Defining subgroups of low socioeconomic status women at risk for depressive symptoms: The importance of perceived stress and cumulative risks

2014 ◽  
Vol 60 (8) ◽  
pp. 772-782 ◽  
Author(s):  
Judith EB van der Waerden ◽  
Cees Hoefnagels ◽  
Clemens MH Hosman ◽  
Maria WJ Jansen
Keyword(s):  
At Risk ◽  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
Perceived Stress ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Cumulative Risks

Abstract P212: How Much Do Psychosocial Factors Mediate the Association Between Socioeconomic Status and 1-Year Angina After Myocardial Infarction?

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Donna M Buchanan ◽  
Kymberley K Bennett ◽  
Philip G Jones ◽  
Judith H Lichtman ◽  
John A Spertus
Keyword(s):  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
Psychosocial Factors ◽  
Perceived Stress ◽  
Low Socioeconomic Status ◽  
Latent Variables ◽  
Structural Equation ◽  
Equation Modeling ◽  
Reserve Capacity ◽  
Capacity Model

Background: Low socioeconomic status (SES) is associated with worse cardiovascular (CV) outcomes. The Reserve Capacity Model (RCM) is a published, but not yet fully tested, framework linking SES, psychosocial factors and health outcomes. “Reserve capacity” is one's inter-/intrapersonal resources for managing stress. We tested the RCM to determine what portion of the association between SES and angina frequency 1 year post-MI is attributable to psychosocial factors. Methods: In 2481 post-MI patients enrolled in the 19-center PREMIER registry, we used confirmatory factor analysis to create latent variables of health-related SES and reserve capacity (including social support, optimism, and internal health locus of control). Structural equation modeling was used to test the associations between baseline SES, 1-month psychosocial factors (perceived stress, reserve capacity, and depressive symptoms) and 1-yr angina, adjusting for age, sex, and baseline angina. Results: The overall correlation between SES and 1-yr angina was significant (r = -.21*). Of this, 37% was explained by psychosocial factors. (See figure.) Higher SES was associated with greater reserve capacity (r = .43*), which was strongly and inversely associated with stress (r = -.68*) and depressive symptoms (r = -.36*). Depressive symptoms were directly associated with angina (r = .12*). (*p < .05) Conclusion: These results validate the RCM, showing that perceived stress, reserve capacity, and depressive symptoms partially mediate the link between SES and 1-yr angina post-MI. This identifies possible areas for intervention to reduce SES-related disparities in angina and potentially other CV outcomes.

scholarly journals Effective elements of Dutch care-physical activity initiatives for low socioeconomic status adults

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L S Mulderij ◽  
F Wolters ◽  
M A E Wagemakers ◽  
K T Verkooijen
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
Health Promotion ◽  
Socioeconomic Status ◽  
Concept Mapping ◽  
Low Socioeconomic Status ◽  
Intersectoral Collaboration ◽  
Low Ses ◽  
Low Socioeconomic ◽  
Lifestyle Related Diseases

Abstract Background In care-physical activity (care-PA) initiatives, primary care and sports collaborate to stimulate PA among adults at risk of lifestyle related diseases. Preliminary results of Dutch care-PA initiatives for low socioeconomic status (SES) adults indicate that these initiatives successfully lower participants’ body weight and improve quality of life. However, insight into elements that make these initiatives work is lacking. Therefore, this research aims to unravel the effective elements of care-PA initiatives for low SES adults. Methods Concept Mapping (CM) was used as tool to identify and cluster the effective elements. Nineteen Dutch health promotion experts individually listed as many elements as they felt were of importance to the effectiveness of care-PA initiatives. Next, each expert was asked to cluster the elements and to score them on importance. Then, CS Global MAX software was used for multidimensional scaling and a hierarchical cluster analysis to develop a cluster map. Finally, the cluster map was presented, discussed, and refined in a group meeting with 11 of the experts. Results The experts came up with 113 unique effective elements of care-PA initiatives for low SES adults, clustered into 11 clusters: 1) approach of professionals, 2) barriers experienced during the programme, 3) local embedding, 4) customisation of the programme to target population, 5) social support, 6) methods within the programme, 7) competencies of professionals, 8) accessibility of the programme, 9) actions within the programme, 10) recruitment of participants, and 11) intersectoral collaboration. Conclusions A valuable overview of the effective elements of care-PA initiatives for low SES adults was created. The results can be used to improve existing care-PA initiatives and to develop new ones targeted at low SES adults at risk of lifestyle related diseases. This may eventually help to reduce health inequalities between low and high SES adults. Key messages Concept mapping has been a useful group-based tool to obtain information on the effective elements of care-PA initiatives, in which individual input from health promotion experts has been collected. The overview of effective elements of care-PA initiatives for low SES adults as presented in this study is valuable for the development of care-PA initiatives specifically targeted at low SES adults.

scholarly journals Heart Rate Variability Reactivity Moderates the Indirect Link Between Child Maltreatment and Young Adult Alcohol Use Problems via Depressive Symptoms - Preprint

2020 ◽  
Author(s):  
Sihong Liu ◽  
Assaf Oshri ◽  
Erinn Duprey
Keyword(s):  
Heart Rate ◽  
Socioeconomic Status ◽  
Heart Rate Variability ◽  
Young Adults ◽  
Depressive Symptoms ◽  
Alcohol Use ◽  
Low Socioeconomic Status ◽  
Community Sample ◽  
Self Regulation ◽  
Low Socioeconomic

Background and Objectives. Young adults with childhood maltreatment (CM) histories are particularly vulnerable to depressive symptoms and alcohol use problems. Research suggest that maltreated youth may misuse alcohol in part to alleviate depressive symptoms. However, many youths with depressive symptoms exercise self-control and abstain from heavy alcohol use. The present study aimed to examine the influence of heart rate variability reactivity (HRV-R), a psychophysiological biomarker of self-regulation, in the indirect link between CM and alcohol use problems via depressive symptoms among low socioeconomic-status rural young adults. Methods. Two waves of data were collected from a community sample of 225 low socioeconomic-status non-metropolitan young adults (Mage = 21.56, 52.9% female). HRV data were obtained with an electrocardiogram during a social stress task. CM was assessed through the Childhood Trauma Questionnaire. Alcohol use problems were measured using the Alcohol Use Disorders Identification Test. Results. The indirect effect of CM on alcohol use problems via elevated depressive symptoms was positive and significant (α*β = .159, p &lt; .001). Self-regulation indicated by high HRV-R (i.e., vagal withdrawal) was found to significantly buffer the link between depressive symptoms and alcohol use problems (β = .193, p = .022). Discussion and Conclusions. Adequate self-regulation capacities can protect maltreated youths from self-medicating alcohol use problems. Scientific Significance. This study will advance researchers’ understanding of the development of alcohol use problems through unwrapping the risk and protective mechanisms underlying the association between young adults’ early life stress and alcohol use behaviors.

scholarly journals Associations of Depressive Symptoms with All-Cause and Cause-Specific Mortality by Race in A Low-Socioeconomic Population: A Report from the Southern Community Cohort Study

2020 ◽  
Author(s):  
Yong Cui ◽  
Wei Zheng ◽  
Mark Steinwandel ◽  
Hui Cai ◽  
Maureen Sanderson ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Cohort Study ◽  
Depressive Symptoms ◽  
Low Socioeconomic Status ◽  
Cox Regression ◽  
Depression Scale ◽  
The United States ◽  
Epidemiological Studies ◽  
Low Socioeconomic ◽  
Specific Mortality

Abstract Depression is a leading cause of disability in the United States, but its impact on mortality among racially diverse, low-socioeconomic populations is largely unknown. Using data from the Southern Community Cohort Study, 2002-2015, we prospectively evaluated the associations of depressive symptoms with all-cause and cause-specific mortality in 67,781 black (72.3%) and white (27.7%) adults, predominantly with a low-socioeconomic status. Baseline depressive symptoms were assessed using the ten-item Center for Epidemiological Studies Depression Scale. The median follow-up time was 10.0 years. Multivariate Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality in association with depressive symptoms. Mild/moderate/severe depressive symptoms were associated with increased all-cause (HR=1.12, 95%CI: 1.03-1.22; HR=1.17, 95%CI: 1.06-1.29; HR=1.15, 95%CI: 1.03-1.28, respectively) and cardiovascular disease mortality (HR=1.23, 95%CI: 1.05-1.44; HR=1.18, 95%CI: 0.98-1.42; HR=1.43, 95%CI: 1.17-1.75, respectively) in whites but not in blacks (Pinteraction&lt; 0.001, for both). Mild/moderate/severe depressive symptoms were associated with increased external cause mortality in both races (HR=1.24, 95%CI: 1.05-1.46; HR=1.31, 95%CI: 1.06-1.61; HR=1.42, 95%CI: 1.11-1.81, respectively; for all subjects, Pinteraction=0.48). No association was observed for cancer mortality. Our study showed that depression-mortality associations differed by race and cause of death in individuals with a low-socioeconomic status.

Depressive Symptoms in the Late Postpartum Among Low Socioeconomic Status Women

Birth ◽  
1999 ◽  
Vol 26 (3) ◽  
pp. 157-163 ◽  
Author(s):  
Louise Seguin ◽  
Louise Potvin ◽  
Michele St-Denis ◽  
Jacinthe Loiselle
Keyword(s):  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic

Heart Rate Variability Reactivity Moderates the Indirect Link Between Child Maltreatment and Young Adult Alcohol Use Problems via Depressive Symptoms

2020 ◽  
Author(s):  
Sihong Liu ◽  
Assaf Oshri ◽  
Erinn Duprey
Keyword(s):  
Heart Rate ◽  
Socioeconomic Status ◽  
Heart Rate Variability ◽  
Young Adults ◽  
Depressive Symptoms ◽  
Alcohol Use ◽  
Low Socioeconomic Status ◽  
Community Sample ◽  
Self Regulation ◽  
Low Socioeconomic

Background and Objectives. Young adults with childhood maltreatment (CM) histories are particularly vulnerable to depressive symptoms and alcohol use problems. Research suggest that maltreated youth may misuse alcohol in part to alleviate depressive symptoms. However, many youths with depressive symptoms exercise self-control and abstain from heavy alcohol use. The present study aimed to examine the influence of heart rate variability reactivity (HRV-R), a psychophysiological biomarker of self-regulation, in the indirect link between CM and alcohol use problems via depressive symptoms among low socioeconomic-status rural young adults. Methods. Two waves of data were collected from a community sample of 225 low socioeconomic-status non-metropolitan young adults (Mage = 21.56, 52.9% female). HRV data were obtained with an electrocardiogram during a social stress task. CM was assessed through the Childhood Trauma Questionnaire. Alcohol use problems were measured using the Alcohol Use Disorders Identification Test. Results. The indirect effect of CM on alcohol use problems via elevated depressive symptoms was positive and significant (α*β = .159, p &lt; .001). Self-regulation indicated by high HRV-R (i.e., vagal withdrawal) was found to significantly buffer the link between depressive symptoms and alcohol use problems (β = .193, p = .022). Discussion and Conclusions. Adequate self-regulation capacities can protect maltreated youths from self-medicating alcohol use problems. Scientific Significance. This study will advance researchers’ understanding of the development of alcohol use problems through unwrapping the risk and protective mechanisms underlying the association between young adults’ early life stress and alcohol use behaviors.

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