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Cited by 189Mental Health Treatment and AccessCardiac Health and Mental HealthTreatment of Major Depression

Depression, anxiety, antidepressant use, and cardiovascular disease among Hispanic men and women of different national backgrounds: results from the Hispanic Community Health Study/Study of Latinos

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Wassertheil-Smoller, Sylvia, Arredondo, Elva M., Cai, JianWen, Castaneda, Sheila F., Choca, James P., Gallo, Linda C., Jung, Molly, LaVange, Lisa M. +5 more·2014·Annals of Epidemiology
DOI 10.1016/j.annepidem.2014.09.003PMC PMC4281495
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Abstract

Purpose To describe prevalence and relationships to cardiovascular morbidity of depression, anxiety, and medication use among Hispanic/Latinos of different ethnic backgrounds. Methods Cross-sectional analysis of 15,864 men and women aged 18 to 74 years in the population-based Hispanic Community Health Study/Study of Latinos. Depressive and anxiety symptoms were assessed with shortened Center for Epidemiological Studies Depression Scale and Spielberger Trait Anxiety Scale. Results Prevalence of high depressive symptoms ranged from low of 22.3% (95% confidence interval [CI], 20.4-24.3) to high of 38.0% (95% CI, 35.2-41.0) among those of Mexican or Puerto Rican background, respectively. Adjusted odds ratios for depression rose monotonically with number of cardiovascular disease (CVD) risk factor from 1.46 (95% CI, 1.18-1.75) for those with one risk factors to 4.36 (95% CI, 2.47-7.70) for those with five risk factors. Antidepressant medication was used by 5% with striking differences between those with and without history of CVD (15.4% and 4.6%, respectively) and between insured (8.2%) and uninsured (1.8%). Conclusions Among US Hispanics/Latinos, high depression and anxiety symptoms varied nearly twofold by Hispanic background and sex, history of CVD, and increasing number of CVD risk factors. Antidepressant medication use was lower than in the general population, suggesting under treatment especially among those who had no health insurance.

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  1. [1]Wassertheil-Smoller S Shumaker S Ockene J Talavera GA Greenland P Cochrane B Robbins J Aragaki A Dunbar-Jacob J Depression and cardiovascular sequelae in postmenopausal women. The women’s health initiative (whi) Archives of internal medicine 2004 164 289 298 14769624
  2. [2]Wassertheil-Smoller S Applegate WB Berge K Chang CJ Davis BR Grimm R Jr Kostis J Pressel S Schron E Change in depression as a precursor of cardiovascular events. Shep cooperative research group (systoloc hypertension in the elderly) Archives of internal medicine 1996 156 553 561 8604962
  3. [3]Salaycik KJ Kelly-Hayes M Beiser A Nguyen AH Brady SM Kase CS Wolf PA Depressive symptoms and risk of stroke: The framingham study Stroke; a journal of cerebral circulation 2007 38 16 21 17138952
  4. [4]Roest AM Martens EJ de Jonge P Denollet J Anxiety and risk of incident coronary heart disease: A meta-analysis Journal of the American College of Cardiology 2010 56 38 46 20620715
  5. [5]Thombs BD Bass EB Ford DE Stewart KJ Tsilidis KK Patel U Fauerbach JA Bush DE Ziegelstein RC Prevalence of depression in survivors of acute myocardial infarction Journal of general internal medicine 2006 21 30 38 16423120 PMC1484630
  6. [6]Poynter B Shuman M Diaz-Granados N Kapral M Grace SL Stewart DE Sex differences in the prevalence of post-stroke depression: A systematic review Psychosomatics 2009 50 563 569 19996226
  7. [8]Lavange LM Kalsbeek WD Sorlie PD Aviles-Santa LM Kaplan RC Barnhart J Liu K Giachello A Lee DJ Ryan J Criqui MH Elder JP Sample design and cohort selection in the hispanic community health study/study of latinos Annals of epidemiology 2010 20 642 649 20609344 PMC2921622
  8. [9]Sorlie PD Aviles-Santa LM Wassertheil-Smoller S Kaplan RC Daviglus ML Giachello AL Schneiderman N Raij L Talavera G Allison M Lavange L Chambless LE Heiss G Design and implementation of the hispanic community health study/study of latinos Annals of epidemiology 2010 20 629 641 20609343 PMC2904957
  9. [12]Garcia M Marks G Depressive symptomatology among mexican-american adults: An examination with the ces-d scale Psychiatry research 1989 27 137 148 2710862
  10. [13]Vera M Alegria M Freeman D Robles RR Rios R Rios CF Depressive symptoms among puerto ricans: Island poor compared with residents of the new york city area American journal of epidemiology 1991 134 502 510 1897506
  11. [14]Li Y Mirzaei F O’Reilly EJ Winkelman J Malhotra A Okereke OI Ascherio A Gao X Prospective study of restless legs syndrome and risk of depression in women American journal of epidemiology 2012 176 279 288 22805376 PMC3491969
  12. [15]Alegría M Canino G Shrout P Woo M Duan N Vila D Torres M Chen C-n Meng X-L Prevalence of mental illness in immigrant and non-immigrant US Latino groups American Journal of Psychiatry 2008 165 359 369 18245178 PMC2712949
  13. [16]Gonzalez HM Tarraf W Whitfield KE Vega WA The epidemiology of major depression and ethnicity in the united states Journal of psychiatric research 2010 44 1043 1051 20537350 PMC2963677
  14. [17]Cook B Alegria M Lin JY Guo J Pathways and correlates connecting latinos’ mental health with exposure to the united states American journal of public health 2009 99 2247 2254 19834004 PMC2775773
  15. [18]Martens EJ de Jonge P Na B Cohen BE Lett H Whooley MA Scared to death? Generalized anxiety disorder and cardiovascular events in patients with stable coronary heart disease:The heart and soul study Archives of general psychiatry 2010 67 750 758 20603456
  16. [19]Rutledge T Linke SE Johnson BD Bittner V Krantz DS Cornell CE Vaccarino V Pepine CJ Handberg EM Eteiba W Shaw LJ Parashar S Eastwood JA Vido DA Merz CN Relationships between cardiovascular disease risk factors and depressive symptoms as predictors of cardiovascular disease events in women Journal of women’s health 2012 21 133 139 PMC3270054 21988550
  17. [20]Rutledge T Linke SE Krantz DS Johnson BD Bittner V Eastwood JA Eteiba W Pepine CJ Vaccarino V Francis J Vido DA Merz CN Comorbid depression and anxiety symptoms as predictors of cardiovascular events: Results from the nhlbi-sponsored women’s ischemia syndrome evaluation (wise) study Psychosomatic medicine 2009 71 958 964 19834049 PMC2783707
  18. [21]Van der Kooy K van Hout H Marwijk H Marten H Stehouwer C Beekman A Depression and the risk for cardiovascular diseases: Systematic review and meta analysis International journal of geriatric psychiatry 2007 22 613 626 17236251
  19. [23]Pratt LA Brody DJ Gu Q Antidepressant use in persons aged 12 and over: United states, 2005–2008 NCHS data brief 2011 1 8 22617183
  20. [24]Gonzalez HM Vega WA Williams DR Tarraf W West BT Neighbors HW Depression care in the united states: Too little for too few Archives of general psychiatry 2010 67 37 46 20048221 PMC2887749
  21. [25]Daviglus ML Talavera GA Aviles-Santa ML Allison M Cai J Criqui MH Gellman M Giachello AL Gouskova N Kaplan RC LaVange L Penedo F Perreira K Pirzada A Schneiderman N Wassertheil-Smoller S Sorlie PD Stamler J Prevalence of major cardiovascular risk factors and cardiovascular diseases among hispanic/latino individuals of diverse backgrounds in the united states JAMA: the journal of the American Medical Association 2012 308 1775 1784 PMC3777250 23117778
  22. [26]Potochnick SR Perreira KM Depression and anxiety among first-generation immigrant latino youth: Key correlates and implications for future research The Journal of nervous and mental disease 2010 198 470 477 20611049 PMC3139460
  23. [27]Ornelas IJ Perreira KM The role of migration in the development of depressive symptoms among latino immigrant parents in the USA Social science & medicine 2011 73 1169 1177 21908089 PMC3185160
  24. [28]Perreira KM Ornelas IJ The physical and psychological well-being of immigrant children The Future of children/Center for the Future of Children, the David and Lucile Packard Foundation 2011 21 195 218 PMC11980425 21465861

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Authors
Wassertheil-Smoller, S., Arredondo, E. M., Cai, J., Castaneda, S. F., Choca, J. P., Gallo, L. C., Jung, M., LaVange, L. M., Lee-Rey, E. T., Mosley, T., Penedo, F. J., Santistaban, D. A., & Zee, P. C.
Affiliations
  • Albert Einstein College of Medicine (US)
  • San Diego State University (US)
  • University of North Carolina at Chapel Hill (US)
  • University of Mississippi Medical Center (US)
  • Northwestern University (US)
  • University of Miami (US)
Corresponding author
Wassertheil-Smoller, Sylvia
ORCID
Venue
Annals of Epidemiology
Publisher
Elsevier BV
Published
2014-11
Volume
24
Issue
11
Pages
822-830
ISSN
1047-2797 (ISSN-L)
DOI
10.1016/j.annepidem.2014.09.003
PMC
PMC4281495
OpenAlex
W2014729593
Cited by
189
References
4
Citations by year
2026: 8 · 2025: 12 · 2024: 11 · 2023: 23 · 2022: 17 · 2021: 18 · 2020: 17 · 2019: 19 · 2018: 20 · 2017: 21 · 2016: 18 · 2015: 4
FWCI
19.60
Type
journal article
Language
en
Open access
Licence
Locations
  • Annals of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • UNC Libraries
Funders
  • National Heart, Lung, and Blood Institute
  • National Institute on Minority Health and Health Disparities
  • National Institute on Deafness and Other Communication Disorders
  • National Institute of Dental and Craniofacial Research
  • National Institute of Diabetes and Digestive and Kidney Diseases
  • National Institute of Neurological Disorders and Stroke
  • NIH Institution-Office of Dietary Supplements
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
depression, anxiety, antidepressant use, cardiovascular disease, Hispanic/Latino populations, ethnicity, Mexican Americans, Puerto Ricans, cardiovascular risk factors, undertreatment, health insurance, sex differences, Hispanic Community Health Study/Study of Latinos
MeSH terms
Adolescent, Adult, Aged, Antidepressive Agents, Anxiety, Cardiovascular Diseases, Cross-Sectional Studies, Depression, Drug Utilization, Female, Hispanic or Latino, Humans, Male, Middle Aged, Risk Factors, United States, Prevalence, Sex Distribution, Emigrants and Immigrants, Young Adult

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