title: Trajectories of Depressive Symptoms in Elderly Mexican Americans.
abstract: OBJECTIVE
  To identify depressive symptom trajectories and factors associated with trajectory group membership in the very old segment of the rapidly growing and long-living Mexican-American population.
  
  
  METHODS
  Latent growth curve modeling was used to identify depressive symptom trajectories and multinomial logistic regression to identify factors associated with trajectory group membership.
  
  
  METHODS
  Data spanning three waves and 7 years (2004-05, 2007-08, 2010-11) drawn from the Hispanic Established Populations for Epidemiologic Studies of the Elderly; homes of Mexican-origin elderly adults.
  
  
  METHODS
  Community-dwelling Mexican Americans aged 75 and older living in the southwestern United States (N = 1,487).
  
  
  METHODS
  The 20-item version of the Center for Epidemiologic Studies Depression Scale.
  
  
  RESULTS
  Three trajectory groups were identified: low throughout, increasing, and high but decreasing. Activity of daily living disability was the strongest predictor of depressive symptoms, followed by social support. Foreign-born individuals were at greater risk than those who are U.S. born for high but decreasing depressive symptoms than for low depressive symptoms.
  
  
  CONCLUSIONS
  Early detection and treatment of chronic disabling conditions, especially heart disease, cancer, visual impairment, and cognitive impairment, and increasing access to social participation should be the focus of treatment and intervention strategies for depression in very old Mexican Americans.
authors.affiliation: Kent School of Social Work, University of Louisville, Louisville, Kentucky.
authors.forename: Sunshine
authors.initials: S
authors.lastname: Rote
authors.affiliation: Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas.
authors.forename: Nai-Wei
authors.initials: NW
authors.lastname: Chen
authors.affiliation: Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas.
authors.forename: Kyriakos
authors.initials: K
authors.lastname: Markides
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D017058:Mexican Americans / Q000523:psychology*; D015206:Southwestern United States / Q000453:epidemiology
keywords: Mexican Americans; depressive symptoms; mental health