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Blake AL, Bennett NR, McKenzie JA, Tulloch-Reid MK, Govia I, McFarlane SR, Walters R, Francis DK, Wilks RJ, Williams DR, Younger-Coleman NO, Ferguson TS. Social support and ideal cardiovascular health in urban Jamaica: A cross-sectional study. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003466. [PMID: 39078827 PMCID: PMC11288424 DOI: 10.1371/journal.pgph.0003466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 06/19/2024] [Indexed: 08/02/2024]
Abstract
Recent studies have suggested that high levels of social support can encourage better health behaviours and result in improved cardiovascular health. In this study we evaluated the association between social support and ideal cardiovascular health among urban Jamaicans. We conducted a cross-sectional study among urban residents in Jamaica's south-east health region. Socio-demographic data and information on cigarette smoking, physical activity, dietary practices, blood pressure, body size, cholesterol, and glucose, were collected by trained personnel. The outcome variable, ideal cardiovascular health, was defined as having optimal levels of ≥5 of these characteristics (ICH-5) according to the American Heart Association definitions. Social support exposure variables included number of friends (network size), number of friends willing to provide loans (instrumental support) and number of friends providing advice (informational support). Principal component analysis was used to create a social support score using these three variables. Survey-weighted logistic regression models were used to evaluate the association between ICH-5 and social support score. Analyses included 841 participants (279 males, 562 females) with mean age of 47.6 ± 18.42 years. ICH-5 prevalence was 26.6% (95%CI 22.3, 31.0) with no significant sex difference (male 27.5%, female 25.7%). In sex-specific, multivariable logistic regression models, social support score, was inversely associated with ICH-5 among males (OR 0.67 [95%CI 0.51, 0.89], p = 0.006) but directly associated among females (OR 1.26 [95%CI 1.04, 1.53], p = 0.020) after adjusting for age and community SES. Living in poorer communities was also significantly associated with higher odds of ICH-5 among males, while living communities with high property value was associated with higher odds of ICH among females. In this study, higher level of social support was associated with better cardiovascular health among women, but poorer cardiovascular health among men in urban Jamaica. Further research should explore these associations and identify appropriate interventions to promote cardiovascular health.
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Affiliation(s)
- Alphanso L. Blake
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
- School of Clinical Medicine and Research, The Faculty of Medical Sciences, The University of the West Indies, Nassau, The Bahamas
| | - Nadia R. Bennett
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Joette A. McKenzie
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Marshall K. Tulloch-Reid
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Ishtar Govia
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Shelly R. McFarlane
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Renee Walters
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Damian K. Francis
- School of Health and Human Performance, Georgia College and State University, Milledgeville, Georgia, United States of America
| | - Rainford J. Wilks
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - David R. Williams
- Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, United States of America
| | - Novie O. Younger-Coleman
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
| | - Trevor S. Ferguson
- Caribbean Institute for Health Research, The University of the West Indies, Mona, Kingston, Jamaica
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Morey BN, Garcia S, Lin K, Canchola AJ, Alexeeff SE, Kurtovich EM, Uong S, Aoki RLF, Guan A, Torres JM, Shariff-Marco S, Yao S, Kushi LH, Gomez SL, Kroenke CH. A validation study for measuring Asian- and Hispanic-serving sociocultural institutions in neighborhoods using business listing data and potential implications for health. Soc Sci Med 2024; 356:117143. [PMID: 39032193 DOI: 10.1016/j.socscimed.2024.117143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 07/05/2024] [Accepted: 07/12/2024] [Indexed: 07/22/2024]
Abstract
Ethnic enclaves influence the health of Asian American and Hispanic or Latinx/a/o populations, likely via neighborhood social, economic, and built environments. To facilitate studies aiming to disentangle these specific neighborhood mechanisms, we describe the creation and validation of two novel measures-Asian-serving and Hispanic-serving sociocultural institutions (SCIs)-to estimate the social, cultural, and economic character of ethnic enclaves in California. Business listing data were used to identify SCIs or businesses that promote cultural and social identity, including arts, civic, historical, religious, social service, and membership organizations. Keyword searches of business names were used to identify potential Asian- or Hispanic-serving SCIs. An online audit of 1,627 businesses within 12 cities confirmed the validity of using keyword searches to assess whether census tracts were high or low in Asian- or Hispanic-serving SCIs (sensitivity: 63%-100%, specificity: 86%-95%; positive predictive value: 63%-89%). In exploratory regression analyses, high presence of SCIs (compared to low presence) may be associated with neighborhood-level health indicators, including greater percentages of residents who had an annual checkup in majority Asian census tracts and lower percentages of residents who were current smokers in majority Asian and Hispanic census tracts. This approach advances methodology in measurement of neighborhood sociocultural environments.
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Affiliation(s)
- Brittany N Morey
- Department of Health, Society, & Behavior, Program in Public Health, University of California Irvine, 856 Health Sciences Quad, Suite 3527, Irvine, CA, 92697-3957, USA.
| | - Samantha Garcia
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, 1441 Eastlake Ave., Los Angeles, CA, 90033, USA
| | - Katherine Lin
- Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, 550 16th. Street, San Francisco, CA, 94158, USA
| | - Alison J Canchola
- Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, 550 16th. Street, San Francisco, CA, 94158, USA
| | - Stacey E Alexeeff
- Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA
| | - Elaine M Kurtovich
- Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA
| | - Stephen Uong
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY, 10032, USA
| | - Rhonda-Lee F Aoki
- Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA
| | - Alice Guan
- Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, 550 16th. Street, San Francisco, CA, 94158, USA
| | - Jacqueline M Torres
- Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, 550 16th. Street, San Francisco, CA, 94158, USA
| | - Salma Shariff-Marco
- Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, 550 16th. Street, San Francisco, CA, 94158, USA; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA
| | - Song Yao
- Department of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY, 14263, USA
| | - Lawrence H Kushi
- Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA
| | - Scarlett Lin Gomez
- Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, 550 16th. Street, San Francisco, CA, 94158, USA; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 1450 3rd Street, San Francisco, CA, 94158, USA
| | - Candyce H Kroenke
- Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA
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LeBrón AMW, Schulz AJ, Gamboa C, Reyes A, Viruell-Fuentes E, Israel BA. Mexican-origin women's individual and collective strategies to access and share health-promoting resources in the context of exclusionary immigration and immigrant policies. BMC Public Health 2024; 24:1757. [PMID: 38956532 PMCID: PMC11218332 DOI: 10.1186/s12889-024-19204-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 06/19/2024] [Indexed: 07/04/2024] Open
Abstract
BACKGROUND A growing literature has documented the social, economic, and health impacts of exclusionary immigration and immigrant policies in the early 21st century for Latiné communities in the US, pointing to immigration and immigrant policies as forms of structural racism that affect individual, family, and community health and well-being. Furthermore, the past decade has seen an increase in bi-partisan exclusionary immigration and immigrant policies. Immigration enforcement has been a major topic during the 2024 Presidential election cycle, portending an augmentation of exclusionary policies towards immigrants. Within this context, scholars have called for research that highlights the ways in which Latiné communities navigate exclusionary immigration and immigrant policies, and implications for health. This study examines ways in which Mexican-origin women in a midwestern northern border community navigate restrictive immigration and immigrant policies to access health-promoting resources and care for their well-being. METHODS We conducted a grounded theory analysis drawing on interviews with 48 Mexican-origin women in Detroit, Michigan, who identified as being in the first, 1.5, or second immigrant generation. Interviews were conducted in English or Spanish, depending on participants' preferences, and were conducted at community-based organizations or other locations convenient to participants in 2013-2014. RESULTS Women reported encountering an interconnected web of institutional processes that used racializing markers to infer legal status and eligibility to access health-promoting resources. Our findings highlight women's use of both individual and collective action to navigate exclusionary policies and processes, working to: (1) maintain access to health-promoting resources; (2) limit labeling and stigmatization; and (3) mitigate adverse impacts of immigrant policing on health and well-being. The strategies women engaged were shaped by both the immigration processes and structures they confronted, and the resources to which they had access to within their social network. CONCLUSIONS Our findings suggest a complex interplay of immigration-related policies and processes, social networks, and health-relevant resources. They highlight the importance of inclusive policies to promote health for immigrant communities. These findings illuminate women's agency in the context of structural violence facing immigrant women and are particularly salient in the face of anti-immigrant rhetoric and exclusionary immigration and immigrant policies.
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Affiliation(s)
- Alana M W LeBrón
- Department of Health, Society, and Behavior, University of California, Irvine 856 Health Sciences Drive, Suite 3555, Irvine, CA, USA.
- Department of Chicano/Latino Studies, University of California, Irvine, Irvine, CA, USA.
| | - Amy J Schulz
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Cindy Gamboa
- Detroit Hispanic Development Corporation, Detroit, MI, USA
| | - Angela Reyes
- Detroit Hispanic Development Corporation, Detroit, MI, USA
| | - Edna Viruell-Fuentes
- Department of Latina/o Studies, University of Illinois Urbana-Champaign (Deceased), Urbana- Champaign, IL, USA
| | - Barbara A Israel
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA
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Chepkemoi S, Nyikavaranda P, Semrau M, Archer G, Pantelic M. Resilience resources for mental health among people living with HIV: a mixed-method systematic review. AIDS Care 2024; 36:849-863. [PMID: 38319898 DOI: 10.1080/09540121.2024.2303613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 12/18/2023] [Indexed: 02/08/2024]
Abstract
People living with HIV (PLWH) experience a disproportionate burden of mental health problems compared to people living without HIV. This systematic review aims to depict the spectrum of resilience resources that may promote the mental health of PLWH at the individual, interpersonal, organisational, community and policy levels. A systematic literature search was conducted in PsycINFO, Scopus, Medline and advanced Google Scholar. The quality of included studies was assessed using the Mixed Methods Appraisal Tool (MMAT). Of the 591 studies identified, fourteen were included representing a total of 5,142 PLWH from China, Ghana, Nepal, Spain, Tanzania and the USA. Resilience resources were identified at the individual level (self-efficacy, self-esteem, acceptance, hope, optimism, religiosity/spirituality, belief in fate, mindfulness, strength and self-responsibility); interpersonal level (social support and parental monitoring); and community level (attending HIV clinic support groups and access to healthcare). All quantitative studies were cross-sectional, limiting inferences about causation or directionality. Future research should focus on resilience resources at the organisational and policy levels and incorporate longitudinal designs.
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Affiliation(s)
- Sharon Chepkemoi
- Department of Primary Care & Public Health, Brighton & Sussex Medical School, University of Sussex, Brighton, UK
| | - Patrick Nyikavaranda
- Department of Primary Care & Public Health, Brighton & Sussex Medical School, University of Sussex, Brighton, UK
| | - Maya Semrau
- Centre for Global Health Research, Brighton & Sussex Medical School, University of Sussex, Brighton, UK
| | - Gemma Archer
- Department of Primary Care & Public Health, Brighton & Sussex Medical School, University of Sussex, Brighton, UK
| | - Marija Pantelic
- Department of Primary Care & Public Health, Brighton & Sussex Medical School, University of Sussex, Brighton, UK
- Department of Social Policy and Intervention, University of Oxford, Oxford, UK
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Gomez C, Baca SA, Ryder A, Gudiño OG. Understanding the concurrence of environmental characteristics in Latino youth: A person-centered approach. JOURNAL OF COMMUNITY PSYCHOLOGY 2024; 52:74-88. [PMID: 37642956 DOI: 10.1002/jcop.23086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 05/31/2023] [Accepted: 08/18/2023] [Indexed: 08/31/2023]
Abstract
The current study aimed to identify profiles of youth presenting with a unique combination of environmental characteristics and understand the differential relationship between profile membership, anxiety, and depression symptoms. Data were drawn from 158 Latino youth between the ages of 11 and 13. Youth provided information on community violence exposure, acculturative stress, familial and peer support, and parental supervision. Main analyses included Latent Profile Analysis and Multivariate Analysis of Variance. Support for a four-profile model was found. Profiles are distinguished by mean levels of community violence exposure, acculturative stress, familial and peer support, and parental supervision. Profile membership was significantly associated with anxiety and depression, separately. Those belonging to the profile with the highest levels of environmental risk reported the highest levels of anxiety and depression. Findings contribute to a personalized understanding of risk and protective experiences in the environment for Latino youth.
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Affiliation(s)
- Christopher Gomez
- Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA
| | - Selena A Baca
- Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA
| | - Annie Ryder
- Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA
| | - Omar G Gudiño
- Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA
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Tesfaye Y, Alemu B, Soboka M, Girma S, Reinhard MA, Rek S, Adorjan K, Zhelyazkova A, Padberg F, Jobst A, Abera M. Mental health problems during the COVID-19 pandemic among residents of Jimma town: a cross-sectional study. Eur Arch Psychiatry Clin Neurosci 2023:10.1007/s00406-023-01674-y. [PMID: 37715069 DOI: 10.1007/s00406-023-01674-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 08/08/2023] [Indexed: 09/17/2023]
Abstract
The COVID-19 pandemic presents an unprecedented challenge to community wellbeing and mental health. However, quantifiable information on the extent of mental health problems and associated factors due to the pandemic is still lacking in low-income countries. Thus, this study aimed to investigate the levels of depression, anxiety, and stress and their association with risk and resilience factors among residents of Jimma town in Southwestern Ethiopia. A community-based cross-sectional study was conducted between October 2021 and November 2021. Data were collected from 1196 adult Jimma town residents selected through multi-stage sampling. The following scales were used for the cross-sectional assessment of depressions, anxiety and stress and their associations: depression, anxiety, and stress-21(DASS-21), World Health Organization (WHO) wellbeing, University of California, Los Angeles Loneliness Scale (UCLA), Childhood trauma questionnaire, and brief resilience scales. A pre-tested, interviewer-completed questionnaire was used for data collection. Bivariate and multivariate logistic regression analyses were conducted to identify factors associated with depression, anxiety, and stress. Odds ratios consistent with 95% CI were used to report the presence of an association between risk and resilience factors and the outcome variable at a P-value < 0.05. Overall, 963 (80.53%) respondents had divergent DASS-21 score findings. Specifically, 27.68%, 31.52% and 21.32% experienced depression, anxiety, and stress respectively. Higher DASS-21 scores were associated with the presence of one or more COVID-19 risk factors for anyone close to the participants (AOR = 1.53, 95% CI 1.03-2.27), feelings of stress/burden (β = 1.09, 95% CI 1.07-1.12), positive coping (β = 1.044, 95% CI 1.01-1.07), loneliness (β = 1.063, 95% CI 1.04-1.08), and childhood trauma (β = 1.03, 95% CI 1.01-1.04). In contrast, lower DASS-21 scores were associated with beliefs about the necessity of solidarity-based behavior (β = 0.94, 95% CI 0.90-0.98), resilience (β = 0.92, 95% CI 0.87-0.97) and wellbeing (β = 0.90, 95% CI 0.87-0.94). In the course of the COVID-19 pandemic in 2021, symptoms of depression, anxiety, and stress in the study community were prevalent, and associated with numerous risk and resilience factors. Although causality cannot be inferred, these findings underscore the importance of strengthening mental health services and may guide COVID-19 prevention and treatment strategies.
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Affiliation(s)
- Yonas Tesfaye
- Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia.
| | - Bezaye Alemu
- Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia
| | - Matiwos Soboka
- Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia
| | - Shimelis Girma
- Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia
| | - Matthias A Reinhard
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Stefanie Rek
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Kristina Adorjan
- Center for International Health, Ludwig Maximilian University, Munich, Germany
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Ana Zhelyazkova
- Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der, Universität München LMU München, Munich, Germany
| | - Frank Padberg
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Andrea Jobst
- Center for International Health, Ludwig Maximilian University, Munich, Germany
- Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
| | - Mubarek Abera
- Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia
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Van Rensburg D, Adams AK, Perez G, Bishop S, Warne T, Hassell L, Quigley T, Garza L, Dupuis V, Drain PK, Whiting Sorrell A, Ko LK. Factors influencing COVID-19 testing among Native Americans and Latinos in two rural agricultural communities: a qualitative study. Front Public Health 2023; 11:1220052. [PMID: 37790722 PMCID: PMC10543655 DOI: 10.3389/fpubh.2023.1220052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 07/25/2023] [Indexed: 10/05/2023] Open
Abstract
Objective To examine factors influencing decisions to test for COVID-19 among Native Americans on the Flathead Reservation in Montana and the Latino community in the Yakima Valley of Washington state. Methods We conducted 30 key informant interviews with community leaders and six focus groups with community members to examine factors impacting decisions to test for COVID-19 during the second year of the COVID-19 pandemic from May 2021 to June 2021. Results Three major themes that impacted testing for COVID-19 were identified: (1) Social factors, including the influence of families and friends and employment practices; (2) health factors, including testing procedures, home-based testing, and health communication; and (3) contextual factors, including distrust for government and medical communities and the impact on cultural practices and celebrations. Conclusions Social, health, and contextual factors influence the decision to test for COVID-19. Understanding the community's perception is critical for successful implementation of preventive strategies.
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Affiliation(s)
- Dillon Van Rensburg
- Institute of Translational Health Sciences, University of Washington, Seattle, WA, United States
| | - Alexandra K. Adams
- Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, United States
| | - Georgina Perez
- Institute of Translational Health Sciences, University of Washington, Seattle, WA, United States
| | - Sonia Bishop
- Health Systems and Population Health, University of Washington, Seattle, WA, United States
| | - Teresa Warne
- Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, United States
| | - Laurie Hassell
- Institute of Translational Health Sciences, University of Washington, Seattle, WA, United States
| | - Thomas Quigley
- Collaborative Data Services, Fred Hutchinson Cancer Center, Seattle, WA, United States
| | - Lorenzo Garza
- Family and Community Engagement, Sunnyside School District, Sunnyside, WA, United States
| | - Virgil Dupuis
- Extension Office, Salish Kootenai College, Pablo, MT, United States
| | - Paul K. Drain
- Department of Global Health, University of Washington, Seattle, WA, United States
| | - Anna Whiting Sorrell
- Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, United States
| | - Linda K. Ko
- Health Systems and Population Health, University of Washington, Seattle, WA, United States
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Gutiérrez Á, Bravo RL, Tobin CT. Loneliness Exacerbates the Association Between Bodily Pain and Depressive Symptoms Among Middle-Aged and Older Latinx Adults. J Aging Health 2022; 34:1201-1212. [PMID: 36154318 DOI: 10.1177/08982643221127327] [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: 11/17/2022]
Abstract
Objectives: To investigate the associations between three bodily pain dimensions (intensity, frequency, severity) and depressive symptoms among middle-aged and older Latinxs ages 40-94 and to determine whether loneliness conditioned the pain-depressive symptoms associations. Methods: Data are from a community-based study of community-dwelling residents in Florida (N = 527). Multivariable linear regression models assessed the impact of each pain dimension on depressive symptoms, controlling for sociodemographic factors. Interactions determined whether loneliness moderated the pain-depressive symptoms relationships. Results: Each pain dimension was positively associated with depressive symptoms (p < .01). Loneliness modified the impact of pain frequency and pain severity on depressive symptoms. Those with moderate and high loneliness levels experienced an amplified pain-depressive symptoms association. Discussion: Findings underscore the synergistic effects of pain and loneliness in exacerbating depressive symptomatology among middle-aged and older Latinx adults. Loneliness is an important point of intervention to improve mental health among aging Latinxs.
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Affiliation(s)
- Ángela Gutiérrez
- Department of Social Medicine, Heritage College of Osteopathic Medicine, 1354Ohio University, Athens, OH, USA
| | - Rosana L Bravo
- Department of Health Sciences Education, College of Health Sciences, 6645Western University of Health Sciences, Pomona, CA, USA
| | - Courtney Thomas Tobin
- Department of Community Health Sciences, Fielding School of Public Health, 25808University of California, Los Angeles, CA, USA
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Held ML, First JM, Huslage M, Holzer M. Policy stress and social support: Mental health impacts for Latinx Adults in the Southeast United States. Soc Sci Med 2022; 307:115172. [DOI: 10.1016/j.socscimed.2022.115172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 02/02/2022] [Accepted: 06/24/2022] [Indexed: 11/17/2022]
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10
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ALEGRÍA MARGARITA, CRUZ‐GONZALEZ MARIO, ALVAREZ KIARA, CANINO GLORISA, DUARTE CRISTIANE, BIRD HECTOR, RAMOS‐OLAZAGASTI MARIA, LAPATIN MARKLE SHERI, O'MALLEY ISABEL, VILA DORILIZ, SHROUT PATRICKE. How Ethnic Minority Context Alters the Risk for Developing Mental Health Disorders and Psychological Distress for Latinx Young Adults. Milbank Q 2022; 100:424-463. [PMID: 35191095 PMCID: PMC9205660 DOI: 10.1111/1468-0009.12552] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Abstract
UNLABELLED Policy Points In low-income communities in the South Bronx and Puerto Rico, Puerto Rican youth are exposed to many of the same risk and protective factors for developing depression, anxiety, or psychological distress; yet it is unclear how the ethnic minority context of the South Bronx and ethnic majority context of Puerto Rico influence risk. Results from our quasi-experimental, longitudinal study demonstrate the importance of addressing social factors (parent-child relationships, youth peer relationships) for youth living in the majority context, and neighborhood and cultural factors (residential mobility, perceived discrimination, perceived social position in the neighborhood) for youth living in the minority context. Our findings support the need for tailoring programs specific to the needs of youth who reside in an ethnic majority or a minority context, since some of the risk factors might operate differently depending on context. Housing and neighborhood environment policies that address discrimination and eliminate structural inequities for ethnic minority groups may protect against the harm of minoritization on young people's mental health. CONTEXT Puerto Rican youth growing up in low-income communities in the South Bronx and Puerto Rico are exposed to many of the same risk factors for major depressive disorder, generalized anxiety disorder, and psychological distress. One potentially powerful factor differs: Puerto Ricans have been socially marginalized as an ethnic minority group in the South Bronx, but are the ethnic majority of the population in Puerto Rico. A growing body of literature demonstrates the influence of neighborhood, cultural, and social factors and parental psychopathology in the development of mental health problems. An important unanswered question is whether these risk and protective factors have the same impact for youth raised as members of an ethnic majority versus minority group. METHODS Using a population-based cohort study, with four waves of assessment from early childhood into young adulthood, we investigated whether ethnic minority context alters risk and protective factors for depression, anxiety, and psychological distress. Our longitudinal data set includes 2,491 young children at baseline (82.8% retained at wave 4). Using a quasi-experimental design, we examine how ethnic minority context can alter the development of mental health disorders as Latinx children transition to late adolescence and young adulthood. FINDINGS Some risk and protective factors operated differently across minority and majority contexts. Higher discrimination and social position were more powerful risk and protective factors, respectively, in the minority context, whereas positive peer relationships mattered more in the majority context. Children of mothers with depression were significantly more likely to develop anxiety in late adolescence and young adulthood in the majority context (60.0%) compared to the minority context (4.5%). CONCLUSIONS Preventing depression and anxiety disorders in Latinx young adults may require targeting different childhood factors depending on whether they reside within the ethnic majority or minority context. People in the ethnic minority context may benefit more from policies aimed at reducing discrimination and improving economic opportunity, while people in the majority context may benefit more from opportunities for strengthening family and peer relationships.
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Affiliation(s)
| | | | - KIARA ALVAREZ
- Massachusetts General Hospital
- Harvard Medical School
| | - GLORISA CANINO
- Behavioral Sciences Research InstituteUniversity of Puerto Rico Medical School
| | - CRISTIANE DUARTE
- New York State Psychiatric InstituteColumbia University Medical Center
| | - HECTOR BIRD
- New York State Psychiatric InstituteColumbia University Medical Center
| | | | | | | | - DORILIZ VILA
- Behavioral Sciences Research InstituteUniversity of Puerto Rico Medical School
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11
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Cho S. Relationships Between Perceived Neighborhood Disorder and Depressive Symptomatology: The Stress Buffering Effects of Social Support Among Older Adults. SOCIAL WORK IN PUBLIC HEALTH 2022; 37:45-56. [PMID: 34488567 DOI: 10.1080/19371918.2021.1974636] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Existing research indicates neighborhood is an important determinant of depressive symptoms. However, this research has several limitations. These include a lack of investigation of older adults' experiences and of social support as a possible moderator. The current study aims to fill these gaps by increasing knowledge about the relationships between perceived neighborhood disorder and depressive symptoms among older adults. Applying stress process theory, this study investigated the relationships between two subjective indicators of neighborhood stressors - physical and social perceived neighborhood disorder and depressive symptoms. This study also tested whether social support moderated the effects of the neighborhood stressors on depressive symptoms. This study was based on secondary data analysis from the Health and Retirement Study 2016 (N = 3,684; age 50+). This study applied a negative binomial regression in that the outcome was a count variable. The results showed the stress buffering effects of social support were not significant for both perceived neighborhood social disorder and physical disorder. Not as a moderator but as the main effect, lower social support was significantly related to higher depressive symptoms. Having a depression history, lower self-rated health, female, and lower education were also related to higher depressive symptoms. This study contributes to social work practice by addressing older adults' depressive symptomatology. Findings identified vulnerable older adults to target for interventions based on individual characteristics. Focusing on social support should be a vital component of interventions. Social workers can help older adults maintain and strengthen their social support, with beneficial effects on their depressive symptomatology.
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Affiliation(s)
- Seungjong Cho
- Department of Sociology, Anthropology, and Social Work, Texas Tech University, Lubbock, Texas, USA
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Sharif Nia H, Gorgulu O, Naghavi N, Robles-Bello MA, Sánchez-Teruel D, Khoshnavay Fomani F, She L, Rahmatpour P, Allen KA, Arslan G, Pahlevan Sharif S. Spiritual Well-Being, Social Support, and Financial Distress in Determining Depression: The Mediating Role of Impact of Event During COVID-19 Pandemic in Iran. Front Psychiatry 2021; 12:754831. [PMID: 34777060 PMCID: PMC8581494 DOI: 10.3389/fpsyt.2021.754831] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 09/28/2021] [Indexed: 12/17/2022] Open
Abstract
This study investigates the relationship between spiritual well-being, social support, and financial distress with depressive symptoms due to the COVID-19 pandemic. A path analysis was used to analyze data collected from 1,156 Iranian participants via an online survey. The results showed that spiritual well-being and social support were negatively related to depressive symptoms and financial distress. The impact of COVID-19 events showed negative associations with depressive symptoms. In addition, the link between spiritual well-being and financial distress with depressive symptoms was partially mediated by the impact of events.
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Affiliation(s)
- Hamid Sharif Nia
- Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ozkan Gorgulu
- Department of Biostatistics and Medical Information, Faculty of Medicine, Kirsehir Ahi Evran University, Kirsehir, Turkey
| | - Navaz Naghavi
- Taylor's Business School, Taylor's University, Subang Jaya, Malaysia
| | - María Auxiliadora Robles-Bello
- Area of Developmental and Educational Psychology, Department of Psychology, Faculty of Humanities, University of Jaén, Jaén, Spain
| | - David Sánchez-Teruel
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Granada, Granada, Spain
| | | | - Long She
- Faculty of Business and Law, Taylor's University, Subang Jaya, Malaysia
| | - Pardis Rahmatpour
- Department of Nursing, School of Nursing, Alborz University of Medical Sciences, Karaj, Iran
| | - Kelly-Ann Allen
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC, Australia
- Centre for Wellbeing Science, The Melbourne Graduate School of Education, The University of Melbourne, Parkville, VIC, Australia
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Zhou M, Guo W. Subjective Distress about COVID-19 and Its Social Correlates: Empirical Evidence from Hubei Province of China. J Affect Disord 2021; 289:46-54. [PMID: 33940318 PMCID: PMC8600459 DOI: 10.1016/j.jad.2021.04.026] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 12/29/2020] [Accepted: 04/17/2021] [Indexed: 01/01/2023]
Abstract
BACKGROUND The COVID-19 pandemic generates negative psychological effects such as distress. Social influences on subjective distress associated with COVID-19 remain understudied in the Chinese context. Wuhan with its surrounding areas in Hubei province was not only the locale where first COVID-19 cases were detected in the world but was also the hardest hit across China. Data from Hubei provide a unique opportunity to investigate COVID-19-related subjective distress and its social correlates. METHODS We use original data (N=3,465) from the General Social Survey on COVID-19 in Hubei, China, conducted in August 2020. Regression analysis is employed to examine the impact of socioeconomic status, family structure, and social policies on COVID-19-related subjective distress measured by the Impact of Event-Scale-Revised (IES-R). RESULTS First, individuals with higher socioeconomic status are not more immune to distress, and actually it is those better-educated ones who are more distressed. Second, family structure influences distress. Divorced and widowed individuals are more prone to distress than those who are married or single. Those living with COVID-19-infected family members or living with a larger family are particularly more distressed. Third, stricter lockdown measures promote real and perceived protection and also increase individuals' psychological distance from the disease, thereby reducing subjective distress. LIMITATIONS The sample is not totally random so we should use caution when generalizing the findings to the general population. CONCLUSIONS The findings contribute to our understanding of mental health disparity during the COVID-19 pandemic. Certain social groups are at a higher risk of distress than others.
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Affiliation(s)
- Min Zhou
- Department of Sociology, Faculty of Social Sciences, the University of Victoria, Victoria, BC, V8W 3P5, Canada
| | - Wei Guo
- Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Jiangsu Province, 210023, P. R. China; The Centre for Asia-Pacific Development Studies, Nanjing University, Jiangsu Province, 210023, P. R. China.
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Baranyi G, Di Marco MH, Russ TC, Dibben C, Pearce J. The impact of neighbourhood crime on mental health: A systematic review and meta-analysis. Soc Sci Med 2021; 282:114106. [PMID: 34139480 DOI: 10.1016/j.socscimed.2021.114106] [Citation(s) in RCA: 41] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 04/19/2021] [Accepted: 06/02/2021] [Indexed: 01/20/2023]
Abstract
BACKGROUND Growing evidence indicates that the residential neighbourhood contributes to the complex aetiology of mental disorders. Although local crime and violence, key neighbourhood stressors, may be linked to mental health through direct and indirect pathways, studies are inconclusive. This systematic review and meta-analysis aimed to synthetize the evidence on the association between neighbourhood crime and individual-level mental health problems. METHOD We searched 11 electronic databases, grey literature and reference lists to identify relevant studies published before September 14, 2020. Studies were included if they reported confounder-adjusted associations between objective or perceived area-level crime and anxiety, depression, psychosis or psychological distress/internalising symptoms in non-clinical samples. Effect measures were first converted into Fisher's z-s, pooled with three-level random-effects meta-analyses, and then transformed into Pearson's correlation coefficients. Univariate and multivariate mixed-effects models were used to explore between-study heterogeneity. RESULTS We identified 63 studies reporting associations between neighbourhood crime and residents' mental health. Pooled associations were significant for depression (r = 0.04, 95% CI 0.03-0.06), psychological distress (r = 0.04, 95% CI 0.02-0.06), anxiety (r = 0.05, 95% CI 0.01-0.10), and psychosis (r = 0.04, 95% CI 0.01-0.07). Moderator analysis for depression and psychological distress identified stronger associations with perceived crime measurement and weaker in studies adjusted for area-level deprivation. Importantly, even after accounting for study characteristics, neighbourhood crime remained significantly linked to depression and psychological distress. Findings on anxiety and psychosis were limited due to low number of included studies. CONCLUSIONS Neighbourhood crime is an important contextual predictor of mental health with implications for prevention and policy. Area-based crime interventions targeting the determinants of crime, prevention and service allocation to high crime neighbourhoods may have public mental health benefits. Future research should investigate the causal pathways between crime exposure and mental health, identify vulnerably groups and explore policy opportunities for buffering against the detrimental effect of neighbourhood stressors.
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Affiliation(s)
- Gergő Baranyi
- Centre for Research on Environment, Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, United Kingdom.
| | - Martín Hernán Di Marco
- National Scientific and Technical Research Council, Buenos Aires, Argentina; Gino Germani Research Institute, Buenos Aires University, Buenos Aires, Argentina
| | - Tom C Russ
- Alzheimer Scotland Dementia Research Centre, University of Edinburgh, Edinburgh, United Kingdom
| | - Chris Dibben
- Centre for Research on Environment, Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Jamie Pearce
- Centre for Research on Environment, Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, United Kingdom
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Liu C, Huang N, Fu M, Zhang H, Feng XL, Guo J. Relationship Between Risk Perception, Social Support, and Mental Health Among General Chinese Population During the COVID-19 Pandemic. Risk Manag Healthc Policy 2021; 14:1843-1853. [PMID: 33994815 PMCID: PMC8114362 DOI: 10.2147/rmhp.s302521] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 04/14/2021] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The Coronavirus Diseases (COVID-19) pandemic is a global public health challenge and provides an opportunity to investigate the unclear relationship between risk perception, social support, and mental health. This study aims to examine the association between risk perception and mental health while taking social support as a moderator. METHODS An online cross-sectional study recruiting 2993 participants was conducted in China, from 1st to 10th, February 2020. The relationship between risk perception, social support, and mental health was examined using multivariate linear regression analyses. RESULTS This study indicated that risk perception was associated with a higher level of mental health symptoms. The subscale "Perceived uncontrollability" seemed to present a stronger correlation with depressive symptoms (Beta=0.306) and post-traumatic stress disorder (PTSD) symptoms (Beta=0.318) than the subscale "Perceived Severity" did. Moreover, social support moderated the relationship between perceived uncontrollability and mental health symptoms. CONCLUSION In the context of the COVID-19 pandemic, it is necessary to design mental health strategies and programs from a risk perception perspective (more mental health strategies should be delivered to build reasonable risk perception), while social support from family and friends may be protective to against depressive symptoms and PTSD symptoms. There is a demand for mental health intervention from a risk perception perspective.
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Affiliation(s)
- Chengbin Liu
- School of Sociology, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Ning Huang
- School of Sociology, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Mingqi Fu
- Center for Social Security Studies, Wuhan University, Wuhan, People’s Republic of China
| | - Hui Zhang
- School of Sociology, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Xing Lin Feng
- Department of Health Policy and Management, School of Public Health, Peking University, Beijing, People’s Republic of China
| | - Jing Guo
- Department of Health Policy and Management, School of Public Health, Peking University, Beijing, People’s Republic of China
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GERONIMUS ARLINET, PEARSON JAYA, LINNENBRINGER ERIN, EISENBERG ALEXAK, STOKES CARMEN, HUGHES LANDOND, SCHULZ AMYJ. Weathering in Detroit: Place, Race, Ethnicity, and Poverty as Conceptually Fluctuating Social Constructs Shaping Variation in Allostatic Load. Milbank Q 2020; 98:1171-1218. [PMID: 33135829 PMCID: PMC7772642 DOI: 10.1111/1468-0009.12484] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Policy Points Despite 30 years of attention to eliminating population health inequity, it remains entrenched, calling for new approaches. Targeted universalism, wellness-based local development, and Jedi Public Health approaches that are community informed, evidence based, and focused on improving everyday settings and diverse lived experiences are important policy directions. State and federal revenue transfers are necessary to mitigate the harms of austerity and assure greater equity in fiscal and population health in places like Detroit, Michigan. CONTEXT US population health inequity remains entrenched, despite mandates to eliminate it. To promote a public health approach of consequence in this domain, stakeholders call for moving from risk-factor epidemiology toward consideration of dynamic local variations in the physiological impacts of structured lived experience. METHODS Using a community-based, participatory research approach, we collected and analyzed a unique data set of 239 black, white, and Mexican adults from a stratified, multistage probability sample of three Detroit, Michigan, neighborhoods. We drew venous blood, collected saliva, took anthropometric measurements, and assayed specimens to measure allostatic load (AL), an indicator of stress-mediated biological dysregulation, linking participants' AL scores and survey responses. In a series of nested Poisson models, we regressed AL on socioeconomic, psychosocial, neighborhood, and behavioral stressors to test the hypothesis that race/ethnicity and poverty-to-income ratio (PIR) are conceptually fluctuating variables whose impacts on AL are sensitive to structured lived experience. FINDINGS White and Mexican Detroit participants with PIR < 1 have higher AL than counterparts nationally; black participants in Detroit and nationwide had comparable AL. Within Detroit, disparities by PIR were higher in whites than blacks, with no significant difference by PIR in Mexicans. The size of estimated effects of having PIR < 1 for whites is 58 percentage points greater than that of Mexicans and twice that of blacks. CONCLUSIONS Structurally rooted unobserved heterogeneity bias threatens the validity of independent main effects interpretations of associations between race/ethnicity, socioeconomic characteristics, or place and health. One-size-fits-all analytic or policy models developed from the perspective of the dominant social group insufficiently address the experiences of diverse populations in specific settings and historical moments; nor do they recognize culturally mediated protective resources residents may have developed against material and psychosocial hardship.
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Affiliation(s)
- ARLINE T. GERONIMUS
- School of Public HealthUniversity of Michigan
- Institute for Social Research, University of Michigan
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"Se vale llorar y se vale reír": Latina Immigrants' Coping Strategies for Maintaining Mental Health in the Face of Immigration-Related Stressors. J Racial Ethn Health Disparities 2020; 7:937-948. [PMID: 32040841 DOI: 10.1007/s40615-020-00717-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 01/08/2020] [Accepted: 02/02/2020] [Indexed: 10/25/2022]
Abstract
Latina immigrant women in the U.S. are at increased risk for poor mental health status, due to socioeconomic- and immigration-related stressors. We sought to describe the mechanisms linking immigration-related stressors and mental health, including how the current social and political climate affects women's mental health status, and which coping strategies are used to maintain well-being. We conducted four focus groups with Latina immigrants (N = 58) recruited through local community-based organizations. We drew on the stages of migration framework to guide our study design and analysis. Focus group transcripts were analyzed to identify emergent themes across groups. On average, focus group participants were 35.5 years old and had lived in the U.S. for 12.5 years. Most were from Mexico. Participants reported immigration-related stressors including unsafe migration, worry about immigration enforcement, broken social ties, and limited access to health and social services. In the face of these stressors, they relied on transnational social networks and connections with other Latina immigrant women. Social ties with family in the U.S. also helped them alleviate social isolation and overcome barriers to social services. Those who were mothers expressed that their children were a source of encouragement and comfort with feelings of stress. Immigration policies that contribute to unsafe migration, worry about immigration enforcement, limited social ties, and limited access to social services were associated with increased stress among Latina immigrants who participated in the focus groups. These participants could benefit from increased access to mental health care and community-based programs that connect them to resources.
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Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis. AIDS Behav 2020; 24:8-17. [PMID: 31664571 DOI: 10.1007/s10461-019-02713-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Men who have sex with men (MSM) often experience depressive symptoms. However, the potential mechanisms resulting in depressive symptoms are not fully understood. Here, we explore possible mechanisms behind the associations between sexual minority stigma (SMS), sexual orientation concealment (SOC), and social support (SS) with depressive symptoms among MSM. Data (N = 715) used in the study were from the baseline survey of a 3-year cohort study in China. Computer-assisted self-interview was used to collect data. Mediation and moderated mediation modeling analysis were employed to address the question. It was found that SOC partially mediated the association between SMS and depressive symptoms (indirect effect = 0.11, 95% CI 0.05-0.17). SS moderated the mediation model by buffering the path from SMS to SOC (β = 0.17, t = 3.18, P = 0.002). These findings suggested that SS might strengthen the association between SMS and depressive symptoms by moderating the pathway between SMS and SOC.
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