Journal of Immigrant and Minority Health

, Volume 13, Issue 2, pp 214–223

Association of Depression, Psycho-Social Stress and Acculturation with Respiratory Disease Among Puerto Rican Adults in Massachusetts

Authors

  • Stanislav Henkin
    • School of MedicineBoston University
  • Katherine L. Tucker
    • USDA Human Nutrition Research Center on AgingTufts University
  • Xiang Gao
    • School of Public HealthHarvard University
  • Luis M. Falcon
    • Department of Sociology and AnthropologyNortheastern University
  • Imrana Qawi
    • Tufts Medical Center
    • Department of Public Health and Family MedicineTufts University School of Medicine
Original Paper

DOI: 10.1007/s10903-009-9307-y

Cite this article as:
Henkin, S., Tucker, K.L., Gao, X. et al. J Immigrant Minority Health (2011) 13: 214. doi:10.1007/s10903-009-9307-y

Abstract

To assess associations between acculturation, depression, and self-reported stress score with reported diagnosis of respiratory disease (RD) in Puerto Rican adults, participants (N = 1,168) were identified from areas of high Hispanic density in the Boston, MA metropolitan area. Eligible participants were interviewed in the home by bilingual interviewers in either Spanish or English. Scales included topics ranging from general background to depressive symptomatology. Respiratory disease was self-reported and checked against prescribed medication. More than one-third (37.8%) of subjects reported doctor-diagnosed RD. A final binary logistical regression model (N = 850), which was adjusted for potential confounders (sex, age, education, poverty) showed that RD was significantly associated with psychological acculturation (OR = 1.97, P = 0.005), depressive symptomatology (OR = 1.52, P = 0.03) high perceived stress score (OR = 1.97, P = 0.009), and current smoking (OR = 1.61, P = 0.03). Significant inverse associations included a high level of language acculturation (OR = 0.65, P = 0.03), light (OR = 0.67, P = 0.01) and moderate to heavy physical activity versus sedentary physical activity (OR = 0.40, P = 0.03). We found self reported physician diagnosed RD was associated with high perceived stress and depression, as well as higher levels of psychological acculturation. Longitudinal research is needed to determine if there is a causal pathway for these associations.

Keywords

Respiratory diseaseDepressionStressAcculturationHispanicsPuerto Ricans

Supplementary material

10903_2009_9307_MOESM1_ESM.docx (15 kb)
Supplementary material 1 (DOCX 14 kb)

Copyright information

© Springer Science+Business Media, LLC 2009