title: Promotoras across the border: a pilot study addressing depression in Mexican women impacted by migration.
abstract: The migration of working-aged men from Mexico to the United States fractures the family-centered support structures typical of Latin America and contributes to high levels of depression in women left behind in migratory sending communities in Mexico. Mujeres en Solidaridad Apoyandose (MESA) was developed to improve depression in women through social support in a resource poor setting. MESA is a promotora intervention that trains women in the community to lead social support groups over a five-week period. The MESA curriculum uses a combination of cognitive behavioral theory techniques, psychoeducation, and social support activities aimed at alleviating or preventing depression in women. Results from this pilot efficacy study (n = 39) show that depressed participants at baseline experienced declines in depression as measured by the Center for Epidemiologic Studies Depression Scale at follow-up. Other findings demonstrate the complexity behind addressing social support and depression for women impacted by migration in different ways.
authors: Department of Sociology, University of North Carolina at Chapel Hill, CB# 3210, 155 Hamilton Hall, Chapel Hill, NC, 27599-3210, USA, edelblut@live.unc.edu.
authors: Heather B
authors: HB
authors: Edelblute
authors: Sandra
authors: S
authors: Clark
authors: Lilli
authors: L
authors: Mann
authors: Kathryn M
authors: KM
authors: McKenney
authors: Jason J
authors: JJ
authors: Bischof
authors: Christine
authors: C
authors: Kistler
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D015994:Incidence; D008297:Male; D017058:Mexican Americans / Q000523:psychology* / Q000706:statistics & numerical data; D008800:Mexico; D008875:Middle Aged; D015999:Multivariate Analysis; D010865:Pilot Projects; D012044:Regression Analysis; D018570:Risk Assessment; D012720:Severity of Illness Index; D014481:United States; D016387:Women's Health / Q000208:ethnology*; D055815:Young Adult