title: Ethnic and gender variations in the associations between family cohesion, family conflict, and depression in older Asian and Latino adults.
abstract: To examine the associations between family conflict, family cohesion and late-life depression in Latino and Asian populations and test if these associations vary by race/ethnicity and gender. We used a subsample of older adults from the National Latino Asian American Study (N = 395). All analyses were weighted and adjusted for individual and clinical characteristics. Greater family cohesion was associated with decrease in risk for depression in Latino and Asian older adult populations (OR: 0.68, 95% CI: 0.54, 0.84). These associations varied by gender, with men being more sensitive to family cohesion and family conflict than women. Asian older adults were more sensitive to family conflict, whereas Latino older adults were more sensitive to family cohesion. The quality of family relationships is strongly associated with late-life depression. Further research is needed to better understand the complex interplay between social support, ethnicity, and gender in latelife depression outcomes.
authors.affiliation: Department of Health and Community Systems, University of Pittsburgh School of Nursing, 415 Victoria Building, 3500 Victoria Street, Pittsburgh, PA, 15261, USA, parkm@pitt.edu.
authors.forename: Mijung
authors.initials: M
authors.lastname: Park
authors.forename: Jürgen
authors.initials: J
authors.lastname: Unützer
authors.forename: David
authors.initials: D
authors.lastname: Grembowski
mesh_terms: D000368:Aged; D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003863:Depression / Q000208:ethnology* / Q000523:psychology; D005190:Family / Q000208:ethnology* / Q000523:psychology; D054541:Family Conflict / Q000208:ethnology* / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D012737:Sex Factors