Sensitivity and Specificity in Three Measures of Depression Among Mexican American Women

Valencia‐Garcia, Dellanira; Bi, Xiaoyu; Ayón, Cecilia

doi:10.1007/s10903-016-0512-1

Cited by 5 publications

(2 citation statements)

References 63 publications

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“…The following measures were used for screening patients: body mass index (BMI), blood pressure, glycated hemoglobin (HbA1c), total cholesterol, LDL-cholesterol, triglycerides, high density lipoprotein (HDL), and Patient Health Questionnaire-9 (PHQ-9) scores (13–15). Health related Quality of Life (HrQOL) was measured using the Duke Health Profile (Cronbach's alpha 0.55 to 0.78), a tool used in multiple populations (16–21).…”

Section: Methodsmentioning

confidence: 99%

UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas

Manusov

Diego

Smith

et al. 2019

Front. Public Health

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Background: We describe a mobile unit ( UniMóvil ) designed to improve poor healthcare access delivery to residents in two South Texas underserved Colonias. The interprofessional team measured seven clinical outcomes [obesity, diabetes, hypertension, hypertriglyceridemia, low high-density lipoprotein cholesterol (HDL-C) levels, and depression], and using the Duke Health Profile, assessed the health-related quality of life (HrQoL). Methods: The investigators used previously reported disease prevalence, an implementation model, and community needs-assessments to design an outreach healthcare delivery model. A retrospective review of the cohort provides data used to determine potential predictors of clinical variables, 11 domains of HrQOL, and inter/intra Colonia differences. Results: The average age of patients was 45 years-old and females represented 67% of the population served. Results include a high prevalence of obesity (55.5%), hypertension (39%), diabetes (32.5%), and depression (19%), gender differences, and inter-Colonia differences. A generalized linear mixed model analysis provided associations between clinical outcomes and predictors (age, sex, BMI, PHQ-9 score, HbA1c, blood pressure, serum cholesterol, low HDL, triglycerides, and HrQOL domains). The HrQol domain of low self-perceived health, relates to obesity, diabetes, low HDL, and depression. Depression predicted all 11 domains of the HrQol. Conclusion: The prevalence of diabetes, hypertension, obesity, and depression remains epidemic. Mobile clinics increase access and address highly prevalent illnesses in the Colonias. The data collected can be used to address chronic disease and quality of life, focus care, and direct research in high-need underserved areas.

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Section: Methodsmentioning

confidence: 99%

UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas

Manusov

Diego

Smith

et al. 2019

Front. Public Health

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“…We used the Kessler Psychological Distress Scale (20), a 10-item questionnaire designed to provide a global measure of distress based on questions about anxiety and depressive symptoms. It uses a Likert Scale and provides an assessment of psychosocial distress: "low" (10)(11)(12)(13)(14)(15), "moderate" (16)(17)(18)(19)(20)(21), "high" (22)(23)(24)(25)(26)(27)(28)(29) and "very high" (≥30) (28,29).…”

Section: Psychological Distressmentioning

confidence: 99%

A Window Into Mental Health: Developing and Pilot-Testing a Mental Health Promotion Intervention for Mexican Immigrants Through the Ventanilla de Salud Program

Rodríguez

Vázquez

Serrano

et al. 2022

Front. Public Health

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BackgroundMexican immigrants in the United States face mental health challenges, disparities, and limited access to healthcare; however, mental health promotion efforts specifically targeting this population have been insufficient. The objective of this study was to develop and test a mental health promotion intervention based on protective mental health factors and coping strategies for Mexican immigrants recruited through a free, consulate-based program in Atlanta.Material and MethodsWorking with the Ventanilla de Salud program, we conducted a longitudinal study in three phases: formative research and design, pre-intervention assessment and post-implementation evaluation. The intervention was designed based on the health promotion model and interviews with stakeholders. Qualitative information was collected by semi-structured interviews with participants before and after the intervention. Quantitative outcomes were knowledge about protective factors and coping mechanisms, and psychosocial distress. Differences were assessed using the Wilcoxon non-parametrical test. Intent-to-treat analysis was conducted with all participants who signed the informed consent (carrying last observation forward), and a complete case analysis was conducted with those who attended at least 70% of the sessions and completed the post- implementation evaluation.ResultsTwenty-five participants were enrolled in the intervention. Mean age was 38 years, and the majority were women. Only nine participants attended at least 70% of the sessions and completed the final evaluation. Men, those who did not complete high school, and workers in service or construction jobs were more likely to drop out. Knowledge about protective factors [pre- vs. post-intervention median (inter-quartile range) = 111 (100, 120) vs. 115 (100, 124)] and coping mechanisms [96 (85, 104) vs. 99 (90, 110)], as well as psychosocial distress [3 (2, 3) vs. 2 (2, 3)] improved after the intervention in both intent-to treat and complete case analyses (p < 0.05). Qualitative results also support improvements in targeted protective factors.DiscussionThe intervention was successful in improving psychological distress among Mexican immigrants. These results support the implementation of evidence-based mental health promotion interventions among Mexican immigrants via free and familiar programs. A limitation was the high attrition; future studies should explore approaches to improve retention in this population.

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Impact of Supplemental Income on Major Depressive Episodes of Older Adults in Mexico

Armenta

Aguila

Ortega³

et al. 2021

Understanding the Context of Cognitive Aging

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Sensitivity and Specificity in Three Measures of Depression Among Mexican American Women

Cited by 5 publications

References 63 publications

UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas

UniMóvil: A Mobile Health Clinic Providing Primary Care to the Colonias of the Rio Grande Valley, South Texas

A Window Into Mental Health: Developing and Pilot-Testing a Mental Health Promotion Intervention for Mexican Immigrants Through the Ventanilla de Salud Program

Impact of Supplemental Income on Major Depressive Episodes of Older Adults in Mexico

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