Financial Strain and Self-rated Health among Black Adults

被引：31

作者：

Savoy, Elaine J. ^{[1
,5
]}

Reitzel, Lorraine R. ^{[2
]}

Nga Nguyen ^{[3
]}

Advani, Pragati S. ^{[4
]}

Fisher, Felicia D. ^{[2
]}

Wetter, David W. ^{[5
]}

Cuevas, Adolfo G. ^{[6
]}

McNeill, Lorna H. ^{[5
]}

机构：

[1] Univ Houston, Dept Clin Psychol, Houston, TX USA

[2] Univ Houston, Dept Educ Psychol, Coll Educ, Houston, TX 77004 USA

[3] Univ Texas MD Anderson Canc Ctr, Dept Biostat, Houston, TX 77030 USA

[4] Univ Texas Sch Publ Hlth, Dept Hlth Promot & Behav Sci, Houston, TX USA

[5] Univ Texas MD Anderson Canc Ctr, Dept Hlth Dispar Res, Houston, TX 77030 USA

[6] Portland State Univ, Dept Psychol, Portland, OR 97207 USA

来源：

AMERICAN JOURNAL OF HEALTH BEHAVIOR | 2014年 / 38卷 / 03期

关键词：

financial strain; self-rated health; depression; stress; QUALITY-OF-LIFE; AFRICAN-AMERICANS; SOCIOECONOMIC-STATUS; SINGLE-ITEM; OLDER-ADULTS; SHORT-FORM; STRESS; DISPARITIES; MORTALITY; TRENDS;

D O I：

10.5993/AJHB.38.3.3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：340 / 350

页数：11

共 49 条

[1] Socioeconomic status and health: What we know and what we don't
Adler, NE
Ostrove, JM
[J]. SOCIOECONOMIC STATUS AND HEALTH IN INDUSTRIAL NATIONS: SOCIAL, PSYCHOLOGICAL, AND BIOLOGICAL PATHWAYS, 1999, 896 : 3 - 15
[2] 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
[3] Bierman A S, 1999, Eff Clin Pract, V2, P56
[4] Cumulative Adverse Financial Circumstances: Associations with Patient Health Status and Behaviors
Bisgaier, Joanna
Rhodes, Karin V.
[J]. HEALTH & SOCIAL WORK, 2011, 36 (02) : 129 - 137
[5] Health pessimism among black and white adults: the role of interpersonal and institutional maltreatment
Boardman, JD
[J]. SOCIAL SCIENCE & MEDICINE, 2004, 59 (12) : 2523 - 2533
[6] Brondolo E., 2005, ETHNICITY DIS S5, V15
[7] Businelle MS, J PUBLIC HL IN PRESS
[8] Centers for Disease Control and Prevention, BLACK AFR AM POP
[9] Racism as a stressor for African Americans -: A biopsychosocial model
Clark, R
Anderson, NB
Clark, VR
Williams, DR
[J]. AMERICAN PSYCHOLOGIST, 1999, 54 (10) : 805 - 816
[10] A GLOBAL MEASURE OF PERCEIVED STRESS
COHEN, S
KAMARCK, T
MERMELSTEIN, R
[J]. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1983, 24 (04) : 385 - 396

← 1 2 3 4 5 →