Depressive Symptoms Over the Course of Adolescence Among Latinx Children of Immigrants and Non-Immigrants and White Youth From Small Towns in the United States.

BACKGROUND

Hispanic/Latinx people comprise 19% of the total United States population and are one of the fastest growing groups in the country. This growth has been particularly notable among youth from rural and small-town communities. Understanding mental health during adolescence in this population can have a significant impact on public health.

OBJECTIVE

To compare depressive symptoms during adolescence among Latinx Children of Immigrants (COI), Latinx Children of Non-Immigrants (CONI), and non-Latinx White CONI from small towns in the United States.

METHODS

We used longitudinal data from Grades 6 to 12 from 1,520 youth from 12 rural and small-town communities in seven states. The three study groups were defined by Latinx ethnicity, race, and immigrant generational status based on the child's and their parents' country of birth. Using a negative binomial form of the generalized linear mixed model, we evaluated differences in depressive symptoms among the groups and group-by-time interactions to assess whether differences varied across developmental age. Additional models were estimated stratified by sex.

RESULTS

There were no statistically significant differences in depressive symptoms comparing adolescent Latinx CONI and non-Latinx White CONI to Latinx COI. However, Latinx CONI had significantly elevated depressive symptoms and a steeper decline in symptoms compared to White CONI. Among males, Latino CONI had higher symptom scores than Latino COI and White CONI; however, there were no notable differences among groups in female youth.

CONCLUSIONS

Findings from this study highlight the importance of immigrant generational status when assessing rural and small-town U.S. Latinx youth's mental health.