title: Stress, Coping Strategies, and Depression--Uninsured Primary Care Patients.
abstract: OBJECTIVE
  People of low socio-economic status (SES) are particularly at risk for developing stress-related conditions. The purpose of this study is to examine depression, stress, and coping strategies among uninsured primary care patients who live below the 150th percentile of the federal poverty level. Specifically, this study compares the experiences of impoverished US-born English speakers, non-US-born English speakers, and Spanish speakers.
  
  
  METHODS
  Uninsured primary care patients utilizing a free clinic (N = 491) completed a self-administered survey using standardized measures of depression, perceived stress, and coping strategies in the spring of 2015.
  
  
  RESULTS
  US-born English speakers reported higher levels of depression and perceived stress compared to non-US-born English speakers and Spanish speakers. US-born English speakers are more likely to use negative coping strategies than non-US-born English speakers and Spanish speakers. Perceived stress and negative coping strategies are significant predictors of depression.
  
  
  CONCLUSIONS
  US-born English speakers, non-US-born English speakers, and Spanish speakers reported different coping strategies, and therefore, may have different needs for addressing depression. In particular, US-born English speakers need interventions for reducing substance use and negative psychological coping strategies.
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, UT, USA. akiko.kamimura@utah.edu.
authors.forename: Akiko
authors.initials: A
authors.lastname: Kamimura
authors.affiliation: Maliheh Free Clinic, Salt Lake City, UT, USA.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Ashby
authors.affiliation: Maliheh Free Clinic, Salt Lake City, UT, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Jess
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, UT, USA.
authors.forename: Alla
authors.initials: A
authors.lastname: Chernenko
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, UT, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tabler
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, UT, USA.
authors.forename: Ha Ngoc
authors.initials: HN
authors.lastname: Trinh
authors.affiliation: School of Medicine, University of Utah, Salt Lake City, UT, USA.
authors.forename: Maziar M
authors.initials: MM
authors.lastname: Nourian
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, UT, USA.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Aguilera
authors.affiliation: College of Health and Human Services, University of North Carolina at Wilmington, Wilmington, NC, USA.
authors.forename: Justine J
authors.initials: JJ
authors.lastname: Reel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003863:Depression / Q000208:ethnology / Q000523:psychology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D017057:Medically Uninsured / Q000208:ethnology / Q000523:psychology*; D008875:Middle Aged; D011203:Poverty / Q000523:psychology; D011320:Primary Health Care; D012923:Social Class; D013315:Stress, Psychological / Q000208:ethnology / Q000523:psychology*; D014481:United States / Q000208:ethnology; D055815:Young Adult