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Int. J. Environ. Res. Public Health 2017, 14(8), 869; doi:10.3390/ijerph14080869

Depressive Symptoms and Length of U.S. Residency Are Associated with Obesity among Low-Income Latina Mothers: A Cross-Sectional Analysis

1
Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USA
2
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
3
Health Studies and Department of Kinesiology, University of Rhode Island, Kingston, RI 02881, USA
4
Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20057, USA
5
Hunt Consultants Associates; Chapel Hill, NC 27517 USA
*
Author to whom correspondence should be addressed.
Received: 17 May 2017 / Revised: 24 July 2017 / Accepted: 27 July 2017 / Published: 2 August 2017
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [346 KB, uploaded 2 August 2017]

Abstract

Latinos are the largest minority population group in the United States (U.S.), and low-income Latina women are at elevated risk of depression and obesity. Thus, the prevention of these two problems is a pressing public health concern in this population. Both depressive symptoms and obesity are modifiable factors that can be addressed by culturally relevant interventions. However, the association between depressive symptoms and obesity in Latina immigrant women is not well understood. Therefore, this cross-sectional study examined the association between depressive symptoms and obesity among Latina women of childbearing age (15–44). Participants (n = 147) were low-income, predominantly immigrant Latina mothers enrolled in the Latina Mothers′ Child Feeding Practices and Style Study. Women were eligible to participate if they self-identified as Latina; were enrolled in or eligible for the Special Supplemental Nutrition Program for Women, Infants and Children program; had a child between ages two and five years; and were living in the U.S. for at least one year, and residing in Rhode Island. Enrolled participants completed a survey in their language of preference (English or Spanish) administered by bilingual interviewers. About one-third (34%) of participants were classified as having obesity (BMI ≥ 30 kg/m2), 28.3% had elevated depressive symptoms (CES-D ≥ 16), and 70.1% were immigrants. Women with elevated depressive symptoms had increased odds of having obesity (odds ratio (OR) = 2.80, 95% confidence interval (CI): 1.24–6.33). Additionally, among immigrants, length of U.S. residency was associated with increased odds of obesity (OR = 1.05, 95% CI: 1.02–1.09). Findings underscore the need for screening and culturally relevant interventions designed to address both depressive symptoms and obesity among low-income Latina women of childbearing age. Furthermore, findings highlight the importance of taking into account the length of residency in the U.S. when designing interventions targeting Latina immigrants. View Full-Text
Keywords: depression; obesity; Latina; mothers; immigrant; low-income; United States; maternal health depression; obesity; Latina; mothers; immigrant; low-income; United States; maternal health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Lindsay, A.C.; Greaney, M.L.; Wallington, S.F.; Wright, J.A.; Hunt, A.T. Depressive Symptoms and Length of U.S. Residency Are Associated with Obesity among Low-Income Latina Mothers: A Cross-Sectional Analysis. Int. J. Environ. Res. Public Health 2017, 14, 869.

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