Rural residence and depressive symptoms among elderly Hispanics

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Title: Rural residence and depressive symptoms among elderly Hispanics
Author: Parhizgar, Robert R
Abstract: This study examines the relationship of depressive symptoms , using the Center for Epidemiologic Studies Scale (CES -D ) , and general mental health status using the MCS -12 . The relationship between individual's depressive symptoms , using CES -D and general mental health status , using the Mental Component Summary (MCS -12 ) of the SF -I2 with environmental , predisposing , enabling , and need factors were examined . The focus of the study was on 566 elderly Hispanics living in west Texas . The data source for the study was collected through the Texas Tech 5000 Survey , a telephonic survey of approximately 5 ,000 elderly residing in 107 counties of west Texas . Two hypotheses were tested . Hypothesis 1 stated that individuals living along the border have lower (worse ) MCS -12 scores and higher (worse ) CES -D scores than individuals living in the interior . Hypothesis 2 stated that individuals living in rural areas have lower (worse ) MCS -12 scores and higher (worse ) CES -D scores than individuals living in urban areas . Andersen's Behavioral Model was used to identify the factors associated with depressive symptoms and general mental health status . The independent variables were classified as environmental , predisposing , enabling , or need factors . The study used the Area Resource File to provide the environmental factors in order to understand the characteristics of the population associated with having more depressive symptoms and /or worse mental health status . The findings indicated that there were no major differences in depressive symptoms or MCS -12 scores among rural or urban residents as well as those living along the border . However , individuals that needed assistance with ADLs and lADLs had more depressive symptoms and had worse general mental health status than their counterparts . Individuals that were more religious had fewer depressive symptoms and better mental health status . There is a need for future research to focus on what are the main components that are associated with these factors and the onset of depressive symptoms .
URI: http : / /hdl .handle .net /2346 /13835
Date: 2003-08

Citation

Rural residence and depressive symptoms among elderly Hispanics. Master's thesis, Texas Tech University. Available electronically from http : / /hdl .handle .net /2346 /13835 .

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