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Anxious-depression among Hispanic/Latinos from Different Backgrounds: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)


Camacho, Alvaro; Gonzalez, Patricia; Buelna, Christina; Emory, Kristen T.; Talavera, Gregory A.; Castaneda, Sheila F.; Espinoza, Rebeca A.; Howard, Annie Green; Perreira, Krista M.; & Isasi, Carmen R., et al. (2015). Anxious-depression among Hispanic/Latinos from Different Backgrounds: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Social Psychiatry and Psychiatric Epidemiology, 50(11), 1669-1677. PMCID: PMC4618171


BACKGROUND: Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds.
OBJECTIVE: To study the construct of anxious-depression among 16,064 Hispanic/Latinos of different backgrounds participating in the Hispanic Community Health Study/Study of Latinos. We hypothesized that Hispanic/Latinos will cluster in 3 classes: low anxiety/high depression, high anxiety/low depression and a combined anxious-depression construct. METHODS: Using latent profile analysis, symptoms of depression and anxiety measured by the 10-item Center for Epidemiologic Studies Depression Scale and 10-item State-Trait Anxiety Inventory were evaluated to determine if an anxious-depression typology would result. A multinomial logistic regression analysis explored the association of the 3-class solution with different Hispanic/Latino backgrounds controlling for age, gender, language, education and income.
RESULTS: A 3-class mixed anxious-depression structure emerged with 10 % of Hispanic/Latinos in the high, 30 % in the moderate and 60 % in the low anxious-depression category. After adjusting for age, gender, language preference, income and education, individuals of Puerto Rican background were more likely to experience high (OR = 1.79, p < 0.05) and moderate (OR = 1.36, p < 0.05) (vs. low) anxious-depression symptomatology compared to those of Mexican background. Individuals of Central American and South American background were less likely to experience high (OR = 0.68, p < 0.05) and moderate (OR = 0.8, p < 0.05) (vs. low) anxious-depression compared to those of Mexican background.
CONCLUSION: Anxious-depression symptomatology varied among this sample of Hispanic/Latino groups. These classes should be investigated as to their relationship with different health outcomes relevant to the Hispanic/Latino of different backgrounds.


Reference Type

Journal Article

Year Published


Journal Title

Social Psychiatry and Psychiatric Epidemiology


Camacho, Alvaro
Gonzalez, Patricia
Buelna, Christina
Emory, Kristen T.
Talavera, Gregory A.
Castaneda, Sheila F.
Espinoza, Rebeca A.
Howard, Annie Green
Perreira, Krista M.
Isasi, Carmen R.
Daviglus, Martha L.
Roesch, Scott C.