Elevated depressive symptoms and incident stroke in Hispanic, African-American, and White older Americans

M. Maria Glymour; Jessica J. Yen; Anna Kosheleva; J. Robin Moon; Benjamin D. Capistrant; Kristen K. Patton

doi:10.1007/s10865-011-9356-2

Elevated depressive symptoms and incident stroke in Hispanic, African-American, and White older Americans

M. Maria Glymour
, Jessica J. Yen
, Anna Kosheleva
, J. Robin Moon
, Benjamin D. Capistrant
, Kristen K. Patton

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

Although depressive symptoms have been linked to stroke, most research has been in relatively ethnically homogeneous, predominantly white, samples. Using the United States based Health and Retirement Study, we compared the relationships between elevated depressive symptoms and incident first stroke for Hispanic, black, or white/ other participants (N = 18,648) and estimated the corresponding Population Attributable Fractions. The prevalence of elevated depressive symptoms was higher in blacks (27%) and Hispanics (33%) than whites/others (18%). Elevated depressive symptoms prospectively predicted stroke risk in the whites/other group (HR = 1.53; 95% CI: 1.36-1.73) and among blacks (HR = 1.31; 95% CI: 1.05-1.65). The HR was similar but only marginally statistically significant among Hispanics (HR = 1.33; 95% CI: 0.92-1.91). The Population Attributable Fraction, indicating the percent of first strokes that would be prevented if the incident stroke rate in those with elevated depressive symptoms was the same as the rate for those without depressive symptoms, was 8.3% for whites/ others, 7.8% for blacks, and 10.3% for Hispanics.

Original language	English (US)
Pages (from-to)	211-220
Number of pages	10
Journal	Journal of Behavioral Medicine
Volume	35
Issue number	2
DOIs	https://doi.org/10.1007/s10865-011-9356-2
State	Published - Apr 2012
Externally published	Yes

Bibliographical note

Funding Information:
The HRS is sponsored by the National Institute on Aging (grant NIA U01AG009740) and is conducted by the University of Michigan. The HRS is approved by the University of Michigan Health Sciences Human Subjects Committee and this study is approved by the Harvard School of Public Health Human Subjects Committee.

Funding Information:
Acknowledgments The authors gratefully acknowledge financial support from the American Heart Association grants 09PRE2080078 and 10SDG2640243, the NIH National Research Service Award (NRSA) training grant (T32-HL098048-01) and from the Milton Fund of Harvard University.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Stroke Depression Minority Risk factor Psychosocial Disparities

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10.1007/s10865-011-9356-2

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title = "Elevated depressive symptoms and incident stroke in Hispanic, African-American, and White older Americans",

abstract = "Although depressive symptoms have been linked to stroke, most research has been in relatively ethnically homogeneous, predominantly white, samples. Using the United States based Health and Retirement Study, we compared the relationships between elevated depressive symptoms and incident first stroke for Hispanic, black, or white/ other participants (N = 18,648) and estimated the corresponding Population Attributable Fractions. The prevalence of elevated depressive symptoms was higher in blacks (27\%) and Hispanics (33\%) than whites/others (18\%). Elevated depressive symptoms prospectively predicted stroke risk in the whites/other group (HR = 1.53; 95\% CI: 1.36-1.73) and among blacks (HR = 1.31; 95\% CI: 1.05-1.65). The HR was similar but only marginally statistically significant among Hispanics (HR = 1.33; 95\% CI: 0.92-1.91). The Population Attributable Fraction, indicating the percent of first strokes that would be prevented if the incident stroke rate in those with elevated depressive symptoms was the same as the rate for those without depressive symptoms, was 8.3\% for whites/ others, 7.8\% for blacks, and 10.3\% for Hispanics.",

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note = "Funding Information: The HRS is sponsored by the National Institute on Aging (grant NIA U01AG009740) and is conducted by the University of Michigan. The HRS is approved by the University of Michigan Health Sciences Human Subjects Committee and this study is approved by the Harvard School of Public Health Human Subjects Committee. Funding Information: Acknowledgments The authors gratefully acknowledge financial support from the American Heart Association grants 09PRE2080078 and 10SDG2640243, the NIH National Research Service Award (NRSA) training grant (T32-HL098048-01) and from the Milton Fund of Harvard University.",

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N1 - Funding Information: The HRS is sponsored by the National Institute on Aging (grant NIA U01AG009740) and is conducted by the University of Michigan. The HRS is approved by the University of Michigan Health Sciences Human Subjects Committee and this study is approved by the Harvard School of Public Health Human Subjects Committee. Funding Information: Acknowledgments The authors gratefully acknowledge financial support from the American Heart Association grants 09PRE2080078 and 10SDG2640243, the NIH National Research Service Award (NRSA) training grant (T32-HL098048-01) and from the Milton Fund of Harvard University.

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N2 - Although depressive symptoms have been linked to stroke, most research has been in relatively ethnically homogeneous, predominantly white, samples. Using the United States based Health and Retirement Study, we compared the relationships between elevated depressive symptoms and incident first stroke for Hispanic, black, or white/ other participants (N = 18,648) and estimated the corresponding Population Attributable Fractions. The prevalence of elevated depressive symptoms was higher in blacks (27%) and Hispanics (33%) than whites/others (18%). Elevated depressive symptoms prospectively predicted stroke risk in the whites/other group (HR = 1.53; 95% CI: 1.36-1.73) and among blacks (HR = 1.31; 95% CI: 1.05-1.65). The HR was similar but only marginally statistically significant among Hispanics (HR = 1.33; 95% CI: 0.92-1.91). The Population Attributable Fraction, indicating the percent of first strokes that would be prevented if the incident stroke rate in those with elevated depressive symptoms was the same as the rate for those without depressive symptoms, was 8.3% for whites/ others, 7.8% for blacks, and 10.3% for Hispanics.

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Elevated depressive symptoms and incident stroke in Hispanic, African-American, and White older Americans

Abstract

Bibliographical note

UN SDGs

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