Symptoms of @entity308 and XXXX among Hispanics with @entity309 .

@entity1 @entity308 @entity458 @entity158 @entity85 @entity309
OBJECTIVE: To explore the roles played by Hispanic ethnic background and acculturation to the mainstream English language culture of the United States in the @entity308 and mental health of @entity309 ( @entity309 ) @entity1 . METHODS: Members of a consecutive cohort of @entity1 with @entity309 were studied cross-sectionally. All underwent a comprehensive clinical and psychosocial evaluation. @entity308 were measured with the Center for Epidemiologic Studies Depression Scale (CES-D), and @entity458 was measured with the Medical Outcomes Study Short Form 36 (SF-36) mental health scale. RESULTS: Two hundred thirty-six @entity1 were studied. @entity1 had significantly higher median CES-D scores than @entity1 (19 versus 14, P = 0.0004), Hispanics scored higher than non-Hispanics (14 versus 8, P = 0.0002), and foreign-born scored higher than US-born @entity1 (14 versus 10, P = 0.009). Compared with those who were fully acculturated, @entity1 who were partially acculturated were more likely to have a score > or = 16 on the @entity309 -adjusted CES-D (odds ratio [OR] = 1.79, 95% confidence interval [95% CI] 1.37 to 2.35, P < or = 0.001). Among unacculturated @entity1 , the likelihood of a score > or = 16 increased 6-fold (OR = 6.68; 95% CI 3.50 to 12.72; P < or = 0.001). A similar, inverse pattern was observed for the SF-36 mental health scale. In multivariate models accounting for age, sex, education, income, @entity158 , @entity85 , and the level of disability, low acculturation was independently associated with high @entity308 , and a Hispanic background was independently associated with lower SF-36 mental health. CONCLUSIONS: In this consecutive series of @entity309 @entity1 , Hispanics, particularly those who are not fully acculturated to the mainstream Anglo society, had more @entity308 and @entity458 than did non-Hispanics.
