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Davis KM, Knauft K, Lewis L, Petriello M, Petrick L, Luca F, Joseph NT, Fritz H, Cutchin M, Rappaport L, Levy P, Engeland CG, Zilioli S. The heart of Detroit study: a window into urban middle-aged and older African Americans' daily lives to understand psychosocial determinants of cardiovascular disease risk. BMC Psychiatry 2023; 23:766. [PMID: 37853373 PMCID: PMC10585810 DOI: 10.1186/s12888-023-05148-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 08/28/2023] [Indexed: 10/20/2023] Open
Abstract
BACKGROUND Cardiovascular disease disproportionately affects African Americans. Psychosocial factors, including the experience of and emotional reactivity to racism and interpersonal stressors, contribute to the etiology and progression of cardiovascular disease through effects on health behaviors, stress-responsive neuroendocrine axes, and immune processes. The full pathway and complexities of these associations remain underexamined in African Americans. The Heart of Detroit Study aims to identify and model the biopsychosocial pathways that influence cardiovascular disease risk in a sample of urban middle-aged and older African American adults. METHODS The proposed sample will be composed of 500 African American adults between the ages of 55 and 75 from the Detroit urban area. This longitudinal study will consist of two waves of data collection, two years apart. Biomarkers of stress, inflammation, and cardiovascular surrogate endpoints (i.e., heart rate variability and blood pressure) will be collected at each wave. Ecological momentary assessments will characterize momentary and daily experiences of stress, affect, and health behaviors during the first wave. A proposed subsample of 60 individuals will also complete an in-depth qualitative interview to contextualize quantitative results. The central hypothesis of this project is that interpersonal stressors predict poor cardiovascular outcomes, cumulative physiological stress, poor sleep, and inflammation by altering daily affect, daily health behaviors, and daily physiological stress. DISCUSSION This study will provide insight into the biopsychosocial pathways through which experiences of stress and discrimination increase cardiovascular disease risk over micro and macro time scales among urban African American adults. Its discoveries will guide the design of future contextualized, time-sensitive, and culturally tailored behavioral interventions to reduce racial disparities in cardiovascular disease risk.
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Affiliation(s)
- Kristin M Davis
- Department of Psychology, Wayne State University, 5057 Woodward Avenue, Detroit, MI, 48202, USA
| | - Katherine Knauft
- Department of Psychology, Wayne State University, 5057 Woodward Avenue, Detroit, MI, 48202, USA
| | - Lena Lewis
- College of Human Medicine, Michigan State University, East Lansing, MI, 48824, USA
| | - Michael Petriello
- Institute of Environmental Health Sciences, Department of Pharmacology, Wayne State University, Detroit, MI, 48201, USA
| | - Lauren Petrick
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
| | - Francesca Luca
- Center for Molecular Medicine and Genetics, Wayne State University, Detroit, MI, 48201, USA
- Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI, 48201, USA
| | - Nataria T Joseph
- Department of Psychology, Pepperdine University, Malibu, CA, 90265, USA
| | - Heather Fritz
- School of Occupational Therapy, Pacific Northwest University of Health Sciences, Yakima, WA, 98901, USA
| | - Malcolm Cutchin
- School of Occupational Therapy, Pacific Northwest University of Health Sciences, Yakima, WA, 98901, USA
| | - Lance Rappaport
- Department of Psychology, University of Windsor, Windsor, ON, N9B 1B4, Canada
| | - Phillip Levy
- Departments of Emergency Medicine and Physiology, Wayne State University, Detroit, MI, 48201, USA
| | - Christopher G Engeland
- Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, 16802, USA
- Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, 16802, USA
| | - Samuele Zilioli
- Department of Psychology, Wayne State University, 5057 Woodward Avenue, Detroit, MI, 48202, USA.
- Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, 48201, USA.
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Tsuchiya K, Bacong AM, de Castro AB, Gee GC. Visa type and financial strain on depressive symptoms among Filipino migrants to the United States. J Migr Health 2023; 7:100155. [PMID: 36755688 PMCID: PMC9900610 DOI: 10.1016/j.jmh.2023.100155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 10/15/2022] [Accepted: 01/22/2023] [Indexed: 01/24/2023] Open
Abstract
Migrants have been theorized to be healthier than their non-migrant counterparts; however, there is limited examination of health selection using binational data and how selection occurs, particularly for mental health outcomes. This study examines the role of visa status and financial strain as critical factors for mental health selection among Filipino migrants to the U.S. and non-migrants who remain in the Philippines. We used the baseline data from the Health of Philippine Emigrants Study (HoPES; n = 1631) to compare depressive symptoms between non-migrants and migrants who were both surveyed prior to their departure to the U.S. We assessed depressive symptoms using linear regression by migration status, financial strain, and by visa categories including fiancée/marriage, unlimited family reunification, limited family reunification, and employment. Overall, all migrants reported lower depressive symptoms than non-migrants; however, depressive symptoms varied by visa type. Fiancée/marriage migrants had lower depressive symptoms than compared to limited family reunification migrants. Additionally, those who reported financial strain had higher depressive symptoms than those without any financial strain. We find that migrants were positively selected for mental health using a unique sample of Filipino migrants before they left for the U.S.
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Affiliation(s)
- Kazumi Tsuchiya
- Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON M5T 3M7, United States
| | - Adrian M. Bacong
- Center for Asian Health Research and Education, Stanford University, 291 Campus Drive, Stanford, CA 94305, United States
| | - A B de Castro
- School of Nursing, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States
| | - Gilbert C. Gee
- Department of Community Health Sciences, Fielding School of Public Health, University of California, 650 Charles E Young Dr S, Los Angeles, CA 90095, United States
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Frazier C, Brown TH. Work-Related Stress, Psychosocial Resources, and Insomnia Symptoms Among Older Black Workers. J Aging Health 2022; 34:424-434. [PMID: 35414296 DOI: 10.1177/08982643221085899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objectives: To examine the association between work-related stress (job lock and job stress appraisal) and insomnia symptoms among older Black workers, as well as the extent to which psychosocial resources (mastery, social support, and religious involvement) mediate or moderate this association. Methods: This study uses Ordinary Least Squares regression analysis and data from the Health and Retirement Study (HRS) on Black workers aged 51 and older (N = 924). Results: Job lock due to financial reasons and job stress appraisal are associated with increased insomnia symptoms among older Black workers. Religious attendance buffers the harmful effects of financial job lock on sleep quality, while religiosity exacerbates the effects of job stress on insomnia symptoms. Discussion: Taken together, findings underscore the utility of the Stress Process Model for understanding diverse stress and sleep experiences in later life. Furthermore, findings have the potential to inform efficacious policies for reducing work-related stress and mitigating its harmful consequences.
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Wang F, Nguyen AW, Lincoln KD, Qin W, Hamler T. The Moderating Role of Race and Ethnicity in the Relationship Between Negative Family Interactions and Mental Health Among Older Adults. THE GERONTOLOGIST 2021; 62:674-684. [PMID: 34614171 DOI: 10.1093/geront/gnab148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Studies generally show that negative social interactions are detrimental to mental health for older adults. Further, empirical evidence suggests that negative interactions may function differently in relation to mental health across racial/ethnic groups given their unique life circumstances and social conditions. This study examines whether the association between negative family interactions and mental health outcomes varies by race and ethnicity. RESEARCH DESIGN AND METHODS Samples of older African Americans, Caribbean Blacks, and non-Latino Whites aged 55 and older were drawn from the National Survey of American Life (N=1439). Mental health variables included depressive symptoms, any lifetime DSM-IV disorder, and number of lifetime DSM-IV disorders. Regression models were used to test the study aim. RESULTS Analyses indicated that negative interactions with family were positively associated with all three mental health outcomes. Several racial/ethnic differences emerged. The association between negative family interactions and depressive symptoms was stronger among Whites than African Americans. While negative family interactions were positively associated with number of disorders among Caribbean Blacks, negative interactions were unrelated to number of disorders among African Americans. DISCUSSION AND IMPLICATIONS This study demonstrates the racial and ethnic differences in diverse aging populations and the importance of recognizing the heterogeneity of Black American population in minority research. Clinical practice should focus on reducing negative family interactions, and future research should examine whether psychosocial resources (e.g., stress appraisals, neighborhood social cohesion, and religious practices) can attenuate the association between negative family interactions and mental health for older African Americans.
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Affiliation(s)
- Fei Wang
- Jack, Joseph and Morton Mandel School of Applied Social Sciences Case Western Reserve University, Cleveland, Ohio, USA
| | - Ann W Nguyen
- Jack, Joseph and Morton Mandel School of Applied Social Sciences Case Western Reserve University, Cleveland, Ohio, USA
| | - Karen D Lincoln
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Weidi Qin
- Population Studies Center, University of Michigan, Ann Arbor, Michigan, USA
| | - Tyrone Hamler
- Jack, Joseph and Morton Mandel School of Applied Social Sciences Case Western Reserve University, Cleveland, Ohio, USA
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Lipson SK, Phillips MV, Winquist N, Eisenberg D, Lattie EG. Mental Health Conditions Among Community College Students: A National Study of Prevalence and Use of Treatment Services. Psychiatr Serv 2021; 72:1126-1133. [PMID: 33657842 PMCID: PMC8417151 DOI: 10.1176/appi.ps.202000437] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study estimated the prevalence of self-reported symptoms of mental health problems and treatment utilization in a U.S. national sample of community college students and made comparisons with data from a sample of students at 4-year educational institutions. METHODS The study used data for 2016-2019 from the Healthy Minds Study, an annual cross-sectional survey. The sample included 10,089 students from 23 community colleges and 95,711 students from 133 4-year institutions. Outcomes were mental health symptom prevalence based on validated screening tools and rates of service utilization, such as use of therapy and psychotropic medication. Analyses were weighted by using survey nonresponse weights. RESULTS Prevalence rates were comparably high in the sample of community college and 4-year students, with just more than 50% of each group meeting criteria for one or more mental health problems. Analyses by age group revealed significantly higher prevalence for community college students ages 18-22 years, relative to their same-age peers at 4-year institutions. Community college students, particularly those from traditionally marginalized backgrounds, were significantly less likely to have used services, compared with students on 4-year campuses. Financial stress was a strong predictor of mental health outcomes, and cost was the most salient treatment barrier in the community college sample. CONCLUSIONS This is the largest known study to report on the mental health needs of community college students in the United States. Findings have important implications for campus policies and programs and for future research to advance equity in mental health and other key outcomes, such as college persistence and retention.
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Affiliation(s)
- Sarah Ketchen Lipson
- Department of Health Law Policy and Management, Boston University School of Public Health, Boston (Lipson); Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor (Phillips); Northwestern University Center for Behavioral Intervention Technologies, Chicago (Winquist); Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Medical Social Sciences and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago (Lattie)
| | - Megan V Phillips
- Department of Health Law Policy and Management, Boston University School of Public Health, Boston (Lipson); Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor (Phillips); Northwestern University Center for Behavioral Intervention Technologies, Chicago (Winquist); Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Medical Social Sciences and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago (Lattie)
| | - Nathan Winquist
- Department of Health Law Policy and Management, Boston University School of Public Health, Boston (Lipson); Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor (Phillips); Northwestern University Center for Behavioral Intervention Technologies, Chicago (Winquist); Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Medical Social Sciences and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago (Lattie)
| | - Daniel Eisenberg
- Department of Health Law Policy and Management, Boston University School of Public Health, Boston (Lipson); Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor (Phillips); Northwestern University Center for Behavioral Intervention Technologies, Chicago (Winquist); Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Medical Social Sciences and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago (Lattie)
| | - Emily G Lattie
- Department of Health Law Policy and Management, Boston University School of Public Health, Boston (Lipson); Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor (Phillips); Northwestern University Center for Behavioral Intervention Technologies, Chicago (Winquist); Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles (Eisenberg); Department of Medical Social Sciences and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago (Lattie)
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Nguyen AW, Lincoln KD, Wang F, Qin W. Negative interactions with extended family and church members and subjective well-being among older African American women. J Women Aging 2020; 33:347-361. [PMID: 33191872 DOI: 10.1080/08952841.2020.1829938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The purpose of this study was to determine whether negative interactions with family and church members are associated with indicators of subjective well-being (SWB) in a nationally representative sample of older African American women. The analytic sample (N = 537) was drawn from the National Survey of American Life. Linear regressions were used to assess the associations between negative interactions with family and church members and happiness, life satisfaction, and self-esteem. The negative interactions with family variable was inversely associated with happiness and self-esteem. Findings underscore the importance of social relationships and the quality of these relationships in women's well-being.
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Affiliation(s)
- Ann W Nguyen
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - Karen D Lincoln
- University of Southern California, Los Angeles, California, USA
| | - Fei Wang
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - Weidi Qin
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA
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Byrd DR, Gonzales E, Moody DLB, Marshall GL, Zahodne LB, Thorpe RJ, Whitfield KE. Interactive Effects of Chronic Health Conditions and Financial Hardship on Episodic Memory among Older Blacks: Findings from the Health and Retirement Study. RESEARCH IN HUMAN DEVELOPMENT 2020; 17:41-56. [PMID: 33192185 DOI: 10.1080/15427609.2020.1746159] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Previous research links chronic health conditions and financial hardship to cognitive outcomes among older Blacks. However, few studies have explored the moderating effect of financial hardship on chronic disease burden and specific cognitive domains. This study examined whether financial hardship (as measured by difficulty paying monthly bills) modifies the impact of self-reported chronic health conditions (e.g., diabetes, stroke) on episodic memory among 871 older Blacks (50+ years) in the Health and Retirement Study (2006). Financial hardship modified the association between chronic disease burden and episodic memory performance such that individuals who reported very little difficulty paying their monthly bills had significantly lower memory scores at high levels of disease burden compared to those reporting high financial difficulty after controlling for age, gender and education (F 2, 49 = 5.03, p= 0.010). This cross-sectional study suggests that both financial and physical wellbeing may have joint effects on cognitive health in older Blacks.
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Affiliation(s)
| | - Ernest Gonzales
- New York University, Silver School of Social Work, New York, NY, USA
| | | | | | | | - Roland J Thorpe
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Johnson Nicholson MC, Martin P, Gilligan M, Cutrona CE, Russell DW, Schofield TJ, Poon LW. The Impact of Distal Influences and Proximal Resources on the Mental Health of African American Older Adults: Findings From the Georgia Centenarian Study. Innov Aging 2020; 4:igaa046. [PMID: 33204850 PMCID: PMC7653441 DOI: 10.1093/geroni/igaa046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Over the years, a large amount of research has been devoted to the investigation of factors that led to mental health outcomes in older adults. For African American older adults, their lived experiences place them at high risk for mental health problems. The purpose of this study was to examine the impact of early life influences (i.e., education, childhood life events, and childhood financial well-being) and present psychosocial resources (i.e., individual, financial, and social) on current mental health outcomes in a sample of African American older adults in their 60s, 80s, and 100s. RESEARCH DESIGN AND METHODS Using data from the Georgia Centenarian Study, 125 participants were interviewed about their mental health, resources, and early life influences. RESULTS A structural equation model was tested and resulted in a good fit. Results indicated that the more social resources African American older adults had available, the lower the number of depressive symptoms they reported. African Americans with higher levels of financial well-being during childhood reported higher self-rated mental health. Older adults had higher levels of financial resources. Level of education showed a positive relationship with financial resources. Indirect effects of distal influences on health outcomes via current resources were not found. DISCUSSION AND IMPLICATIONS The findings are of direct practical relevance and can be used to more readily identify older African Americans who may be susceptible to poorer mental health outcomes based upon the impact of their unique distal and proximal psychosocial resources.
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Affiliation(s)
| | - Peter Martin
- Department of Human Development and Family Studies, Iowa State University, Ames
| | - Megan Gilligan
- Department of Human Development and Family Studies, Iowa State University, Ames
| | | | - Daniel W Russell
- Department of Human Development and Family Studies, Iowa State University, Ames
| | - Tom J Schofield
- Research Division, Los Angeles County Probation Department, California
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Nguyen AW. Religion and Mental Health in Racial and Ethnic Minority Populations: A Review of the Literature. Innov Aging 2020; 4:igaa035. [PMID: 33005754 PMCID: PMC7518711 DOI: 10.1093/geroni/igaa035] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Indexed: 01/07/2023] Open
Abstract
Religion has been an important source of resiliency for many racial and ethnic minority populations. Given the salience, sociohistorical context, and importance of religion in the lives of black and Latino Americans, this literature review focuses on the mental health and well-being outcomes of religion among black and Latino Americans across the adult life course and specifically in later life. This review provides an overview of religious participation and religiosity levels and an in-depth discussion of extant research on the relationship between the multiple dimensions of religiosity and mental health in these 2 populations. Racial differences between blacks, Latinos, and non-Latino whites are also examined. Suggestions for limitations of the current literature and future directions for research on religion and mental health in racial/ethnic minority populations, especially older minorities, are proposed.
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Affiliation(s)
- Ann W Nguyen
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio
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Miller VJ, Killian MO, Fields N. Caregiver identity theory and predictors of burden and depression: Findings from the REACH II study. Aging Ment Health 2020; 24:212-220. [PMID: 30588825 DOI: 10.1080/13607863.2018.1533522] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objective: To examine the relationship between care recipient (person with Alzheimer's disease) ability to perform daily tasks and caregivers' (CG) perceived burden and depression, guided by the caregiver identity theory. We also examine the mediating effect of CG abilities to meet their basic needs.Methods: This study utilizes the baseline data of the REACH II study. Spearman's rho (ρ) was used to test for relationships between burden, reported depression, and each ADLs and IADLs. To further explore the relationship between burden and each ADLs and IADLs, structural equation modeling was conducted using Mplus 8.0.Results: Reported CG total scores indicated increased perceived CG burden with greater number of assisted daily activities. CG depression scores were significantly predicted by reported burden scores and caregiver's ability to pay for basic needs. Importantly, 34.6% of variation in CG reported depressions scores were explained by reported burden scores. A multivariate regression model with reported burden scores, controlling for caregiver's ability to pay for basic needs, explained 36.6% of the variance in CG depression scores. Burden scores and CG ability to pay for basic needs significantly predicted depression scores. Results from the three models indicated that CG burden fully mediated the relationship between daily living skill scores and CG depression.Conclusion: Our study findings suggest the need to more closely examine the link between AD caregiving, financial instability, and mental health and bolster support for policies and programs that offer tangible supports and services to offset the costs of informal AD CG.
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Affiliation(s)
- Vivian J Miller
- School of Social Work, University of Texas at Arlington, Arlington, TX, USA
| | - Michael O Killian
- College of Social Work, Florida State University, Tallahassee, FL, USA
| | - Noelle Fields
- School of Social Work, University of Texas at Arlington, Arlington, TX, USA
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Gayman MD, Lennox Kail B, Spring A, Greenidge GR. Risk and Protective Factors for Depressive Symptoms Among African American Men: An Application of the Stress Process Model. J Gerontol B Psychol Sci Soc Sci 2019; 73:219-229. [PMID: 29340702 DOI: 10.1093/geronb/gbx076] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Indexed: 11/13/2022] Open
Abstract
Objectives This study employs the stress process model (SPM) to identify risk/protective factors for mental health among adult African American men. Method Using a community-based sample of Miami, FL residents linked to neighborhood Census data, this study identifies risk/protective factors for depressive symptomatology using a sample of 248 adult African American men. Results The stress process variables independently associated with depressive symptoms were family support, mastery, self-esteem, chronic stressors, and daily discrimination. While mastery and self-esteem mediated the relationship between neighborhood income and depressive symptoms, perceived family support served as a buffer for stress exposure. Collectively, the SPM explains nearly half of the variability in depressive symptoms among African American men. Discussion The SPM is a useful conceptual framework for identifying psychosocial risk/protective factors and directing health initiatives and policies aimed at improving the psychological health of African American men.
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Affiliation(s)
| | | | - Amy Spring
- Department of Sociology, Georgia State University, Atlanta
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Chatters LM, Nguyen AW, Taylor RJ, Hope MO. Church and Family Support Networks and Depressive Symptoms among African Americans: Findings from the National Survey of American Life. JOURNAL OF COMMUNITY PSYCHOLOGY 2018; 46:403-417. [PMID: 29755153 PMCID: PMC5944602 DOI: 10.1002/jcop.21947] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 11/26/2017] [Indexed: 05/24/2023]
Abstract
AbstractAims:We examined the associations between informal social support from church members and social support from extended family members and depressive symptoms within a national probability sample of African American adults ranging in age from 18 to 93.Methods:This analysis used data from the National Survey of American Life and accounted for religious service attendance and various demographic variables that have known associations with and are consequential for mental health.Results:Frequency of contact with church and family members and emotional support from family were inversely associated with depressive symptoms, and negative church and family interactions were positively associated with depressive symptoms. Emotional support from church members, however, was unrelated to depressive symptoms.Conclusion:This study underscores the important contributions of church relationships to depressive symptoms among African Americans across the adult life span, and confirms that these associations are independent of family relationship factors and religious service attendance.
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Affiliation(s)
- Linda M Chatters
- University of Michigan, School of Social Work, 1080 South University Avenue, Ann Arbor, MI 48109
- University of Michigan, School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109
| | - Ann W Nguyen
- Case Western Reserve University, Mandel School of Applied Social Sciences, 11235 Bellflower Rd, Cleveland, OH 44106
| | - Robert Joseph Taylor
- University of Michigan, School of Social Work, 1080 South University Avenue, Ann Arbor, MI 48109
| | - Meredith O Hope
- University of Michigan, Center for Research on Ethnicity, Culture, and Health, School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109
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Latham-Mintus K, Vowels A, Huskins K. Healthy Aging Among Older Black and White Men: What Is the Role of Mastery? J Gerontol B Psychol Sci Soc Sci 2017; 73:248-257. [DOI: 10.1093/geronb/gbx105] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2016] [Accepted: 07/11/2017] [Indexed: 01/04/2023] Open
Affiliation(s)
- Kenzie Latham-Mintus
- Department of Sociology, Indiana University-Purdue University Indianapolis, Indianapolis, IN
| | - Ashley Vowels
- Department of Sociology, Indiana University-Purdue University Indianapolis, Indianapolis, IN
| | - Kyle Huskins
- Department of Sociology, Indiana University-Purdue University Indianapolis, Indianapolis, IN
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Himle JA, Taylor RJ, Nguyen AW, Williams MT, Lincoln KD, Taylor HO, Chatters LM. Family and Friendship Networks and Obsessive-Compulsive Disorder Among African Americans and Black Caribbeans. THE BEHAVIOR THERAPIST 2017; 40:99-105. [PMID: 28321149 PMCID: PMC5356022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Although there is a large literature on the influence of social support on mental health there is limited research on social support and OCD. This is especially the case for African Americans and Black Caribbeans. This study examines the relationship between family and friendship networks and the prevalence of OCD. The analysis is based on the National Survey of American Life a nationally representative sample of African Americans and Black Caribbeans. Variables included frequency of contact with family and friends, subjective closeness with family and friends, and negative interactions (conflict, criticisms) with family members. The results indicated that only negative interaction with family members was significantly associated with OCD prevalence. African Americans and Black Caribbeans with more frequent negative interactions with family members had a higher likelihood of having OCD. Subjective closeness and frequency of contact with family and friends was not protective of OCD. Overall the findings are consistent with previous work which finds that social support is an inconsistent protective factor of psychiatric disorders, but negative interactions with support network members is more consistently associated with mental health problems.
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Affiliation(s)
- Joseph A Himle
- School of Social Work, Department of Psychiatry, University of Michigan, Ann Arbor
| | - Robert Joseph Taylor
- School of Social Work, Program for Research on Black Americans, Institute for Social Research, University of Michigan, Ann Arbor
| | - Ann W Nguyen
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University
| | | | - Karen D Lincoln
- Suzanne Dworak-Peck School of Social Work, University of Southern California
| | - Harry Owen Taylor
- The Brown School of Social Work, Washington University in St. Louis, MO
| | - Linda M Chatters
- School of Social Work, School of Public Health, Program for Research on Black Americans, Institute for Social Research, University of Michigan, Ann Arbor
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15
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Nam I. Financial Difficulty Effects on Depressive Symptoms Among Dementia Patient Caregivers. Community Ment Health J 2016; 52:1093-1097. [PMID: 27289466 DOI: 10.1007/s10597-016-0033-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2014] [Accepted: 06/07/2016] [Indexed: 10/21/2022]
Abstract
The financial difficulty of dementia caregivers and its effects on mental health has gained increasing attention from researchers. The present study examines the longitudinal relationship between financial difficulty and the depressive symptoms of dementia caregivers using matching methods to account for potential selection bias. Propensity score matching methods and mixed-effects models were used to determine the effects of financial difficulty on depressive symptoms among caregivers participating in the Resources for Enhancing Alzheimer's Caregiver Health (REACH) intervention program. Propensity score matching confirmed that caregivers experiencing financial difficulty were more likely to have depressive symptoms. The results suggest that dementia caregivers require support for their financial difficulty. Future research should fully examine the complex relationship between financial difficulty and the mental health of caregivers and how this issue can be addressed through assessment and intervention methods.
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Affiliation(s)
- Ilsung Nam
- Department of Social Welfare, Sungkonghoe University, Seoul, Republic of Korea.
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Clark EM, Holt CL, Wang MQ, Williams BR, Schulz E. Which Personality Traits Moderate the Relationship Between Religious Capital and Depressive Symptomology in a National Sample of African Americans? JOURNAL OF BLACK PSYCHOLOGY 2016. [DOI: 10.1177/0095798416654835] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The present study examined the relationship between religious capital and depressive symptoms and the moderating role of the Big Five personality constructs in a national sample of African American adults. Data were collected from a national probability sample of 803 African American men and women using a telephone survey including measures of the Big Five personality traits, religious capital, and depressive symptomology. Most interestingly, there was evidence for Personality × Religious Capital interactions on depressive symptomology. Higher religious capital was related to lower depressive symptomology among persons with low conscientiousness or low openness to experience. However, religious capital was less related to depressive symptoms among those with high conscientiousness or high openness. This study reinforces the importance of examining the moderating effects of personality and perceived religious capital in understanding mental health outcomes. This information can be of use to practitioners in designing culturally appropriate interventions, including the use of capital from faith-based organizations.
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Affiliation(s)
| | | | - Min Qi Wang
- University of Maryland, College Park, MD, USA
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Nguyen AW, Chatters LM, Taylor RJ, Mouzon DM. Social Support from Family and Friends and Subjective Well-Being of Older African Americans. JOURNAL OF HAPPINESS STUDIES 2016; 17:959-979. [PMID: 27212890 PMCID: PMC4869534 DOI: 10.1007/s10902-015-9626-8] [Citation(s) in RCA: 104] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Affiliation(s)
- Ann W Nguyen
- School of Social Work, Department of Psychology, University of Michigan, 530 Church Street, Room 3269 East Hall, Ann Arbor, MI 48109
| | - Linda M Chatters
- School of Public Health, School of Social Work, University of Michigan, 1415 Washington Heights, Room 3818 SPH I, Ann Arbor, MI 48109
| | - Robert Joseph Taylor
- School of Social Work, University of Michigan, 1080 South University Avenue, Room 3778 SSWB, Ann Arbor, MI 48109
| | - Dawne M Mouzon
- Edward J. Bloustein School of Planning and Public Policy, Institute for Health, Health Care Policy, and Aging Research, Rutgers, The State University of New Jersey, 33 Livingston Avenue, New Brunswick, NJ 08901
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Hong GRS, Kang HK, Oh E, Park Y, Kim H. Reliability and Validity of the Korean Version of the Perceived Stress Scale-10 (K-PSS-10) in Older Adults. Res Gerontol Nurs 2015; 9:45-51. [PMID: 26366581 DOI: 10.3928/19404921-20150806-72] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Accepted: 07/20/2015] [Indexed: 11/20/2022]
Abstract
The purpose of the current study was to examine the reliability and validity of the Korean version of the Perceived Stress Scale-10 (K-PSS-10). After translation and back-translation of the original PSS-10, a convenience sample of 342 community-dwelling older adults was recruited from senior community centers. Data were analyzed using factor analysis, Pearson's correlation coefficient, and Cronbach's alpha. Using factor analysis with principal axis factoring with oblimin rotation, two factors were extracted. The two-factor solution explained 49.71% of the total variance. Internal consistency values for negative and positive subdomains were 0.87 and 0.71, respectively. Moderate relationships were found between a negative response to stress and depression (r = 0.42, p < 0.001) and quality of life (r = -0.45, p < 0.001). A positive response to stress had moderate significant correlations with depression (r = 0.30, p < 0.001) and quality of life (r = -0.36, p < 0.001). Overall, the K-PSS-10 had good reliability, with a Cronbach's alpha of 0.75. The K-PSS-10 demonstrated the desired psychometric properties and was easy to use to assess the stress of community-dwelling older adults in Korea.
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Chatters LM, Taylor RJ, Woodward AT, Nicklett EJ. Social support from church and family members and depressive symptoms among older African Americans. Am J Geriatr Psychiatry 2015; 23:559-67. [PMID: 24862679 PMCID: PMC4216772 DOI: 10.1016/j.jagp.2014.04.008] [Citation(s) in RCA: 101] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Revised: 04/21/2014] [Accepted: 04/23/2014] [Indexed: 11/16/2022]
Abstract
OBJECTIVE This study examined the influence of church- and family-based social support on depressive symptoms and serious psychological distress among older African Americans. METHODS The analysis is based on the National Survey of American Life. Church- and family-based informal social support correlates of depressive symptoms (CES-D) and serious psychological distress (K6) were examined. Data from 686 African Americans aged 55 years or older who attend religious services at least a few times a year are used in this analysis. RESULTS Multivariate analysis found that social support from church members was significantly and inversely associated with depressive symptoms and psychological distress. Frequency of negative interactions with church members was positively associated with depressive symptoms and psychological distress. Social support from church members remained significant but negative interaction from church members did not remain significant when controlling for indicators of family social support. Among this sample of churchgoers, emotional support from family was a protective factor and negative interaction with family was a risk factor for depressive symptoms and psychological distress. CONCLUSION This is the first investigation of the relationship between church- and family-based social support and depressive symptoms and psychological distress among a national sample of older African Americans. Overall, the findings indicate that social support from church networks was protective against depressive symptoms and psychological distress. This finding remained significant when controlling for indicators of family social support.
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Affiliation(s)
- Linda M Chatters
- School of Social Work, University of Michigan, Ann Arbor, MI; Institute for Social Research, University of Michigan, Ann Arbor, MI; School of Public Health, University of Michigan, Ann Arbor, MI; Program for Research on Black Americans, University of Michigan, Ann Arbor, MI.
| | - Robert Joseph Taylor
- School of Social Work, University of Michigan, Ann Arbor, MI; Institute for Social Research, University of Michigan, Ann Arbor, MI; Program for Research on Black Americans, University of Michigan, Ann Arbor, MI
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20
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Tucker-Seeley RD, Mitchell JA, Shires DA, Modlin CS. Financial hardship, unmet medical need, and health self-efficacy among African American men. HEALTH EDUCATION & BEHAVIOR 2014; 42:285-92. [PMID: 25413374 DOI: 10.1177/1090198114557125] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Health self-efficacy (the confidence to take care of one's health) is a key component in ensuring that individuals are active partners in their health and health care. The purpose of this study was to determine the association between financial hardship and health self-efficacy among African American men and to determine if unmet medical need due to cost potentially mediates this association. METHOD Cross-sectional analysis was conducted using data from a convenience sample of African American men who attended a 1-day annual community health fair in Northeast Ohio (N = 279). Modified Poisson regression models were estimated to obtain the relative risk of reporting low health self-efficacy. After adjusting for sociodemographic characteristics, those reporting financial hardship were 2.91 times, RR = 2.91 (confidence interval [1.24, 6.83]; p < .05), more likely to report low health self-efficacy. When unmet medical need due to cost was added to the model, the association between financial hardship and low health self-efficacy was no longer statistically significant. CONCLUSION Our results suggest that the association between financial hardship and health self-efficacy can be explained by unmet medical need due to cost. Possible intervention efforts among African American men with low financial resources should consider expanding clinical and community-based health assessments to capture financial hardship and unmet medical need due to cost as potential contributors to low health self-efficacy.
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21
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Gilster ME. Neighborhood stressors, mastery, and depressive symptoms: racial and ethnic differences in an ecological model of the stress process in Chicago. J Urban Health 2014; 91:690-706. [PMID: 24912598 PMCID: PMC4134445 DOI: 10.1007/s11524-014-9877-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Neighborhood stressors are associated with depressive symptoms and are more likely to be experienced in poor, non-White neighborhoods. Neighborhood stress process theory suggests that neighborhood stressor affect mental health through personal coping resources, such as mastery. Mastery is thought to be both a pathway and a buffer of the ill effects of neighborhood stressors. This research examines the neighborhood stress process with a focus on racial and ethnic differences in the relationship between neighborhood stressors, mastery, and depressive symptoms in a multi-ethnic sample of Chicago residents. Findings suggest race-specific effects on depressive symptoms. Mastery is found to be a pathway from neighborhood stressors to depressive symptoms but not a buffer against neighborhood stressors. Mastery is most beneficial to Whites and those living in low stress neighborhoods.
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Affiliation(s)
- Megan E Gilster
- University of Iowa, School of Social Work, 308 North Hall, Iowa City, IA, 52246, USA,
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Advani PS, Reitzel LR, Nguyen NT, Fisher FD, Savoy EJ, Cuevas AG, Wetter DW, McNeill LH. Financial strain and cancer risk behaviors among African Americans. Cancer Epidemiol Biomarkers Prev 2014; 23:967-75. [PMID: 24740200 PMCID: PMC4047153 DOI: 10.1158/1055-9965.epi-14-0016] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND African Americans suffer disproportionately from the adverse consequences of behavioral risk factors for cancer relative to other ethnic groups. Recent studies have assessed how financial strain might uniquely contribute to engagement in modifiable behavioral risk factors for cancer, but not among African Americans. The current study examined associations between financial strain and modifiable cancer risk factors (smoking, at-risk alcohol use, overweight/obesity, insufficient physical activity, inadequate fruit and vegetable intake, and multiple risk factors) among 1,278 African American adults (age, 46.5 ± 12.6 years; 77% female) and explored potential mediators (stress and depressive symptoms) of those associations. METHODS Logistic regression models were used to examine associations between financial strain and cancer risk factors. Analyses were adjusted for age, sex, partner status, income, educational level, and employment status. Analyses involving overweight/obesity status additionally controlled for fruit and vegetable intake and physical activity. Nonparametric bootstrapping procedures were used to assess mediation. RESULTS Greater financial strain was associated with greater odds of insufficient physical activity (P < 0.003) and smoking (P = 0.005) and was positively associated with the total number of cancer risk factors (P < 0.0001). There was a significant indirect effect of both stress and depressive symptoms on the relations of financial strain with physical inactivity and multiple risk factors, respectively. CONCLUSIONS Future interventions aimed at reducing cancer disparities should focus on African Americans experiencing higher financial strain while addressing their stress and depressive symptoms. IMPACT Longitudinal studies are needed to assess the temporal and causal relations between financial strain and modifiable behavioral cancer risk factors among African Americans.
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Affiliation(s)
- Pragati S Advani
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, OregonAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - Lorraine R Reitzel
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - Nga T Nguyen
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - Felicia D Fisher
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - Elaine J Savoy
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - Adolfo G Cuevas
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - David W Wetter
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
| | - Lorna H McNeill
- Authors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon
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Savoy EJ, Reitzel LR, Nguyen N, Advani PS, Fisher FD, Wetter DW, Cuevas AG, McNeill LH. Financial strain and self-rated health among Black adults. Am J Health Behav 2014; 38:340-50. [PMID: 24636030 DOI: 10.5993/ajhb.38.3.3] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVES To explore associations between financial strain and self-rated health among 1341 black adults. METHODS Associations were investigated using a covariate-adjusted linear regression model. Mediation (via stress and/or depressive symptoms) was explored in additional models using a nonparametric bootstrapping procedure. RESULTS Higher financial strain was associated with poorer self-rated health (p < .001). Stress and depressive symptoms were each significant mediators of this relation in both single and multiple mediator models (p values < .05). CONCLUSIONS Financial strain may contribute to poorer health among black adults, partially via greater stress and depressive symptoms. Potential theoretical, intervention, and policy implications are discussed. Future studies with longitudinal designs are needed to confirm these results.
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Affiliation(s)
- Elaine J Savoy
- Department of Clinical Psychology, University of Houston, Houston, TX, USA
| | - Lorraine R Reitzel
- Department of Educational Psychology, College of Education, University of Houston, Houston, TX, USA.
| | - Nga Nguyen
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Pragati S Advani
- Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health, USA
| | - Felicia D Fisher
- Department of Educational Psychology, College of Education, University of Houston, Houston, TX, USA
| | - David W Wetter
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Adolfo G Cuevas
- Department of Psychology, Portland State University, Portland, OR, USA
| | - Lorna H McNeill
- Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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Tomomitsu MR, Perracini MR, Neri AL. Influência de gênero, idade e renda sobre o bem-estar de idosos cuidadores e não cuidadores. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2013. [DOI: 10.1590/s1809-98232013000400002] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJETIVOS: Comparar idosos cuidadores e não cuidadores quanto às condições de saúde, psicossociais e de desempenho funcional e conhecer a influência das variáveis socioeconômicas sobre estes grupos. MÉTODO: Estudo envolvendo idosos residentes de três cidades brasileiras - Parnaíba-PI, Campinas-SP e Ivoti-RS - com base nos dados do estudo FIBRA. A amostra foi composta de 676 idosos, 338 cuidadores e 338 não cuidadores. Os cuidadores responderam afirmativamente a duas questões sobre a prestação de cuidado no Elders Life Stress Inventory. Os instrumentos utilizados foram: versões brasileiras da Geriatric Depression Scale, da Interpersonal Support Evaluation List, da escala de atividades instrumentais de vida diária (AIVD), de 13 itens de atividades avançadas de vida diária e escala de satisfação com a vida. Foram aplicadas questões de autorrelato sobre idade, gênero, renda familiar, número de doenças e fadiga. RESULTADOS: Os cuidadores compuseram 29,7% da amostra. A tarefa de cuidar era mais frequente entre as mulheres (65,7%), os idosos de 65 a 74 anos e os de menor renda familiar. Houve frequência maior de queixa de insônia entre os cuidadores comparados com os não cuidadores (p=0,013). Para os grupos, ser mais pobre significou maior frequência de insônia e de dependência em AIVD, além de mais sintomas depressivos entre os cuidadores (p=0,24). As mulheres eram as mais doentes e os homens os mais isolados socialmente. Os cuidadores mais velhos reportaram maior grau de dependência em AIVD (p=0,015). CONCLUSÃO: Circunstâncias socioeconômicas podem contribuir para desfechos negativos sobre as condições de saúde física e bem-estar psicológico, especialmente entre os cuidadores.
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Krause N, Bastida E. Financial Strain, Religious Involvement, and Life Satisfaction Among Older Mexican Americans. Res Aging 2011; 33. [PMID: 21666829 DOI: 10.1177/0164027511400433] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose of this study is to see if financial strain affects the religious involvement and life satisfaction of older Mexican Americans. In the process, an effort was made to explore the factors that promote financial strain in this ethnic group, including immigration status and English language use. The data come from a nationwide survey of older Mexican Americans. Support was found for the following core relationships in the study model: (1) older adults who were born in Mexico will have less schooling; (2) less education will be associated with less frequent use of English; (3) less frequent use of English will be associated with greater financial strain; (4) greater financial strain leads to less formal involvement in the church; (5) older people who are less involved in the church will have a diminished sense of religious meaning; and (6) older adults with a lower sense of religious meaning will be less satisfied with life.
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Lincoln KD, Taylor RJ, Bullard KM, Chatters LM, Woodward AT, Himle JA, Jackson JS. Emotional support, negative interaction and DSM IV lifetime disorders among older African Americans: findings from the National Survey of American Life (NSAL). Int J Geriatr Psychiatry 2010; 25:612-21. [PMID: 20157904 PMCID: PMC2955427 DOI: 10.1002/gps.2383] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVES Both emotional support and negative interaction with family members have been linked to mental health. However, few studies have examined the associations between emotional support and negative interaction and psychiatric disorders in late life. This study investigated the relationship between emotional support and negative interaction on lifetime prevalence of mood and anxiety disorders among older African Americans. DESIGN The analyses utilized the National Survey of American Life. METHODS Logistic regression and negative binomial regression analyses were used to examine the effect of emotional support and negative interaction with family members on the prevalence of lifetime DSM-IV mood and anxiety disorders. PARTICIPANTS Data from 786 African Americans aged 55 years and older were used. MEASUREMENT The DSM-IV World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to assess mental disorders. Three dependent variables were investigated: the prevalence of lifetime mood disorders, the prevalence of lifetime anxiety. RESULTS Multivariate analysis found that emotional support was not associated with any of the three dependent variables. Negative interaction was significantly and positively associated with the odds of having a lifetime mood disorder, a lifetime anxiety disorder and the number of lifetime mood and anxiety disorders. CONCLUSIONS This is the first study to investigate the relationships among emotional support, negative interaction with family members and psychiatric disorders among older African Americans. Negative interaction was a risk factor for mood and anxiety disorders among older African Americans, whereas emotional support was not significant.
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Affiliation(s)
- Karen D Lincoln
- School of Social Work, University of Southern California, Los Angeles, CA, USA.
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Sun F, Hilgeman MM, Durkin DW, Allen RS, Burgio LD. Perceived income inadequacy as a predictor of psychological distress in Alzheimer's caregivers. Psychol Aging 2009; 24:177-83. [PMID: 19290749 DOI: 10.1037/a0014760] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The authors examined perceived income inadequacy as a predictor of self-reported depressive symptomatology and anxiety in the original sites of the Resources for Enhancing Alzheimer's Caregiver Health I project. Perceived income inadequacy, self-reported household income, and control factors (e.g., subjective health) were entered into hierarchical regression analyses predicting psychological distress. Findings suggest that perceived income inadequacy and not household income significantly predicted more self-reported depressive symptomatology and greater self-reported anxiety. This supports previous findings that objective income measures alone are not adequate indicators of socioeconomic status in older adults.
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Affiliation(s)
- Fei Sun
- School of Social Work, Arizona State University, Glendale, AZ 85306, USA.
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