Does Neighborhood Cohesion Moderate the Association between Cancer and Psychological Distress?

2021 ◽  
pp. 193672442110430
Author(s):  
Victoria A. Reynolds ◽  
Manacy Pai
Keyword(s):  
Cervical Cancer ◽  
Psychological Distress ◽  
Social Cohesion ◽  
Ordinary Least Squares ◽  
Neighborhood Cohesion ◽  
Breast And Cervical Cancer ◽  
Neighborhood Social Cohesion ◽  
Significant Difference ◽  
Interview Survey ◽  
Nationally Representative

The purpose of this study is to examine (a) the association between cancer diagnosis and psychological distress and (b) the extent to which this association is moderated by perceptions of neighborhood social cohesion. Data are drawn from the 2013 wave of the National Health Interview Survey (NHIS), a nationally representative survey on broad health topics. We employ ordinary least squares (OLS) regression to examine the links between cancer, neighborhood cohesion, and distress. Findings reveal no statistically significant difference in psychological distress between women with breast and cervical cancer. However, neighborhood social cohesion does moderate the effect of cancer on distress. While perceptions of neighborhood cohesion do not affect levels of psychological distress among women with breast cancer, perceived connectedness with neighbors translates into significantly lower levels of mental distress among women diagnosed with cervical cancer.

Black and White Self-Identified Latinx Respondents and Perceived Psychological Distress and Impairment

2019 ◽  
Vol 41 (4) ◽  
pp. 504-522
Author(s):  
Jasmine A. Mena ◽  
T. Elizabeth Durden ◽  
Sarah E. Bresette ◽  
Taylor McCready
Keyword(s):  
Psychological Distress ◽  
Racial Differences ◽  
Future Directions ◽  
Level Of Education ◽  
Black And White ◽  
Education And Health ◽  
Significant Difference ◽  
Interview Survey ◽  
Nationally Representative ◽  
Status Level

The influence of racial differences on perceived psychological distress and impairment was examined with a nationally representative sample of Black and White Latinxs. The study sample was selected from multiple years of the National Health Interview Survey and included 30,519 self-identified Black and White Latinxs between the ages of 26 and 64 years. Results indicated that Black Latinxs reported higher levels of psychological distress—a statistically significant difference—compared to White Latinxs after accounting for demographic (age, gender, marital status, and nativity) and socioeconomic status (level of education and health insurance) indicators. Results also indicated that Black and White Latinxs did not differ on impairment associated with perceived psychological distress. The practice of aggregating Black and White Latinxs obscures the racialized experiences reported by Black Latinxs and associated higher levels of psychological distress. Implications and future directions are discussed.

Neighborhood Social Cohesion and Mobility Limitations Among Community-dwelling Older Americans: The Mediating Roles of Depressive Symptoms and Mastery

2021 ◽  
pp. 009141502110376
Author(s):  
Fei Wang ◽  
Weidi Qin ◽  
Jiao Yu
Keyword(s):  
Depressive Symptoms ◽  
Social Cohesion ◽  
Ordinary Least Squares ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Future Research ◽  
Social Aspect ◽  
Mobility Limitations ◽  
Cross Sectional ◽  
Neighborhood Social Cohesion

Neighborhood environment plays an important role in late-life health; yet, the social aspect of neighborhood environment and its impact on mobility limitations have rarely been examined. This nonexperimental, cross-sectional study examines the relationship between neighborhood social cohesion and mobility limitations and the potential mediators (i.e., depressive symptoms, mastery) of this relationship. A total of 8,317 Americans aged 65 years and older were selected from the Health and Retirement Study. Using ordinary least squares regressions, this study shows that neighborhood social cohesion was negatively associated with mobility limitations ( B  =  −0.04, p < .01). A Sobel test of mediation indicated that this relationship was significantly mediated by depressive symptoms ( z  =  −9.10, p < .001) and mastery ( z  =  −8.86, p < .001). Findings suggest that neighborhood cohesion can reduce mobility limitations through mitigating depressive symptoms and increasing mastery. Future research should disentangle the temporal ordering of the mediators.

scholarly journals Psychological Distress and Access to Care Among Midlife Women

2019 ◽  
Vol 32 (5-6) ◽  
pp. 317-327
Author(s):  
Pamela Jo Johnson ◽  
Judy Jou ◽  
Dawn M. Upchurch
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Healthy Aging ◽  
The United States ◽  
Midlife Women ◽  
Care Needs ◽  
Interview Survey ◽  
Unmet Health Care Needs ◽  
Nationally Representative ◽  
Using Data

Objective: The objective of this study is to examine unmet health care needs among midlife women (ages 50-64 years) in the United States by level of psychological distress. Method: Using data for a nationally representative sample of midlife women ( N = 8,838) from the 2015-2016 National Health Interview Survey, we estimated odds ratios of reasons for delayed care and types of care foregone by level of psychological distress—none, moderate (moderate psychological distress [MPD], and severe (severe psychological distress [SPD]). Findings: More than one in five midlife women had MPD (15.3%) or SPD (5.2%). Women with MPD or SPD had 2 to 5 times higher odds of delayed and 2 to 20 times higher odds of foregone care. Conclusions: Midlife women with psychological distress have poorer health than those with no distress, yet they are less likely to get needed health care. There is a missed window of opportunity to address mental health needs and manage comorbid chronic conditions to facilitate healthy aging.

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