title: Stressors and coping mechanisms associated with perceived stress in Latinos.
abstract: OBJECTIVE
  To evaluate the relationship between causes of perceived stress and the coping mechanisms used by Latino adults with perceived stress.
  
  
  METHODS
  This cross-sectional survey was conducted on a convenience sample of 200 Latino adults (aged ≥18 years). They were recruited from clinics, migrant camps, community events, and churches located in Charleston, S.C. This survey included questions regarding causes of perceived stress, perceived stress (Perceived Stress Scale 10), coping mechanisms (Brief COPE), and depression (Perceived Health Questionnaire 9).
  
  
  METHODS
  High perceived stress (PSS ≥15) was the primary outcome measure. Coping mechanisms and stressors were secondary outcomes.
  
  
  RESULTS
  Most (92%) of the sample was born outside the United States, and 66% reported high perceived stress. Stressors associated with high perceived stress included discrimination (P=.0010), lack of insurance (P=.0193), health problems (P=.0058), and lack of money (P=.0015). The most frequently utilized coping mechanisms were self-distraction (54.77%), active coping (69.85%), positive reframing (56.78%), planning (63.82%), acceptance (57.87%), and religion (57.79%). Latinos with higher perceived stress were more likely to report discrimination (OR: 3.401; 95%CI 1.285-9.004) and health problems (OR: 2.782; 95%CI 1.088-7.111) as stressors, and to use denial as a coping mechanism (OR: 2.904; 95%CI 1.280-6.589).
  
  
  CONCLUSIONS
  An increased prevalence of perceived stress among the Latinos evaluated in this study was associated with using denial as a coping mechanism, and encountering discrimination and health problems as sources of perceived stress. Most individuals responded to stressors by utilizing a variety of both adaptive and maladaptive coping mechanisms.
authors: Sasha M
authors: SM
authors: Perez
authors: Jennifer K
authors: JK
authors: Gavin
authors: Vanessa A
authors: VA
authors: Diaz
mesh_terms: D000223:Adaptation, Psychological; D003710:Demography; D003863:Depression / Q000208:ethnology* / Q000523:psychology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D013022:South Carolina; D013315:Stress, Psychological / Q000208:ethnology* / Q000523:psychology*; D011795:Surveys and Questionnaires