Allostatic Load, Unhealthy Behaviors, and Depressive Symptoms by Birthplace Among Older Adults in the Sacramento Area Latino Study on Aging (SALSA). (22nd June 2019)

• Record Type: Journal Article
• Authors: Rodriquez, Erik J.; Sabado-Liwag, Melanie; Pérez-Stable, Eliseo J.; Lee, Anne; Haan, Mary N.; Gregorich, Steven E.; Jackson, James S.; Nápoles, Anna M.
• Is Part Of: Journal of aging and health. Volume 32:Number 7/8(2020)
• Page Start: 851
• Page End: 860
• Publication Date: 2019-06-22
• Subjects: physiological stress -- allostasis -- health behavior -- depression -- Hispanic Americans; Older people -- Health and hygiene -- Periodicals; Geriatrics -- Periodicals; 618.97
• DOI: 10.1177/0898264319857995
• Languages: English
• ISSNs: 0898-2643

Abstract

Objective: To assess whether unhealthy behaviors moderated the relationship between allostatic load (AL) and future significant depressive symptoms (SDSs) among 1, 789 older Latinos.Method: Longitudinal data included baseline AL, three unhealthy behaviors (UBs), and 2-year follow-up SDS. Multivariable logistic regression analyses, stratified by birthplace (U.S. vs. foreign born), modeled the effects of AL, UB count (range = 0-3), and their interaction on follow-up SDS.Results: Compared with U.S.-born, foreign-born participants engaged in fewer UBs (0.52 vs. 0.60 behaviors, p = .01) and had higher baseline SDS (31% vs. 20%, p < .001). Among foreign-born participants, the effect of AL on future SDS (adjusted odds ratios [aORs]; 95% confidence interval [CI]) significantly increased across UB counts of 0 to 3: 1.06 [0.83, 1.35], 1.46 [1.14, 1.87], 2.00 [1.18, 3.41], and 2.75 [1.18, 6.44], respectively.Discussion: Among foreign-born Latinos, these results were most pronounced for women and adults above age 80, which may represent higher risk groups requiring more intensive screening for depression.