Do Early-Life Social, Behavioral, and Health Exposures Increase Later-Life Arthritis Incidence?

2021 ◽  
pp. 016402752110449
Author(s):  
Blakelee R. Kemp ◽  
Kenneth F. Ferraro ◽  
Patricia M. Morton ◽  
Patricia A. Thomas ◽  
Sarah A. Mustillo ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Structural Equation ◽  
Later Life ◽  
Delta Method ◽  
Equation Modeling ◽  
Adult Body Mass ◽  
Rheumatoid Arthritis Development ◽  
Inequality Theory ◽  
Health Related ◽  
Cumulative Inequality

Objectives: This study investigates direct and indirect influences of childhood social, behavioral, and health exposures on later-life osteoarthritis and rheumatoid arthritis development. Methods: Drawing from cumulative inequality theory and six waves of the Health and Retirement Study (2004–2014), we estimate structural equation modeling-based discrete-time survival analysis of the association between six childhood exposure domains and both osteoarthritis and rheumatoid arthritis incidence for men ( n = 2720) and women ( n = 2974). Using the delta method to test for mediation, we examine indirect effects via selected health-related risks and resources. Results: Risky adolescent behavior is associated with rheumatoid arthritis incidence for women (h.O.R. = 1.883, 95% C.I. [1.016, 3.490]), whereas several types of childhood exposures are associated with later-life osteoarthritis development for both men and women. Experiencing two or more childhood socioeconomic disadvantages is indirectly associated with osteoarthritis (men: coef. = 0.024, 95% C.I. [0.003, 0.045]; women: coef. = 0.111, 95% C.I. [0.071, 0.150]) and rheumatoid arthritis (men: coef. = 0.037, 95% C.I. [0.000, 0.074]; women: coef. = 0.097, 95% C.I. [0.035, 0.159]) development through adult body mass index. Discussion: Findings highlight the importance of childhood contexts in understanding the development of later-life osteoarthritis and rheumatoid arthritis.

scholarly journals Physical Activity as a Mediator in the Relationship Between Race or Ethnicity and Changes in Multimorbidity

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 342-342
Author(s):  
Jason Newsom ◽  
Emily Denning ◽  
Ana Quinones ◽  
Miriam Elman ◽  
Anda Botoseneanu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sex Education ◽  
Chronic Conditions ◽  
Structural Equation ◽  
Insurance Coverage ◽  
Ethnic Disparities ◽  
Later Life ◽  
Equation Modeling ◽  
The Relationship ◽  
Racial Ethnic

Abstract Racial/ethnic disparities in multimorbidity (≥2 chronic conditions) and their rate of accumulation over time have been established. Studies report differences in physical activity across racial/ethnic groups. We investigated whether racial/ethnic differences in accumulation of multimorbidity over a 10-year period (2004-2014) were mediated by physical activity using data from the Health and Retirement Study (N = 10,724, mean age = 63.5 years). Structural equation modeling was used to estimate a latent growth curve model of changes in the number of self-reported chronic conditions (of nine) and investigate whether the relationship of race/ethnicity (non-Hispanic Black, Hispanic, non-Hispanic White) to change in the number of chronic conditions was mediated by physical activity after controlling for age, sex, education, marital status, personal wealth, and insurance coverage. Results indicated that Blacks engaged in significantly lower levels of physical activity than Whites (b = -.171, □ = -.153, p < .001), but there were no differences between Hispanics and Whites (b = -.010, □ = -.008, ns). Physical activity also significantly predicted both lower initial levels of multimorbidity (b = -1.437, □ = -.420, p < .001) and greater decline in multimorbidity (b = -.039, □ = -.075, p < .001). The indirect (mediational) effect for the Black vs. White comparison was significant (b = .007, □ = .011, 95% CI [.004,.010]). These results provide important new information for understanding how modifiable lifestyle factors may help explain disparities in multimorbidity in middle and later life, suggesting greater need to reduce sedentary behavior and increase activity.

scholarly journals A Multidimensional Model of Fatigue in Patients with Rheumatoid Arthritis

2012 ◽  
Vol 39 (9) ◽  
pp. 1807-1813 ◽  
Author(s):  
PERRY M. NICASSIO ◽  
SARAH R. ORMSETH ◽  
MARA K. CUSTODIO ◽  
MICHAEL R. IRWIN ◽  
RICHARD OLMSTEAD ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sleep Quality ◽  
Disease Activity ◽  
Structural Equation ◽  
Mood Disturbance ◽  
Equation Modeling ◽  
Poor Sleep ◽  
Direct Effects ◽  
Multidimensional Model ◽  
Poor Sleep Quality

Objective.To evaluate a multidimensional model testing disease activity, mood disturbance, and poor sleep quality as determinants of fatigue in patients with rheumatoid arthritis (RA).Method.The data of 106 participants were drawn from baseline of a randomized comparative efficacy trial of psychosocial interventions for RA. Sets of reliable and valid measures were used to represent model constructs. Structural equation modeling was used to test the direct effects of disease activity, mood disturbance, and poor sleep quality on fatigue, as well as the indirect effects of disease activity as mediated by mood disturbance and poor sleep quality.Results.The final model fit the data well, and the specified predictors explained 62% of the variance in fatigue. Higher levels of disease activity, mood disturbance, and poor sleep quality had direct effects on fatigue. Disease activity was indirectly related to fatigue through its effects on mood disturbance, which in turn was related to poor sleep quality. Mood disturbance also indirectly influenced fatigue through poor sleep quality.Conclusion.Our findings confirmed the importance of a multidimensional framework in evaluating the contribution of disease activity, mood disturbance, and sleep quality to fatigue in RA using a structural equation approach. Mood disturbance and poor sleep quality played major roles in explaining fatigue along with patient-reported disease activity.

scholarly journals Diabetes in women and health-related quality of life in the whole family: a structural equation modeling

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Mina Moeineslam ◽  
Parisa Amiri ◽  
Mehrdad Karimi ◽  
Sara Jalali-Farahani ◽  
Niloofar Shiva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Structural Equation ◽  
Diabetes Type 2 ◽  
Equation Modeling ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol

Abstract Background Although several studies indicate the effects of diabetes type 2 on health-related quality of life (HRQoL) in female subjects, the related impact of the disease on HRQoL in their family members has rarely been the focus of the empirical research. In this study we aim to investigate associations between diabetes in women and the HRQoL in these women and their family members, using the structural equation modeling (SEM). Methods This family-based study was conducted on 794 women (11.1% with diabetes) as well as their spouses and children who participated in the Tehran Lipid and Glucose Study (TLGS) from 2014 to 2016. Data on HRQoL were collected using the Iranian version of the Short-Form 12-Item Health Survey version 2 (SF-12v2) and the Pediatric Quality of Life Inventory version™ 4.0 (PedsQL). SEM was conducted to evaluate the network of associations among studied variables. Data were analyzed using IBM SPSS Statistics & AMOS version 23 software. Results Mean age of women was 41.37 ± 5.32 years. Diabetes in women significantly affected their mental HRQoL (β = − 0.11, P < 0.01) but showed no significant direct associations with physical and mental HRQoL in their spouses or their children. However, poor mental HRQoL in women with diabetes was associated with decrease in both physical (β = − 0.02, P = 0.013) and mental (β = − 0.03, P < 0.01) HRQoL in their spouses and total HRQoL score in children (β = − 0.02, P < 0.01). Conclusions Among women with diabetes type 2, beyond its effect on their mental HRQoL per se, demonstrated a negative association with the self-assessment of health status in their spouses and children. Such familial consequences are mainly attributed to the negative effect of the disease on the mental rather than the physical HRQoL in women with diabetes.

The role of job stress and burnout on health-related problems in the Trinidad and Tobago police service

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hyunin Baek ◽  
Na-Yeun Choi ◽  
Randy Seepersad
Keyword(s):  
Job Stress ◽  
Police Officers ◽  
Structural Equation ◽  
Missing Values ◽  
Self Report ◽  
Equation Modeling ◽  
Content Type ◽  
Health Related ◽  
The Relationship ◽  
Stress And Health

PurposeThe police in Trinidad experience extremely stressful job conditions (e.g., elevated rates of violent crime, the rapid spread of organized crime, financial constraints, and staff shortages) which could lead to health-related problems. The purpose of the current study is to examine the relationship between job stress and health-related problems and to determine whether burnout mediates this relationship. Data from police officers in Trinidad was used to test these relationships.Design/methodology/approachUsing self-report questionnaires from all eight police station districts in Trinidad (N = 331 police officers), this study conducted structural equation modeling (SEM) to examine the relationship between job stress, burnout and health-related problems.FindingsThe results indicated that officers' job stress increased their burnout and health-related problems. As the authors expected, officers' burnout, served as a mediating variable between job stress and health-related problems. In other words, job-related stress can lead to burnout, which in turn, leads to health-related problems.Research limitations/implicationsDespite meaningful findings, a few limitations (e.g., measurement issues and missing values) were present in this study.Originality/valuePolicing studies have paid less attention to Caribbean policing. Findings in this study have implications for addressing officers' health-related problems.

Ambivalent Sexism and Reported Relationship Qualities in Emerging Adult Heterosexual Dating Couples

2020 ◽  
pp. 216769682093468
Author(s):  
Campbell Leaper ◽  
Brenda C. Gutierrez ◽  
Timea Farkas
Keyword(s):  
Emerging Adults ◽  
Structural Equation ◽  
Emerging Adult ◽  
Later Life ◽  
Ambivalent Sexism ◽  
Hostile Sexism ◽  
Equation Modeling ◽  
Romantic Couples ◽  
Relationship Qualities ◽  
Dating Couples

We investigated the relations between the endorsement of ambivalent sexism and relationship qualities in heterosexual romantic couples during emerging adulthood. The sample included 94 heterosexual emerging adult dating couples attending a public university ( M age = 21 years; 39% White, 25% Latinx, 11% Asian, and 18% Other). Each partner separately completed survey measures of ambivalent sexism and perceived relationship satisfaction and conflict. Dyadic analyses were performed using structural equation modeling. Results indicated men’s hostile sexism predicted lower satisfaction and more conflict for men and their partners, whereas men’s benevolent sexism (BS) predicted more satisfaction and lower conflict for men and their partners. Women’s BS was negatively related to the length of the couple’s relationship. The results are discussed in relation to ways that ambivalent sexism may affect the dating relationships of many emerging adults in college settings and how these effects may change over time in relationships and at later life stages.

scholarly journals Does Better Health-Related Knowledge Predict Favorable Health Behavior in Adolescents?

2020 ◽  
Vol 17 (5) ◽  
pp. 1680
Author(s):  
Gabriella Nagy-Pénzes ◽  
Ferenc Vincze ◽  
János Sándor ◽  
Éva Bíró
Keyword(s):  
Health Behavior ◽  
Structural Equation ◽  
Eating Habits ◽  
Equation Modeling ◽  
School Students ◽  
School Aged Children ◽  
Comprehensive Health ◽  
Health Related ◽  
Socioeconomic Data ◽  
And Behavior

The importance of puberty on later health status and behavior is indisputable, which also means that it is worth making intervention efforts during this period of life. However, whether better health-related knowledge is correlated with favorable health behavior in adolescents is an important, still unanswered question. Our objective was to examine this relationship. The participants were ninth-grade secondary school students. Data were collected using anonymous, self-administered questionnaires. The knowledge-related questions were compiled by the authors, while the questions concerning eating habits, physical activity, demographic and socioeconomic data were taken from the Health Behavior in School-Aged Children survey. The relationship between knowledge and behavior was investigated with structural equation modeling adjusted for gender, age, and socioeconomic status. The results demonstrated a good fit to the data, but better knowledge was not related to behavior in our sample. This finding suggests that adolescents’ health behavior is highly influenced by the living context; therefore, appropriate knowledge is necessary but not sufficient to improve adolescents’ behavior. Hence, comprehensive health promotion programs could provide solutions for encouraging healthy behavior.

Validity of patient-reported health-related quality of life global ratings of change using structural equation modeling

2007 ◽  
Vol 16 (7) ◽  
pp. 1193-1202 ◽  
Author(s):  
Stacie M. Metz ◽  
Kathleen W. Wyrwich ◽  
Ajit N. Babu ◽  
Kurt Kroenke ◽  
William M. Tierney ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Structural Equation ◽  
Equation Modeling ◽  
Health Related Quality ◽  
Patient Reported ◽  
Related Quality ◽  
Global Ratings ◽  
Health Related ◽  
Reported Health

scholarly journals Health-Related Behaviors in Adolescents Mediate the Association between Subjective Social Status and Body Mass Index

2020 ◽  
Vol 17 (19) ◽  
pp. 7307
Author(s):  
Asborg A. Bjertnaes ◽  
Catherine Schwinger ◽  
Petur B. Juliusson ◽  
Tor A. Strand ◽  
Mads N. Holten-Andersen ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Social Status ◽  
Body Mass ◽  
Latent Variable ◽  
Structural Equation ◽  
Subjective Social Status ◽  
Equation Modeling ◽  
Unhealthy Behavior ◽  
Health Related Behaviors ◽  
Health Related

The aim of this study was to explore the association between adolescent subjective social status (SSS) and body mass index (BMI) at two different time points and to determine whether this association was mediated by health-related behaviors. In 2002 (n = 1596) and 2017 (n = 1534), tenth-grade students (15–16 years old) in schools in the District of Oppland, Norway, completed a survey. Four categories of perceived family economy were measured as SSS, and structural equation modeling was performed, including a latent variable for unhealthy behavior derived from cigarette smoking, snuff-use, and alcohol-drinking as well as dietary and exercise as mediators. No linear association was found between SSS and BMI in 2002 (standardized ß −0.02, (95% confidence interval (CI) −0.07, 0.03)). However, an association was present in 2017 (standardized ß −0.05 (95% CI −0.10, −0.001)), indicating that BMI decreased by 0.05 standard deviations (0.05 × 3.1 = 0.16 BMI unit) for every one-category increase in SSS. This association was mediated by exercise (standardized ß −0.013 (95% CI −0.02, −0.004) and unhealthy behavior (standardized ß −0.009 (95% CI −0.002, −0.04)). In conclusion, a direct association between SSS and BMI was found in 2017 in this repeated cross-sectional survey of 15–16-year-old Norwegian adolescents. This association was mediated through health-related behavior.

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