@article{ref1,
title="A comparison of risk and protective factors related to depressive symptoms among American Indian and Caucasian Older Adults",
journal="Health and social work",
year="2017",
author="Burnette, Catherine Elizabeth and Roh, Soonhee and Lee, Kyoung Hag and Lee, Yeon-Shim and Newland, Lisa A. and Jun, Jung Sim",
volume="42",
number="1",
pages="e15-e23",
abstract="Despite efforts to reduce health disparities, many American Indian and Alaska Native (AI/AN) populations, including older adults, experience elevated levels of depression and associated suicide. Although adverse childhood experiences (ACEs) and social support are well-documented risk and protective factors for depression in the general population, little is known about AI/AN populations, especially older adults. The purpose of this study was to examine factors related to depression among a sample of AI older adults in the Midwest. Data were collected using a self-administered survey completed by 479 AI and Caucasian respondents over the age of 50. The survey included standardized measures such as the Geriatric Depression Scale-Short Form, ACE Questionnaire, and Multidimensional Scale of Perceived Social Support. Hierarchical multivariate regression analyses were conducted to evaluate the main hypotheses of the study. <br><br>RESULTS indicate that two dimensions of ACEs (childhood neglect and household dysfunction) were positively associated with depressive symptoms; social support was negatively associated with depressive symptoms. Perceived health and living alone were also significant predictors of depressive symptoms. ACEs may play a significant role in depression among AI/AN populations across the life course and into old age. Social support offers a promising mechanism to bolster resilience among AI/AN older adults.<br><br>© 2016 National Association of Social Workers.<p /> <p>Language: en</p>",
language="en",
issn="0360-7283",
doi="10.1093/hsw/hlw055",
url="http://dx.doi.org/10.1093/hsw/hlw055"
}