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The Impact of Social Relationships on Depressive Symptoms among Older Barbadian Women. Introduction. Two models have been proposed to explain the relationship between social ties and mental health (Kawachi & Berkman, 2001) Main effect model Stress buffering model
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The Impact of Social Relationships on Depressive Symptoms among Older Barbadian Women
Introduction • Two models have been proposed to explain the relationship between social ties and mental health (Kawachi & Berkman, 2001) • Main effect model • Stress buffering model • Social ties (Berkman & Glass, 2000) • positive effects on health behaviors and psychological states or • by promoting access to a greater variety of types of support
Introduction • Stress process that leads to depression • Physical limitations (Yang & George, 2005) • Economy insecurity (Krause, 1987) • Women report higher depression (Wethington, McLoed, Kessler, 1987) • Married women display similar or higher prevalence of depression compare to single women (Bebbington, 1999)
Introduction • By the year 2000, 6 Caribbean countries had already found more than 10 % of their populations over the age of 60 years • By 2025, Barbados and Cuba are projected to be the first countries in the Caribbean with 25% of their population to be over age 60 • On a general note, not much is known of the lives of women over age 60 in the Caribbean
Specific Aims • Examine how social relationships acts as buffers in the presence of life stressors • Examine how social support affect older Barbadian women’s depressive symptomology across types of living conditions
Methods • Survey on Health and Well-Being of Elders • Seven cities in Latin America and Caribbean Bridgetown, Barbados • The national electoral registry, which is updated periodically, was used to calculate the sample • Response rate 85% • Female = 924/ Male = 888 • Measurements • Abbreviated Geriatric Depression Scale • Self Reported Health
Methods • MMSE score of <12 OR Pfeffer score of >6 (N = 867) • Outcome variable: Geriatric Depression Scale • Cut-off point 6/7 • Independent variable: Functional social network • Control variables: age, levels of education, ethnicity,
Conclusion • Women less likely to be married but more likely to live with someone (i.e., children) • Women appear to benefit from having some of their children living inside the home • Social relationships have important buffering properties • Public health implications: interventions that are family-focused • Future research: Links to reciprocity between provider and recipients
Acknowledge • Samatha Pittman, BS • Diana Arellego • Ayumi Irie, BS