Stress is a Latent Construct: Exploring the Differential Experience of Stress and Discrimination on Depressive Symptoms Among Black Older Adults

被引:7
作者
Brown, Lauren L. [1 ]
Garcia, Catherine [2 ]
Reeves, Alexis N. [3 ]
Pamplin, John R. [4 ,5 ]
Mitchell, Uchechi A. [6 ]
机构
[1] San Diego State Univ, Sch Publ Hlth Management & Policy, San Diego, CA 92182 USA
[2] Syracuse Univ, Ctr Aging & Policy Studies, Lerner Ctr Publ Hlth Promot, Aging Studies Inst,Human Dev & Family Sci, Syracuse, NY USA
[3] Stanford Univ, Sch Med, Dept Epidemiol & Populat Hlth, Palo Alto, CA 94304 USA
[4] NYU, Ctr Urban Sci & Progress, New York, NY USA
[5] NYU, Ctr Opioid Epidemiol & Policy, Dept Populat Hlth, Grossman Sch Med, New York, NY USA
[6] Univ Illinois, Sch Publ Hlth, Div Community Hlth Sci, Chicago, IL USA
关键词
chronic stress; stress appraisal; mental health; racism; AFRICAN-AMERICANS; RACIAL DISPARITIES; MENTAL-DISORDERS; NATIONAL-SURVEY; LIFE-COURSE; HEALTH; RACE; PREVALENCE; INEQUITIES; CRITERION;
D O I
10.1177/08982643221086333
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Objectives: While evidence highlights the detrimental mental health consequences of chronic stress exposure, the impact of this stress exposure on older Black Americans' mental health varies by exposure to other types of stressors like discrimination as well as subjective evaluations of stress like chronic stress appraisal. Methods: Using data from the 2010/2012 Health and Retirement Study, we use latent profile analysis (LPA) to describe 2,415 Black older adults experience with chronic stress exposure, appraisal, and discrimination and examine which stress contexts are associated with depressive symptomology. Results: Analyses revealed five stress clusters-demonstrating the diversity in the stress experience for older Black adults. Black older adults with stress profiles that include lower stress appraisal report fewer depressive symptoms regardless of number of stress exposures. Discussion: LPA is as an alternative approach to examining the stress-mental health link that can define stress profiles by both exposure and appraisal-based measures.
引用
收藏
页码:334 / 346
页数:13
相关论文
共 64 条
  • [1] Age differences in stress, coping, and appraisal: Findings from the normative aging study
    Aldwin, CM
    Sutton, KJ
    Chiara, G
    Spiro, A
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 1996, 51 (04): : P179 - P188
  • [2] American Psychiatric Association, 2022, Diagnostic and statistical manual of mental disorders, V5th ed., text rev., DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
  • [3] CRITERION VALIDITY OF A COPING MEASURE
    AMIRKHAN, JH
    [J]. JOURNAL OF PERSONALITY ASSESSMENT, 1994, 62 (02) : 242 - 261
  • [4] SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D
    ANDRESEN, EM
    MALMGREN, JA
    CARTER, WB
    PATRICK, DL
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1994, 10 (02) : 77 - 84
  • [5] Subjective Socioeconomic Status Moderates the Association between Discrimination and Depression in African American Youth
    Assari, Shervin
    Preiser, Brianna
    Lankarani, Maryam Moghani
    Caldwell, Cleopatra H.
    [J]. BRAIN SCIENCES, 2018, 8 (04)
  • [6] Do racial patterns in psychological distress shed light on the Black-White depression paradox? A systematic review
    Barnes, David M.
    Bates, Lisa M.
    [J]. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2017, 52 (08) : 913 - 928
  • [7] Bennett DA, 2001, AUST NZ J PUBL HEAL, V25, P464, DOI 10.1111/j.1467-842X.2001.tb00294.x
  • [8] Measuring More Than Exposure: Does Stress Appraisal Matter for Black-White Differences in Anxiety and Depressive Symptoms Among Older Adults?
    Brown, Lauren L.
    Abrams, Leah R.
    Mitchell, Uchechi A.
    Ailshire, Jennifer A.
    [J]. INNOVATION IN AGING, 2020, 4 (05)
  • [9] Disentangling the Stress Process: Race/Ethnic Differences in the Exposure and Appraisal of Chronic Stressors Among Older Adults
    Brown, Lauren L.
    Mitchell, Uchechi A.
    Ailshire, Jennifer A.
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2020, 75 (03): : 650 - 660
  • [10] An entropy criterion for assessing the number of clusters in a mixture model
    Celeux, G
    Soromenho, G
    [J]. JOURNAL OF CLASSIFICATION, 1996, 13 (02) : 195 - 212