OBJECTIVE Late life anxiety and depression represent a significant source of disability, with racial/ethnic minority older adults in the U.S. showing marked disparities in healthy aging. Community-based organizations (CBOs) and community clinics serve these populations for preventive care, yet few identify their mental health service needs. We examine the association between race/ethnicity and risk of mild-to-severe symptoms of anxiety and depression, and suicidal behaviors in minority older adults. METHOD Data come from the multisite randomized controlled trial Building Community Capacity for Disability Prevention for Minority Elders, which screened 1,057 adults (45.5% Asian, 26.8% Latinx, 15.0% non-Latinx Black, 8.5% non-Latinx White, and 4.2% American Indian) aged 60 + years at CBOs and clinics in Massachusetts, New York, Florida, and Puerto Rico. Screened participants completed the Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms, the Geriatric Depression Scale-15 (GDS-15) for depression symptoms, and the Paykel Suicide Risk Questionnaire for suicidal behaviors. RESULTS 28.1% of older adults reported mild-to-severe anxiety symptoms, 30.1% reported mild-to-severe depression symptoms, and 4.3% reported at least one suicidal behavior. Compared to non-Latinx Whites, Latinxs had higher odds of mild-to-severe anxiety and depression symptoms and one or more suicidal behaviors, and Asians had higher odds of mild-to-severe depression symptoms only. CONCLUSIONS There is an urgent need to improve outreach for screening and preventive mental health care for minority older adults. Expanding outreach and community-based capacity to identify and treat minority older adults with mental health conditions represents an opportunity to prevent disability. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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美国社区组织和社区诊所中少数族裔老年人的晚年焦虑和抑郁症状以及自杀行为


目标 晚年焦虑和抑郁是残疾的重要根源，美国少数族裔老年人在健康老龄化方面表现出显着差异。社区组织 (CBO) 和社区诊所为这些人群提供预防保健服务，但很少有人确定他们的心理健康服务需求。我们研究了少数族裔老年人的种族/民族与轻度至重度焦虑和抑郁症状以及自杀行为风险之间的关联。方法 数据来自多中心随机对照试验“为少数族裔老年人建立残疾预防社区能力”，该试验筛选了 1,057 名成年人（45.5% 亚裔、26.8% 拉丁裔、15.0% 非拉丁裔黑人、8.5% 非拉丁裔白人和 4.2% 美国人）印度人）60 岁以上，在马萨诸塞州、纽约州、佛罗里达州和波多黎各的社区组织和诊所工作。筛选的参与者完成了针对焦虑症状的广泛性焦虑症 7 (GAD-7)、针对抑郁症状的老年抑郁量表 15 (GDS-15) 以及针对自杀行为的派克自杀风险问卷。结果 28.1% 的老年人报告有轻度至重度焦虑症状，30.1% 报告有轻度至重度抑郁症状，4.3% 报告有至少一种自杀行为。与非拉丁裔白人相比，拉丁裔出现轻度至重度焦虑和抑郁症状以及一种或多种自杀行为的几率更高，而亚洲人仅出现轻度至重度抑郁症状的几率更高。结论 迫切需要改善少数民族老年人的筛查和预防性心理保健服务。扩大外展活动和基于社区的能力，以识别和治疗患有精神健康问题的少数族裔老年人，这是预防残疾的一个机会。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。