Résumé :
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[BDSP. Notice produite par INIST e1c6qR0x. Diffusion soumise à autorisation]. Literature on depression in rural and Hispanic elderly adults is sparse. This report describes the prevalence of depressive symptoms in 1,151 community-dwelling, Hispanic and non-Hispanic White participants in the San Luis Valley Health and Aging Study, conducted in rural Colorado during 1993-1995. The prevalence and odds ratios of high depressive symptoms, defined as a Center for Epidemiologic Studies Depression Scale score of >=16, were calculated. The crude prevalence of high depressive symptoms was 11.4% (95% confidence interval : 9.6,13.6). Female gender, chronic diseases, dissatisfaction with social support, living alone, and lower income and education were associated with depressive symptoms. There were no ethnic differences in the men. The age-adjusted odds ratio of depressive symptoms in Hispanic women compared with that of non-Hispanic White women was 2.11 (95% confidence interval : 1.32,3.38). After adjustment for multiple sociodemographic and health risk factors, the odds ratio in Hispanic women was 2.12 (95% confidence interval : 1.19,3.80). Higher depressive symptoms in Hispanic women varied by acculturation level. The odds ratio in the high acculturation stratum was 1.56 (95% confidence interval : 0.75,3.27) and in the low acculturation stratum was 2.51 (95% confidence interval : 1.11,5.70). A lower acculturation level may increase the risk for depression in older Hispanic women.
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