Skip to main content

Advertisement

Log in

Healthy Immigrants? Exploring Depressive Symptoms Among Caribbean and Mexican Immigrants

  • Published:
Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Are there disparities in depressive symptoms among immigrant groups from different countries? With data from the New Immigrant Survey (2003), which includes immigrants from Mexico, Haiti, Dominican Republic, Cuba, and Jamaica, this paper examines the odds of depressive symptoms using a series of logistic regression analyses. It draws on segmented assimilation and the cumulative inequality theories to understand and explicate the extent to which immigrants’ demographic characteristics, pre-immigration experiences, and acculturation in the USA might have an impact on immigrants’ mental health outcomes. Being from Haiti; Dominican Republic; Cuba; and a woman, with unfavorable childhood health, and migrated at an early age were statistically significant predictors of depressive symptoms. Compared to Mexican immigrants, Cuban and Dominican immigrants reported higher odds of depressive symptoms, controlling for gender, age, education, and pre-immigration experiences. By contrast, Haitian and Jamaican immigrants reported lower odds of depressive symptoms. Female immigrants had higher odds of reporting depressive symptoms compared to their male counterparts. Relative to immigrants with good childhood health, those with unfavorable childhood health had higher odds of reporting worse health outcomes. In the logistic regression models, immigrants who migrated at older age reported lower odds of depressive symptoms. By shedding light on the health status of understudied Caribbean immigrant groups in comparison with Mexican immigrants, this study challenges the healthy migrant effect and serves as a starting point to guide policies that aim at decreasing health disparities among different immigrant groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Supplemental analysis revealed that when education was removed from the logistic regression and I controlled for gender and then gender and age, there were no changes in significance and magnitude of the relationship between country of origin and depressive symptoms.

References

  1. Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry. 2003;54(3):216–26. Retrieved Jan 6, 2017 http://www.sciencedirect.com/science/article/pii/S0006322303002737. https://doi.org/10.1016/S0006-3223(03)00273-7.

    Article  PubMed  Google Scholar 

  2. Thomas KJ. A demographic profile of Black Caribbean immigrants in the United States. Washington, DC: Migration Policy Institute; 2012. Retrieved 3/2/16 http://www.migrationpolicy.org/research/CBI-demographic-profile-black-caribbean-immigrants

    Google Scholar 

  3. Lincoln KD, Chatters LM, Taylor RJ, Jackson JS. Profiles of depressive symptoms among African Americans and Caribbean blacks. Social Science & Medicine. 2007;65(2):200–13. Retrieved Jan 23, 2017 www.sciencedirect.com/science/article/pii/S0277953607000871. https://doi.org/10.1016/j.socscimed.2007.02.038.

    Article  Google Scholar 

  4. Mereish EH, N’cho HS, Green CE, Jernigan MM, Helms JE. Discrimination and depressive symptoms among black American men: moderated-mediation effects of ethnicity and self-esteem. Behav Med. 2016;42(3):190–6.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Miranda J, Siddique J, Belin TR, Kohn-Wood LP. Depression prevalence in disadvantaged young black women. Soc Psychiatry Psychiatr Epidemiol. 2005;40(4):253–8.

    Article  PubMed  Google Scholar 

  6. Williams DR, González HM, Neighbors H, Nesse R, Abelson JM, Sweetman J, et al. Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the National Survey of American Life. Arch Gen Psychiatry. 2007a;64(3):305–15. Retrieved Jan 9, 2017 http://jamanetwork.com/journals/jamapsychiatry/fullarticle/482214. https://doi.org/10.1001/archpsyc.64.3.305.

    Article  PubMed  Google Scholar 

  7. Williams DR, Haile R, González HM, Neighbors H, Baser R, Jackson JS. The mental health of black Caribbean immigrants: results from the National Survey of American Life. Am J Public Health. 2007b;97(1):52–9 Retrieved Jan 9, 2017 https://doi.org/10.2105/AJPH.2006.088211.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Chapman DP, Perry GS, Strine TW. The vital link between chronic disease and depressive disorders. Prev Chronic Dis. 2005;2(1):A14.

    PubMed  Google Scholar 

  9. Schouten RW, Haverkamp GL, Loosman WL, Shaw PKC, van Ittersum FJ, Smets YF, et al. Ethnic differences in the association of depressive symptoms with clinical outcome in dialysis patients. J Racial Ethn Health Disparities. 2019;6:990–1000.

  10. Alegria M, Canino G, Stinson FS, Grant BF. Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans, and non-Latino whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2006;67(1):56–65.

    Article  PubMed  Google Scholar 

  11. Breslau J, Borges G, Hagar Y, Tancredi D, Gilman S. Immigration to the USA and risk for mood and anxiety disorders: variation by origin and age at immigration. Psychol Med. 2009;39(07):1117–27.

    Article  CAS  PubMed  Google Scholar 

  12. González HM, Tarraf W, Whitfield KE, Vega WA. The epidemiology of major depression and ethnicity in the United States. J Psychiatr Res. 2010;44(15):1043–51. Retrieved Jan 9, 2017 http://www.sciencedirect.com/science/article/pii/S0022395610000932. https://doi.org/10.1016/j.jpsychires.2010.03.017.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Im E-O, Chang SJ, Chee W, Chee E, Mao JJ. Immigration transition and depressive symptoms: four major ethnic groups of midlife women in the United States. Health Care Women Int. 2015;36(4):439–56.

    Article  PubMed  Google Scholar 

  14. Jimenez DE, Alegría M, Chen C-n, Chan D, Laderman M. Prevalence of psychiatric illnesses in older ethnic minority adults. J Am Geriatr Soc. 2010;58(2):256–64. Retrieved Jan 9, 2017 http://onlinelibrary.wiley.com/doi/. https://doi.org/10.1111/j.1532-5415.2009.02685.x.

    Article  PubMed  PubMed Central  Google Scholar 

  15. McGuire TG, Miranda J. New evidence regarding racial and ethnic disparities in mental health: policy implications. Health Aff. 2008;27(2):393–403.

    Article  Google Scholar 

  16. Ortega AN, Rosenheck R, Alegria M, Desai RA. Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. J Nerv Ment Dis. 2000;188(11):728–35.

    Article  CAS  PubMed  Google Scholar 

  17. Pratt LA, Brody DJ. Depression in the U.S. household population, 2009–2012. NCHS data brief, no 172. Hyattsville: National Center for Health Statistics; 2014.

    Google Scholar 

  18. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2163–96.

  19. Alegria 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(1):68–75.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Alegria M, Canino G, Shrout PE, Woo M, Duan N, Vila D, et al. Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008;165(3):359–69. Retrieved Jan 6, 2017 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2712949/. https://doi.org/10.1176/appi.ajp.2007.07040704.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Goodman E, Whitaker RC. A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics. 2002;110(3):497–504.

    Article  PubMed  Google Scholar 

  22. Watkins DC, Assari S, Johnson-Lawrence V. Race and ethnic group differences in comorbid major depressive disorder, generalized anxiety disorder, and chronic medical conditions. J Racial Ethn Health Disparities. 2015;2(3):385–94.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Viruell-Fuentes EA, Andrade FC. Testing immigrant social ties explanations for Latino health paradoxes: the case of social support and depression symptoms. J Latino/Latin Am Stud. 2016;8(1):77–92.

    Article  Google Scholar 

  24. Ornelas IJ, Perreira KM. The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA. Soc Sci Med. 2011;73(8):1169–77.

    Article  PubMed  PubMed Central  Google Scholar 

  25. de Vidal H, Martone J, Muñoz L, Grossman S. Family cohesion and social support: protective factors for acculturation stress among low-acculturated Mexican migrants. J Poverty. 2011;15(4):403–26.

    Article  Google Scholar 

  26. Finch BK, Kolody B, Vega WA. Perceived discrimination and depression among Mexican-origin adults in California. J Health Soc Behav. 2000;41(3):295–313.

    Article  CAS  PubMed  Google Scholar 

  27. Gee GC, Ryan A, Laflamme DJ, Holt J. Self-reported discrimination and mental health status among African descendants, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 initiative: the added dimension of immigration. Am J Public Health. 2006;96(10):1821–8.

    Article  PubMed  PubMed Central  Google Scholar 

  28. American Psychiatry Association. Depressive disorders. in Diagnostic and statistical manual of mental disorders (5th Edition). Washington, DC: American Psychiatric Association; 2013.

    Book  Google Scholar 

  29. Williams DR, Neighbors HW. Social perspectives on mood disorders. In Stein, DJ , Kupfer DJ, & Schatzberg AF (Ed.). Textbook of mood disorders 2006. pp. 145-158.

  30. Zhou M. Growing up American: the challenge confronting immigrant children and children of immigrants. Annu Rev Sociol. 1997:63–95.

  31. Castro FG, Marsiglia FF, Kulis S, Kellison JG. Lifetime segmented assimilation trajectories and health outcomes in Latino and other community residents. Am J Public Health. 2010;100(4):669–76.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Lacey KK, Sears KP, Govia IO, Forsythe-Brown I, Matusko N, Jackson JS. Substance use, mental disorders and physical health of Caribbeans at-home compared to those residing in the United States. Int J Environ Res Public Health. 2015;12(1):710–34. Retrieved Jan 13, 2017 http://www.mdpi.com/1660-4601/12/1/710. https://doi.org/10.3390/ijerph120100710.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Ferraro KF, Shippee TP. Aging and cumulative inequality: how does inequality get under the skin? The Gerontologist. 2009;49(3):333–43.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Wilkinson LR. Financial strain and mental health among older adults during the great recession. J Gerontol Ser B Psychol Sci Soc Sci. 2016;71(4):745–54. Retrieved Jan 13, 2017 http://psychsocgerontology.oxfordjournals.org/content/71/4/745. https://doi.org/10.1093/geronb/gbw001.

    Article  Google Scholar 

  35. Montgomery MA, Jackson CT, Kelvin EA. Premigration harm and depression: findings from the new immigrant survey, 2003. J Immigr Minor Health. 2014;16(5):773–80.

    Article  PubMed  Google Scholar 

  36. Frazier L, Sanner J, Yu E, Cron SG, Moeller FG. Using a single screening question for depressive symptoms in acute coronary syndrome patients. J Cardiovasc Nurs. 2014;29(4):347–53.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Huffman JC, Smith FA, Blais MA, Beiser ME, Januzzi JL, Fricchione GL. Rapid screening for major depression in post-myocardial infarction patients: an investigation using Beck Depression Inventory II items. Heart. 2006;92(11):1656–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Abraido-Lanza AF, Dohrenwend BP, Ng-Mak DS and Turner JB. The Latino mortality paradox: a test of the “salmon bias” and healthy migrant hypotheses. 1999.

  39. Markides KS, Eschbach K. Aging, migration, and mortality: current status of research on the Hispanic paradox. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2005;60(Special_Issue_2):S68–75.

    Article  Google Scholar 

  40. Markides KS, Eschbach K. Hispanic paradox in adult mortality in the United States. In International handbook of adult mortality. Dordrecht: Springer; 2011. p. 227–40.

    Book  Google Scholar 

  41. Angel RJ, Angel JL, Díaz Venegas C, Bonazzo C. Shorter stay, longer life: age at migration and mortality among the older Mexicanorigin population. Journal of aging and health. 2010;22(7):914–31.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Hummer R, Melvin J, Sheehan C, Wang Y-T. Race/Ethnicity, Mortality, and Longevity. In: Whitfield K, Baker T, editors. Handbook of Minority Aging: Springer Publishing Company; 2013. p. 131–51.

  43. Central Intelligence Agency. Haiti. The world FactBook. Washinton: DC: Central Intelligence Agency; 2016.

    Google Scholar 

  44. Amuedo-Dorantes C, Georges A, Pozo S. Migration, remittances, and Children’s schooling in Haiti. Ann Am Acad Polit Soc Sci. 2010;630(1):224–44.

    Article  Google Scholar 

  45. Nwosu C and Batalova J. Immigrants from the Dominican Republic in the United States. 2014. Retrieved Jan 30, 2017 http://www.migrationpolicy.org/article/foreign-born-dominican-republic-united-states.

  46. Kwag KH, Jang Y, Chiriboga DA. Acculturation and depressive symptoms in Hispanic older adults: does perceived ethnic density moderate their relationship? J Immigr Minor Health. 2012;14(6):1111–1.

  47. McKenna MT, Michaud CM, Murray CJ, Marks JS. Assessing the burden of disease in the United States using disability-adjusted life years. Am J Prev Med. 2005;28(5):415–23.

    Article  PubMed  Google Scholar 

  48. Hiott A, Grzywacz JG, Arcury TA, Quandt SA. Gender differences in anxiety and depression among immigrant Latinos. Fam Syst Health. 2006;24(2):137.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Vega WA, Rodriguez MA, Ang A. Addressing stigma of depression in Latino primary care patients. Gen Hosp Psychiatry. 2010;32(2):182–91.

    Article  PubMed  Google Scholar 

  50. Dieujuste C. The concept of stigma in mental illness as applied to Haitian Americans. Int Nurs Rev. 2016;63(2):200–7.

    Article  PubMed  Google Scholar 

  51. Latham K. The “long arm” of childhood health: linking childhood disability to late midlife mental health. Research on Aging, 37. 2015;(1):82–102. https://doi.org/10.1177/0164027514522276.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ynesse Abdul-Malak.

Ethics declarations

This article does not contain any studies with human participants or animals performed by any of the authors

Conflict of Interest

The author declares that she has no conflict of interest.

.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abdul-Malak, Y. Healthy Immigrants? Exploring Depressive Symptoms Among Caribbean and Mexican Immigrants. J. Racial and Ethnic Health Disparities 7, 488–497 (2020). https://doi.org/10.1007/s40615-019-00677-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40615-019-00677-7

Keywords

Navigation