TY - JOUR
T1 - Pathways between acculturation and health
T2 - Does the measure matter?
AU - Miranda, Patricia Y.
AU - González, Hector M.
AU - Tarraf, Wassim
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Kellogg Health Scholars Program under a grant from the W. K. Kellogg Foundation to the Center for Advancing Health [P0117943 to P.M.]; and the National Institute of Mental Health [Grant Nos. MH67726, MH 84994 to H. G.].
PY - 2011/11
Y1 - 2011/11
N2 - The purpose of this study was to assess the association between acculturation and functional health using multiple proxies of acculturation to examine explanatory pathways to clarify disparate health findings. A population-based cross-sectional, multistage probability sample from the Hispanic Established Populations for the Epidemiologic Studies of the Elderly (N = 3,050) was used. The dependent variables of neuropsychiatric function were depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) and cognitive function (mini-mental state examination [MMSE]) examined in separate multivariable regression and structural equation models to examine the pathways between acculturation proxies and neuropsychiatric function. Findings indicated that three acculturation proxies were associated with cognitive function but none were associated with depressive symptoms. English proficiency fully mediated the associations between other acculturation proxies and cognitive function. The findings suggest that language plays a central role in the pathway between acculturation and health among Mexican-origin populations.
AB - The purpose of this study was to assess the association between acculturation and functional health using multiple proxies of acculturation to examine explanatory pathways to clarify disparate health findings. A population-based cross-sectional, multistage probability sample from the Hispanic Established Populations for the Epidemiologic Studies of the Elderly (N = 3,050) was used. The dependent variables of neuropsychiatric function were depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) and cognitive function (mini-mental state examination [MMSE]) examined in separate multivariable regression and structural equation models to examine the pathways between acculturation proxies and neuropsychiatric function. Findings indicated that three acculturation proxies were associated with cognitive function but none were associated with depressive symptoms. English proficiency fully mediated the associations between other acculturation proxies and cognitive function. The findings suggest that language plays a central role in the pathway between acculturation and health among Mexican-origin populations.
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U2 - 10.1177/0739986311423901
DO - 10.1177/0739986311423901
M3 - Article
AN - SCOPUS:80855156401
SN - 0739-9863
VL - 33
SP - 524
EP - 539
JO - Hispanic Journal of Behavioral Sciences
JF - Hispanic Journal of Behavioral Sciences
IS - 4
ER -