title: Depressive symptoms among Latino farmworkers across the agricultural season: Structural and situational influences.
abstract: Immigrant Latino farmworkers confront multiple challenges that threaten their mental health. Previous farmworker mental health research has relied primarily on cross-sectional study designs, leaving little opportunity to describe how farmworker mental health changes or to identify factors that may contribute to these changes. This study used prospective data obtained at monthly intervals across one 4-month agricultural season from a large sample of Latino farmworkers in North Carolina (N = 288) to document variation in depressive symptoms across the agricultural season and delineate structural and situational factors associated with mental health trajectories across time. Depressive symptoms generally followed a U-shaped distribution across the season, but there was substantial variation in this pattern. Structural stressors like marital status and situational stressors like the pace of work, crowded living conditions, and concerns about documentation predicted depressive symptoms. The pattern of results suggests that strategies to address mental health problems in this vulnerable population will require coordinated action at the individual and social level.
authors.affiliation: Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1084, USA. grzywacz@wfubmc.edu
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Grzywacz
authors.forename: Sara A
authors.initials: SA
authors.lastname: Quandt
authors.forename: Haiying
authors.initials: H
authors.lastname: Chen
authors.forename: Scott
authors.initials: S
authors.lastname: Isom
authors.forename: Lisa
authors.initials: L
authors.lastname: Kiang
authors.forename: Quirina
authors.initials: Q
authors.lastname: Vallejos
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Arcury
mesh_terms: D000223:Adaptation, Psychological; D003863:Depression / Q000208:ethnology / Q000523:psychology*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D009657:North Carolina / Q000453:epidemiology; D016272:Occupational Health; D012424:Rural Population / Q000706:statistics & numerical data; D012621:Seasons; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology* / Q000208:ethnology; D014171:Transients and Migrants / Q000523:psychology*