Depression among low-income women of color: qualitative findings from cross-cultural focus groups

J Immigr Minor Health. 2008 Apr;10(2):127-33. doi: 10.1007/s10903-007-9062-x.

Abstract

This article describes the experiences with depression of women with young children living in ethnically and culturally diverse, low-income communities. A qualitative ethnographic design using a focus group process was implemented in 15 communities. Despite great diversity in ethnic and cultural backgrounds, these women of color reported similar experiences with depression and described: a range of social risk factors, including domestic violence, isolation, language barriers, and difficulties with schools and other public systems; lack of access to high quality, culturally competent health and mental health services; reliance primarily on informal systems of care--relatives, friends, peers--in dealing with their depression, although many also reported good relationships with primary care practitioners. They identified: the specialty mental health sector as one to which they seldom turned for assistance, citing stigma, lack of insurance coverage, cultural beliefs, and attitudes of providers as barriers; a number of strategies for outreach and engagement with mental health providers; qualitative measures of maternal depression among women with young children; and, strategies for reaching and engaging culturally diverse mothers.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anthropology, Cultural
  • Depression / ethnology*
  • Depression / psychology
  • Emigrants and Immigrants / statistics & numerical data*
  • Female
  • Focus Groups
  • Health Services Accessibility / organization & administration
  • Humans
  • Language
  • Middle Aged
  • Poverty / ethnology*
  • Qualitative Research
  • Racial Groups / statistics & numerical data*
  • Risk Factors
  • Women's Health