Ethnic Differences in Trajectories of Depressive Symptoms: Disadvantage in Family Background, High School Experiences, and Adult Characteristics

Author:

Walsemann Katrina M.1,Gee Gilbert C.2,Geronimus Arline T.3

Affiliation:

1. Katrina M. Walsemann is an assistant professor at the University of South Carolina, Department of Health Promotion, Education, and Behavior. Her research focuses on the role of early life experiences on health and well-being over the life course. In particular, she is interested in understanding how institutions contribute to cumulative advantages and disadvantages in health, particularly among black and Hispanic populations.

2. Gilbert C. Gee is an associate professor at the University of California, Los Angeles, Department of Community Health Sciences. His research focuses on the social determinants of health disparities, and in particular on racial discrimination and stressors at multiple levels.

3. Arline T. Geronimus is a professor at the University of Michigan, Department of Health Behavior and Health Education, and a research professor at the Population Studies Center. Her research focuses on the effects of poverty, institutionalized discrimination, and aspects of residential areas on health.

Abstract

Although research investigating ethnic differences in mental health has increased in recent years, we know relatively little about how mental health trajectories vary across ethnic groups. Do these differences occur at certain ages but not others? We investigate ethnic variation in trajectories of depressive symptoms, and we examine the extent to which disadvantages in family background, high school experiences, and adult characteristics explain these differences. Employing random-coefficient modeling using the National Longitudinal Survey of Youth, we find that blacks and Hispanics experience higher symptom levels in early adulthood in comparison to whites, but equivalent levels by middle age. Ethnic differences remained in early adulthood after including all covariates, but those differences were eliminated by middle age for Hispanics after controlling for demographics only, and for blacks after accounting for the age-varying relationship between income and depressive symptoms. These results highlight the importance of integrating a life course perspective when investigating ethnic variations in mental health.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Social Psychology

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