RESUMO
OBJECTIVE: To estimate the prevalence of current depression; examine the relationship between current depression and immigration, health status, health care access, and health behaviors; and assess differences by California-Mexico border region (Imperial and San Diego Counties) among women in California. METHODS: Using a cross-sectional, representative sample of adult women from the California Women's Health Survey (n = 13 454), a statewide telephone survey, prevalence of current depression and predictors of depression were examined in California and according to border region residence. Depression was assessed with the eight-item Patient Health Questionnaire. RESULTS: The prevalence of current depression for women in California was 12.0%. It was similar in the border (13.0%) and the nonborder (11.9%) regions. Odds of current depression in women were lower among recent immigrants (< 5 years or 5 to < 10 years in the United States) than in women born in the United States and in immigrants who had been living in the United States for 10 to < 15 years or longer (P < 0.05). Odds ratios for current depression and health status, health care access, and binge drinking were larger in the border region than outside the border region. CONCLUSIONS: Similar prevalences of current depression were observed among those who live in the border region of California and in those who do not, but the relationship between depression and health status, health care access, and binge drinking varied by border region residence. Ideally, future surveillance of depression and its predictors along the Mexico-California border will be conducted binationally to inform interventions and tracking such as the Healthy Border Program's objectives.
Assuntos
Depressão/epidemiologia , Internacionalidade , Características de Residência , Saúde da Mulher , Adolescente , California/epidemiologia , Estudos Transversais , Depressão/psicologia , Emigração e Imigração , Feminino , Nível de Saúde , Humanos , México/epidemiologia , Razão de Chances , Vigilância da População , Prevalência , Psicometria , Medição de Risco , Inquéritos e Questionários , Serviços de Saúde da Mulher , Adulto JovemRESUMO
Objective. To estimate the prevalence of current depression; examine the relationshipbetween current depression and immigration, health status, health care access, and healthbehaviors; and assess differences by CaliforniaMexico border region (Imperial and San DiegoCounties) among women in California.Methods. Using a cross-sectional, representative sample of adult women from the CaliforniaWomens Health Survey (n = 13 454), a statewide telephone survey, prevalence of currentdepression and predictors of depression were examined in California and according to borderregion residence. Depression was assessed with the eight-item Patient Health Questionnaire.Results. The prevalence of current depression for women in California was 12.0%. It wassimilar in the border (13.0%) and the nonborder (11.9%) regions. Odds of current depressionin women were lower among recent immigrants (< 5 years or 5 to < 10 years in the UnitedStates) than in women born in the United States and in immigrants who had been living inthe United States for 10 to < 15 years or longer (P < 0.05). Odds ratios for current depressionand health status, health care access, and binge drinking were larger in the border region thanoutside the border region.Conclusions. Similar prevalences of current depression were observed among those wholive in the border region of California and in those who do not, but the relationship betweendepression and health status, health care access, and binge drinking varied by border regionresidence. Ideally, future surveillance of depression and its predictors along the MexicoCalifornia border will be conducted binationally to inform interventions and tracking such asthe Healthy Border Programs objectives.