The Association between Modifiable Lifestyle Behaviors and Depression among Asian Americans with Chronic Hepatitis B by Medication Status

被引:6
|
作者
Zhu, Lin [1 ,2 ]
Lu, Wenyue [1 ]
Gamoso, Winterlyn [1 ,3 ]
Tan, Yin [1 ]
Johnson, Cicely [4 ]
Ma, Grace X. [1 ,2 ]
机构
[1] Temple Univ, Ctr Asian Hlth, Lewis Katz Sch Med, Philadelphia, PA 19140 USA
[2] Temple Univ, Lewis Katz Sch Med, Dept Urban Hlth & Populat Sci, Philadelphia, PA 19140 USA
[3] CUNY Hunter Coll, Sch Urban Publ Hlth, New York, NY 10065 USA
[4] CUNY Hunter Coll, Hunter Coll Ctr Canc Hlth Dispar Res CCHDR, New York, NY 10065 USA
基金
美国国家卫生研究院;
关键词
chronic hepatitis B; depression; lifestyle behaviors; antiviral medication; CHRONIC VIRAL-HEPATITIS; CANCER HEALTH DISPARITIES; QUALITY-OF-LIFE; INTERFERON-ALPHA; PHYSICAL-ACTIVITY; PSYCHIATRIC MORBIDITY; RANDOMIZED-TRIAL; IFN-ALPHA; VIRUS; ANXIETY;
D O I
10.3390/brainsci12020188
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Asian Americans are disproportionately affected by chronic hepatitis B (CHB), with incidence and mortality rates well above those experienced by non-Hispanic white populations. The goal of this study was to examine the association between depression and modifiable lifestyle behaviors among Asian Americans with CHB, with a comparison between those on hepatitis medication and those not on medication. In total, 313 Asian Americans with CHB were recruited through outpatient clinics and community-based organizations to participate in an in-person baseline assessment. We collected data on participants' sociodemographic characteristics, health-related behaviors, depression symptoms, and modifiable lifestyle behaviors. Bivariate analyses (two sample t-test and chi-square test of independence) and multivariable logistic regression were conducted. We found a high prevalence of depression among individuals living with CHB (41.81% among those not on antiviral medication and 39.71% among those on medication). Multivariate logistic regression results showed that Chinese ethnicity (vs. Vietnamese) and lack of physical activity were significantly associated with a higher risk of mild/severe depression, regardless of medication status. However, the protective effect of physical activity was strong for those on antiviral medication. Furthermore, being employed was significantly associated with a lower risk for depression among Asian Americans on medication, while younger age and being currently married were significantly associated with lower risk of depression among those not on medication. Our findings highlight the significance of physical activity among Asian Americans with CHB, especially for those on antiviral medication. Future prospective research efforts are needed to better identify the potential behavioral mechanisms of depression and provide insights for the psychopharmacological management in this vulnerable population.
引用
收藏
页数:10
相关论文
共 50 条
  • [21] Liver Transplantation Outcomes Among Caucasians, Asian Americans, and African Americans with Hepatitis B
    Bzowej, Natalie
    Han, Steven
    Degertekin, Bulent
    Keeffe, Emmet B.
    Emre, Sukru
    Brown, Robert
    Reddy, Rajender
    Lok, Anna S.
    LIVER TRANSPLANTATION, 2009, 15 (09) : 1010 - 1020
  • [22] Editorial: an expert consensus for the management of chronic hepatitis B in Asian Americans
    Ebel, N. H.
    Rosenthal, P.
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2018, 47 (11) : 1541 - 1542
  • [23] Role of Sociocultural Factors in Hepatitis B Screening Among Asian Americans
    Ma, Grace X.
    Lee, Sunmin
    Wang, Min
    Tan, Yin
    Gao, Wanzhen
    Ma, Xiang
    Lai, Philip
    Toubbeh, Jamil I.
    SOUTHERN MEDICAL JOURNAL, 2011, 104 (07) : 466 - 472
  • [24] Knowledge and Fears Among Asian Americans Chronically Infected with Hepatitis B
    Rebecca M. Carabez
    J. Anthony Swanner
    Grace J. Yoo
    Minh Ho
    Journal of Cancer Education, 2014, 29 : 522 - 528
  • [25] Hepatitis B among Asian Americans:Prevalence, progress, and prospects for control
    Moon S Chen Jr
    Julie Dang
    World Journal of Gastroenterology, 2015, (42) : 11924 - 11930
  • [26] Knowledge and Fears Among Asian Americans Chronically Infected with Hepatitis B
    Carabez, Rebecca M.
    Swanner, J. Anthony
    Yoo, Grace J.
    Ho, Minh
    JOURNAL OF CANCER EDUCATION, 2014, 29 (03) : 522 - 528
  • [27] A BEHAVIORAL PATHWAY ANALYSIS FOR HEPATITIS B SCREENING AMONG ASIAN AMERICANS
    Tanaka, Miho
    Juon, Hee-Soon
    Xue, Qian-Li
    Bowie, Janice
    Nelson, Kenrad
    ANNALS OF BEHAVIORAL MEDICINE, 2013, 45 : S264 - S264
  • [28] Hepatitis B among Asian Americans: Prevalence, progress, and prospects for control
    Chen, Moon S., Jr.
    Dang, Julie
    WORLD JOURNAL OF GASTROENTEROLOGY, 2015, 21 (42) : 11924 - 11930
  • [29] LIFESTYLE BEHAVIORS EXPLAIN THE ASSOCIATION BETWEEN DIABETES AND DEPRESSION IN OLDER ADULTS
    Leahy, Siobhan
    Briggs, Robert
    Carey, Daniel
    Kenny, Rose Anne
    AGE AND AGEING, 2018, 47
  • [30] Association Between Lifestyle Behaviors and Obesity Among Stroke Survivors
    Yoo, Jee-Hye
    Kim, Taehee
    Lee, Juhee
    WESTERN JOURNAL OF NURSING RESEARCH, 2024, 46 (07) : 552 - 560