey-Love M, Frutos L. Perceived reasons for depression among low income women of Mexican descent. Arch Psychiatr Nurs. 2004;18(5):185–92.

    Article  PubMed  Google Scholar 

  82. US Census Bureau. Income, poverty, and health insurance coverage in the United States: 2009.; 2010.

  83. Kimerling R, Baumrind N. Access to specialty mental health services among women in California. Psychiatr Serv. 2005;56:729–34.

    Article  PubMed  Google Scholar 

  84. Hochhausen L, Le H, Perry D. Community-based mental health service utilization among low-income Latina immigrants. Community Ment Health J. 2011;47(1):14–23.

    Article  PubMed  Google Scholar 

  85. Miranda J, Siddique J, Der-Martirosian C, Belin TR. Depression among Latina immigrant mothers separated from their children. Psychiatr Serv. 2005;56(6):717–20.

    Article  PubMed  Google Scholar 

  86. Fox JA, Kim-Godwin Y. Stress and depression among Latina women in rural southeastern North Carolina. J Community Health Nurs. 2011;28(4):223–32.

    Article  PubMed  Google Scholar 

  87. Coffman MJ, Norton CK. Demands of immigration, health literacy, and depression in recent Latino immigrants. Home Health Care Manag Pract. 2010;22(2):116–22.

    Article  Google Scholar 

  88. Farley T, Galves A, Dickinson LM, de Perez MJ. Stress, coping, and health: a comparison of Mexican immigrants, Mexican-Americans, and non-Hispanic Whites. J Immigr Health. 2005;7(3):213–20.

    Article  PubMed  Google Scholar 

  89. Substance Abuse & Mental Health Administration. NHDSA report: risk of suicide among Hispanic females aged 12 to 17; 2003.

  90. Fortuna LR, Perez DJ, Canino G, Sribney W, Alegria M. Prevalence and correlates of lifetime suicidal ideation and attempts among Latino subgroups in the United States. J Clin Psychiatry. 2007;68(4):572–81.

    Article  PubMed  PubMed Central  Google Scholar 

  91. Zayas LH, Lester RJ, Cabassa LJ, Fortuna LR. Why do so many Latina teens attempt suicide? A conceptual model for research. Am J Orthopsychiatry. 2005;75(2):275–87.

    Article  PubMed  Google Scholar 

  92. Castaneda X. Mental Health and Latinos in the U.S.: fact sheet. Health Initiative of the Americas; 2010.

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Hsieh, YC., Apostolopoulos, Y., Hatzudis, K. et al. Social, Occupational, and Spatial Exposures and Mental Health Disparities of Working-Class Latinas in the US. J Immigrant Minority Health 18, 589–599 (2016). https://doi.org/10.1007/s10903-015-0231-z

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