Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Immigrant and Minority Health

01-04-2019 | Original Paper

Exploring the Role of Depression as a Moderator of a Workplace Obesity Intervention for Latino Immigrant Farmworkers

Authors: Jessie Kemmick Pintor, Diane C. Mitchell, Marc B. Schenker

Published in: Journal of Immigrant and Minority Health | Issue 2/2019

Login to get access

Abstract

We explored if and how depression moderated the treatment effect of Pasos Saludables, a successful pilot workplace obesity intervention for Latino immigrant farmworkers. The original randomized controlled study assigned 254 participants 2:1 to a 10-session educational intervention versus control. We assessed the relationship between change in BMI (primary outcome) and interaction of treatment allocation and baseline risk for depression. Baseline CES-D scores indicated that 27.3% of participants were at risk for depression. The interaction between treatment allocation and baseline risk for depression was significant (p = 0.004). In adjusted models among women, intervention participants with no indication of depression at baseline reduced their BMI by 0.77 on average (95% CI − 1.25, − 0.30) compared to controls. The reduction im BMI between the intervention group at risk for depression at baseline and either control was not significantly different from zero. Findings from our post-hoc, exploratory study indicate that depression may inhibit significant weight loss.
Appendix
Available only for authorised users
Literature
1.
United States Department of Labor Employment and Training Administration. National agricultural workers survey, public data, 2013–2014. Washington, DC: United States Department of Labor; 2016.
2.
Poss JE, Pierce R. Characteristics of selected migrant farmworkers in West Texas and Southern New Mexico. Calif J Health Promot. 2003;1(2):138–47.CrossRef
3.
Weigel MM, Armijos RX, Hall YP, Ramirez Y, Orozco R. The household Food insecurity and health outcomes of US–Mexico border migrant and seasonal farmworkers. J Immigr Minor Health. 2007;9(3):157–69.CrossRefPubMed
4.
Villarejo D, McCurdy SA, Bade B, Samuels S, Lighthall D, Williams D. The health of California’s immigrant hired farmworkers. Am J Ind Med. 2010;53(4):387–97.CrossRefPubMed
5.
Rosado JI, Johnson SB, McGinnity KA, Cuevas JP. Obesity among Latino children within a migrant farmworker community. Am J Prev Med. 2013;44(3):S274–S81.CrossRef
6.
Mitchell DC, Andrews T, Schenker MB. Pasos Saludables: a pilot randomized intervention study to reduce obesity in an immigrant farmworker population. J Occup Environ Med. 2015;57(10):1039–46.CrossRefPubMed
7.
Goodman D, Fraga MA, Brodine S, Garfein RS. Prevalence of diabetes and metabolic syndrome in a migrant Mixtec population, Baja California, Mexico. J Immigr Minor Health. 2013;15(1):93–100.CrossRefPubMedPubMedCentral
8.
Davila EP, Florez H, Fleming LE, Lee DJ, Goodman E, LeBlanc WG, et al. Prevalence of the metabolic syndrome among US workers. Diabetes Care. 2010;33(11):2390–5.CrossRefPubMedPubMedCentral
9.
Akresh IR. Overweight and obesity among foreign-born and US-born Hispanics. Biodemography Soc Biol. 2008;54(2):183–99.CrossRef
10.
Abraído-Lanza AF, Chao MT, Flórez KR. Do healthy behaviors decline with greater acculturation?: implications for the Latino mortality paradox. Soc Sci Med. 2005;61(6):1243–55.CrossRefPubMedPubMedCentral
11.
Goel M, McCarthy EP, Phillips RS, Wee CC. Obesity among us immigrant subgroups by duration of residence. JAMA. 2004;292(23):2860–7.CrossRefPubMed
12.
Siordia C, Ramos AK. Evidence of the ‘Hispanic Paradox’from the poverty and disability nexus in the Latino farmworker population of the United States. Glob J Biol Agric Health Sci. 2015;4(3):118–24.
13.
Ainsworth BE, Haskell WL, Herrmann SD, et al. The compendium of physical activities tracking guide. Med Sci Sports Exerc. 2011;43:1575–81.CrossRefPubMed
14.
Alderete E, Vega WA, Kolody B, Aguilar-Gaxiola S. Depressive symptomatology: prevalence and psychosocial risk factors among Mexican migrant farmworkers in California. J Community Psychol. 1999;27(4):457–71.CrossRef
15.
Passel J, Cohn D. Size of the US unauthorized immigrant workforce stable after the great recession. Washington, DC: Pew Hispanic Center; 2016.
16.
Hiott AE, Grzywacz JG, Davis SW, Quandt SA, Arcury TA. Migrant farmworker stress: mental health implications. J Rural Health. 2008;24(1):32–9.CrossRefPubMed
17.
Capps R, Ku L, Fix M, Furgiuele C, Passel J, Ramchand R, et al. How Are immigrants faring after welfare reform? Preliminary evidence from Los Angeles and New York City. Final report. Washington, DC: Urban Institute; 2002.
18.
Passel J, Cohn D. A portrait of unauthorized immigrants in the United States. Washington, DC: Pew Hispanic Center; 2009.
19.
Quandt SA, Brooke C, Fagan K, Howe A, Thornburg TK, McCurdy SA. Farmworker housing in the United States and its impact on health. New Solut. 2015;25(3):263–86.CrossRefPubMed
20.
Arcury TA, Weir M, Chen H, Summers P, Pelletier LE, Galván L, et al. Migrant farmworker housing regulation violations in North Carolina. Am J Ind Med. 2012;55(3):191–204.CrossRefPubMedPubMedCentral
21.
Marsh B, Milofsky C, Kissam E, Arcury TA. Understanding the role of social factors in farmworker housing and health. New Solut. 2015;25(3):313–33.CrossRefPubMed
22.
Arcury TA, Nguyen HT, Summers P, Talton JW, Holbrook LC, Walker FO, et al. Lifetime and current pesticide exposure among latino farmworkers in comparison to other Latino immigrants. Am J Ind Med. 2014;57(7):776–87.CrossRefPubMedPubMedCentral
23.
Reid A, Schenker MB. Hired farmworkers in the US: demographics, work organisation, and services. Am J Ind Med. 2016;59(8):644–55.CrossRefPubMed
24.
25.
Adams EJ, Grummer-Strawn L, Chavez G. Food insecurity is associated with increased risk of obesity in California women. J Nutr. 2003;113(4):1070–4.CrossRef
26.
Quandt SA, Arcury TA, Early J, Tapia J, Davis JD. Household food security among migrant and seasonal farmworkers in North Carolina. Public Health Rep. 2004;119:568–76.CrossRefPubMedPubMedCentral
27.
Hovey JD, Magaña C. Acculturative stress, anxiety, and depression among Mexican immigrant farmworkers in the midwest United States. J Immigr Health. 2000;2(3):119–31.CrossRefPubMed
28.
Mora DC, Quandt SA, Chen H, Arcury TA. Associations of poor housing with mental health among North Carolina Latino migrant farmworkers. J Agromed. 2016;21(4):327–44.CrossRef
29.
Pulgar CA, Trejo G, Suerken C, Ip EH, Arcury TA, Quandt SA. Economic hardship and depression among women in Latino farmworker families. J Immigr Minor Health. 2016;18(3):497–504.CrossRefPubMedPubMedCentral
30.
Ramos AK, Su D, Lander L, Rivera R. stress factors contributing to depression among Latino migrant farmworkers in Nebraska. J Immigr Minor Health. 2015;17(6):1627–34.CrossRefPubMed
31.
Zapata Roblyer MI, Grzywacz JG, Suerken CK, Trejo G, Ip EH, Arcury TA, et al. Interpersonal and social correlates of depressive symptoms among Latinas in farmworker families living in North Carolina. Women Health. 2016;56(2):177–93.CrossRef
32.
Grzywacz JG. Mental health among farmworkers in the eastern United States. In: Quandt AS, Arcury AT, editors. Latino farmworkers in the Eastern United States: health, safety and justice. New York, NY: Springer; 2009. pp 153–72.CrossRef
33.
34.
35.
Moore CJ, Cunningham SA. Social position, psychological stress, and obesity: a systematic review. Acad Nutr Diet. 2012;112(4):518–26.CrossRef
36.
Block JP, He Y, Zaslavsky AM, Ding L, Ayanian JZ. Psychosocial stress and change in weight among US adults. Am J Epidemiol. 2009;70(2):518–26.
37.
Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220–9.CrossRefPubMed
38.
Byrne SM. Psychological aspects of weight maintenance and relapse in obesity. J Psychosom Res. 2002;53(5):1029–36.CrossRefPubMed
39.
DePue JD, Clark MM, Ruggiero L, Medeiros ML, Pera V. Maintenance of weight loss: a needs assessment. Obes Res. 1995;3(3):241–8.CrossRefPubMed
40.
Kayman S, Bruvold W, Stern JS. Maintenance and relapse after weight loss in women: behavioral aspects. Am J Clin Nutr. 1990;52(5):800–7.CrossRefPubMed
41.
Westenhoefer J, Von Falck B, Stellfeldt A, Fintelmann S. Behavioural correlates of successful weight reduction over 3 y. Results from the Lean Habits Study. Int J Obes. 2004;28(2):334–5.CrossRef
42.
Elfhag K, Rössner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005;6(1):67–85.CrossRefPubMed
43.
Kraemer HC, Wilson GT, Fairburn CG, Agras WS. Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry. 2002;59(10):877–83.CrossRefPubMed
44.
National Heart Lung, & Blood Institute. Your heart, your life: a lay health educator’s manual for the Hispanic community. Washington, DC: National Instiutes of Health; 2008.
45.
46.
Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
47.
Grzywacz JG, Hovey JD, Seligman LD, Arcury TA, Quandt SA. Evaluating short-form versions of the CES-D for measuring depressive symptoms among immigrants from Mexico. Hisp J Behav Sci. 2006;28(3):404–24.CrossRef
48.
Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D. Prev Med. 1994;10:77–84.
49.
StataCorp Stata version 14.0. College Station, TX: StataCorp; 2015.
50.
Rubin DB. Multiple imputation after 18+ years. J Am Stat Assoc. 1996;91(434):473–89.CrossRef
51.
Luppino FS, de Wit LM, Bouvy PF, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67(3):220–9.CrossRefPubMed
52.
Rhodes SD, Mann L, Simán FM, Song E, Alonzo J, Downs M, et al. The impact of local immigration enforcement policies on the health of immigrant Hispanics/Latinos in the United States. Am J Public Health. 2015;105(2):329–37.CrossRefPubMedPubMedCentral
53.
Hardy LJ, Getrich CM, Quezada JC, Guay A, Michalowski RJ, Henley E. A call for further research on the impact of state-level immigration policies on public health. Am J Public Health. 2012;102(7):1250–3.CrossRefPubMedPubMedCentral
54.
55.
Almeida J, Biello KB, Pedraza F, Wintner S, Viruell-Fuentes E. The association between anti-immigrant policies and perceived discrimination among Latinos in the US: a multilevel analysis. SSM Popul Health. 2016;2:897–903.CrossRefPubMedPubMedCentral
56.
57.
Mabli J, Ohls J, Dragoset L, Castner L, Santos B. Measuring the effect of Supplemental Nutrition Assistance Program (SNAP) participation on food security. Prepared by Mathematica Policy Research for the U.S. Department of Agriculture, Food and Nutrition Service. Washington, DC: U.S. Department of Agriculture. 2013. http://​www.​fns.​usda.​gov/​research-andanalysis.
58.
Fitzgerald N, Hromi-Fiedler A, Segura-Pérez S, Pérez-Escamilla R. Food insecurity is related to increased risk of type 2 diabetes among Latinas. Ethn Dis. 2011;21(3):328–34.PubMedPubMedCentral
59.
60.
Leigh JP, Medel-Herrero A. Participation in the women, infants, and children (WIC) program as reported by documented and undocumented farm worker adults in the households. J Agromed. 2015;20(4):409–18.CrossRef
61.
Barcellos SH, Goldman DP, Smith JP. Undiagnosed disease, especially Diabetes, casts doubt on some of reported health ‘advantage’ of recent Mexican immigrants. Health Aff (Milwood). 2012;31(12):2727–37.CrossRef
Metadata
Title
Exploring the Role of Depression as a Moderator of a Workplace Obesity Intervention for Latino Immigrant Farmworkers
Authors
Jessie Kemmick Pintor
Diane C. Mitchell
Marc B. Schenker
Publication date
01-04-2019
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2019
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-018-0743-4