Promoting mental health in Latina immigrant women: Results from the Amigas Latinas Motivando el Alma intervention trial.
Anxiety
Depression
Immigrant
Intervention
Latina
Mental health
Women's health
Journal
Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205
Informations de publication
Date de publication:
03 2023
03 2023
Historique:
received:
06
07
2022
revised:
25
01
2023
accepted:
12
02
2023
pmc-release:
01
03
2024
pubmed:
23
2
2023
medline:
11
3
2023
entrez:
22
2
2023
Statut:
ppublish
Résumé
Latina immigrants are at increased risk of depression and anxiety and limited access to mental health care. This study evaluated the effectiveness of Amigas Latinas Motivando el Alma (ALMA), a community-based intervention to reduce stress and promote mental health among Latina immigrants. ALMA was evaluated using a delayed intervention comparison group study design. Latina immigrants (N = 226) were recruited from community organizations in King County, Washington from 2018 to 2021. Although originally developed to be delivered in-person, due to the COVID-19 pandemic the intervention was adapted mid-study to be delivered online. Participants completed surveys to assess changes in depression and anxiety post-intervention and at a two-month follow-up. We estimated generalized estimating equation models to assess differences in outcomes across groups, including stratified models for those receiving the intervention in-person or online. In adjusted models, participants in the intervention group had lower levels of depressive symptoms than the comparison group post-intervention (β = -1.82, p = 0.01) and at two-month follow-up (β = -1.52, p = 0.01). Anxiety scores decreased for both groups, and there were no significant differences post-intervention or at follow-up. In stratified models, participants in the online intervention group had lower levels of depressive (β = -2.50, p = 0.007) and anxiety (β = -1.86, p = 0.02) symptoms than those in the comparison group, but there were no significant differences among those that received the intervention in-person. Community-based interventions can be effective in preventing and reducing depressive symptoms among Latina immigrant women, even when delivered online. Further research should evaluate the ALMA intervention among larger more diverse Latina immigrant populations.
Identifiants
pubmed: 36809698
pii: S0277-9536(23)00133-8
doi: 10.1016/j.socscimed.2023.115776
pmc: PMC9998361
mid: NIHMS1877872
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
115776Subventions
Organisme : NICHD NIH HHS
ID : P2C HD042828
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD012230
Pays : United States
Informations de copyright
Copyright © 2023 Elsevier Ltd. All rights reserved.
Références
J Integr Complement Med. 2022 Oct;28(10):821-829
pubmed: 35723668
Soc Sci Med. 2012 Dec;75(12):2134-42
pubmed: 23021849
J Racial Ethn Health Disparities. 2023 Apr;10(2):961-976
pubmed: 35318615
J Psychosom Res. 2021 Oct;149:110588
pubmed: 34371256
Cultur Divers Ethnic Minor Psychol. 2013 Oct;19(4):373-82
pubmed: 23914748
PLoS One. 2017 Jan 10;12(1):e0168692
pubmed: 28072836
J Affect Disord. 2004 Jul;81(1):61-6
pubmed: 15183601
Matern Child Health J. 2019 Dec;23(12):1627-1647
pubmed: 31264094
Behav Res Ther. 2011 Apr;49(4):275-80
pubmed: 21333272
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
MMWR Morb Mortal Wkly Rep. 2021 Apr 02;70(13):490-494
pubmed: 33793459
Health Educ Behav. 2021 Dec;48(6):733-738
pubmed: 34672827
Fam Relat. 2016 Feb;65(1):176-190
pubmed: 27840467
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Cultur Divers Ethnic Minor Psychol. 2019 Apr;25(2):288-298
pubmed: 30372094
Glob Adv Health Med. 2021 Mar 17;10:21649561211002461
pubmed: 34497735
Am J Community Psychol. 2014 Mar;53(1-2):73-82
pubmed: 24402726
Soc Sci Med. 2022 Aug;307:115171
pubmed: 35803053
Soc Sci Med. 2021 Jul;280:114027
pubmed: 34029864
Cultur Divers Ethnic Minor Psychol. 2014 Jul;20(3):463-468
pubmed: 25045957
Cultur Divers Ethnic Minor Psychol. 2010 Apr;16(2):256-63
pubmed: 20438164
Diabetes Res Clin Pract. 2016 Oct;120:162-70
pubmed: 27568646
Clin Psychol Rev. 2016 Apr;45:102-14
pubmed: 27111302
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
J Evid Based Complementary Altern Med. 2014 Oct;19(4):271-86
pubmed: 25053754
J Anxiety Disord. 2020 Oct;75:102291
pubmed: 32827869
Du Bois Rev. 2011 Apr;8(1):115-132
pubmed: 25632292
Med Care. 2014 Dec;52(12 Suppl 5):S19-24
pubmed: 25397818
PLoS One. 2019 Jul 5;14(7):e0219425
pubmed: 31276540
J Psychosom Res. 2015 Jun;78(6):519-28
pubmed: 25818837
NCHS Data Brief. 2018 Feb;(303):1-8
pubmed: 29638213
Ethn Health. 2013;18(6):586-609
pubmed: 23947776
J Gen Intern Med. 2006 Jun;21(6):547-52
pubmed: 16808734
J Nerv Ment Dis. 2015 Sep;203(9):670-8
pubmed: 26237134
J Clin Child Adolesc Psychol. 2021 Jan-Feb;50(1):118-130
pubmed: 31215798
Psychosom Med. 2004 Jan-Feb;66(1):113-23
pubmed: 14747645
J Health Soc Behav. 2018 Dec;59(4):466-485
pubmed: 30484715
Holist Nurs Pract. 2015 Mar-Apr;29(2):70-7
pubmed: 25658929
J Community Health Nurs. 2011 Oct;28(4):223-32
pubmed: 22053767
J Racial Ethn Health Disparities. 2020 Oct;7(5):937-948
pubmed: 32040841
Psychiatry Res. 2011 Jan 30;191(1):36-43
pubmed: 21071182
Soc Sci Med. 2016 Jul;160:111-9
pubmed: 27239901
MMWR Morb Mortal Wkly Rep. 2020 Oct 23;69(42):1522-1527
pubmed: 33090978
Soc Sci Med. 2017 Feb;174:169-178
pubmed: 28043019
Front Psychol. 2021 Nov 11;12:720965
pubmed: 34858260
Acta Psychiatr Scand. 2011 Aug;124(2):102-19
pubmed: 21534932
Psychol Sex Orientat Gend Divers. 2019 Dec;6(4):408-419
pubmed: 32104720
Womens Health Issues. 2021 Jul-Aug;31(4):301-305
pubmed: 33893016
J Psychiatry Neurosci. 2018 Jan;43(1):7-25
pubmed: 29252162