scholarly journals Impact of social class on health: The mediating role of health self-management

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254692
Author(s):  
Xiaoyong Hu ◽  
Tiantian Wang ◽  
Duan Huang ◽  
Yanli Wang ◽  
Qiong Li
Keyword(s):  
Mental Health ◽  
Social Class ◽  
Short Form ◽  
Bodily Pain ◽  
Self Management ◽  
Physical And Mental Health ◽  
Mediating Role ◽  
Self Rated Health ◽  
The Relationship

Background Studies have explored the relationship between social class and health for decades. However, the underlying mechanism between the two remains not fully understood. This study aimed to explore whether health self-management had a mediating role between social class and health under the framework of Socio-cultural Self Model. Methods 663 adults, randomly sampled from six communities in Southwest China, completed the survey for this study. Social class was assessed using individuals’ income, education, occupation. Health self-management was assessed through evaluation of the health self-management behavior, health self-management cognition, health self-management environment. Physical health and mental health were measured by the Chinese version of Short-Form (36-item) Health Survey, which contains Physical Functioning, Role-Physical, Role-Emotional, Vitality, Mental Health, Social Function, Bodily Pain and General Health. Pearson’s correlation was used to examine the associations between major variables. Mediation analyses were performed to explore the mediating role of health self-management. Results Social class positively predicted self-rated health. The lower the social class, the lower the self-reported physical and mental health. Health self-management partially mediated the relationship between social class and self-rated health. That is, the health self-management ability of the lower class, such as access to healthy and nutritious food and evaluate their own health status, is worse than that of the higher class, which leads to physical and mental health inequality between the high and the low classes. Conclusion Health self-management mediated the relationship between social class and health. Promoting health self-management abilities are conducive to improving both physical and mental health.

scholarly journals Subjective Social Status (SSS) as an Important Mediator in the Association between Socioeconomic Status (SES) and Mental Health

2021 ◽  
Author(s):  
Fatemeh Mehravar ◽  
Abbas Rahimi Foroushani ◽  
Mohammad Ali Vakili ◽  
Saharnaz Nedjat
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Social Class ◽  
Social Status ◽  
Direct Effect ◽  
Subjective Social Status ◽  
Path Coefficient ◽  
Mediating Role ◽  
The Relationship

Abstract Background: Socioeconomic status (SES) has often been considered a major predictor of mental health-related outcomes such as depression, anxiety, and stress. However, little is known about the mediating role of subjective social status (SSS) — an individual perception of relative position in the social hierarchy—in the relationship between SES and health outcomes. This study aimed to determine the mediating role of SSS in the relationship between SES and mental health among the employees of Tehran University of Medical Sciences (TUMS).Methods:The data from the enrolment phase of a cohort study on TUMS employees (n = 4461) were used in this cross-sectional study. Household SES was the main independent variable. SES was first entered into the mediation model as a composite index (a combination of wealth index, social class, and education), and then each indicator was entered separately. Stress, anxiety, and depression scores were measured using the DASS-42 Scale as a latent outcome variable for mental health status. SSS was evaluated as a potential mediator variable using the MacArthur scale which was converted to a five-point Likert item. The mediation analysis was carried out using a two-step structural equation modeling (SEM) approach in STATA version 14.0 with maximum likelihood (ML) estimation. Finally, the direct and indirect effects of SES indices on mental health were investigated, considering SSS's mediating role.Results: The data showed that 2706 participants (60.65%) were female and the mean age of all participants was 42.21±8.72 years. The standardized path coefficient for the direct effect of SES on SSS was --0.50 (SE=0.013), whereas the standardized path coefficient for the direct effect of SSS on mental health was 0.10 (SE=0.018). The standardized indirected effect of the composite SES-index on mental health through the SSS is -0.05 (lower SSS and mental health scores and higher SES scores indicate improvements in the status of these variables). Contribution of SSS in association between composite SES-index and the mental health of TUMS employees is 27.78% (27.27% in male and 22.23% in female). In addition, contribution of SSS for the association between the indices of wealth, education, social class and mental health is 41.67%, 36.36%, and 28.57%, respectively.Conclusions:The Findings of this study showed that a poorer SSS may influence the pathology of mental health disorders. It seems to be as a mediator in the association between SES and symptoms of depression, anxiety, and stress. Individuals' mental health may thus be improved by intervening in their subjective social status in relation to SES, which is relatively more stable.

The mediating role of self-esteem in the relationship between childhood maltreatment and god image among Turkish Muslims

2021 ◽  
pp. 008467242110472
Author(s):  
Ferdi Kıraç
Keyword(s):  
Childhood Maltreatment ◽  
Short Form ◽  
Self Esteem ◽  
God Image ◽  
Image Of God ◽  
Negative Image ◽  
Mediating Role ◽  
The Impact ◽  
The Relationship

Childhood maltreatment is widespread in predominantly Muslim countries. However, the research investigating the impact of childhood maltreatment on the adult survivors’ religious and spiritual lives has mainly focused on Western Judeo-Christian samples. Considering cross-cultural differences in religious beliefs, in this study, we investigated the relationship between childhood maltreatment and god image, and the mediating role of self-esteem in a sample of Muslim Turkish adults. Eight hundred two participants completed Childhood Trauma Questionnaire–Short Form, God Perception Scale, and Self-Esteem Scale. Findings revealed that all childhood maltreatment subtypes predicted negative image of god and self-esteem mediated some of the negative effects of each maltreatment subtype on god image. The study also found that emotional neglect was the most prominent predictor of negative image of god, followed by emotional abuse. Based on attachment theory, we concluded that the emotional component of childhood maltreatment had more long-lasting adverse consequences in survivors’s relationship with god in Muslim adults.

scholarly journals The Mediating Role of Impulsivity and Experiential Avoidance in the Relationship between Emotion Regulation and Pornography Viewing in Married Men

2020 ◽  
Vol 8 (4) ◽  
pp. 287-296
Author(s):  
Arezoo Khaleghian ◽  
◽  
Ilnaz Sajjadian ◽  
Maryam Fatehizade ◽  
Gholamreza Manshaei ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Experiential Avoidance ◽  
Short Form ◽  
Total Sample ◽  
Mediating Role ◽  
Married Men ◽  
Positive Direct ◽  
Study Participants ◽  
The Relationship

Objective: The present study aimed to predict the tendency to Internet Pornography Viewing (IPV) in married men based on difficulty in Emotion Regulation (ER) with the mediating role of impulsivity and experiential avoidance. Methods: The study participants were recruited via advertising banners posted on some of the most popular social networking applications in Iran. A total sample of 123 married men in Isfahan City, Iran, participated in the study. The study participants completed the Pornography Craving Questionnaire (PCQ), the Short-form version of Difficulties in Emotion Regulation Scale (DERS-SF), the Acceptance and Action Questionnaire-II (AAQ-II), and Barratt Impulsiveness Scale (BIS-15) through the internet. The collected data were analyzed in SPSS using descriptive statistics (Mean±SD) and correlation tests. For analyzing the study model, the PLS-SEM technique was performed in WarpPLS. Results: The current research results indicated that difficulties in ER provided a positive direct effect on the tendency to IPV (β=0.37, P<0.01). The results also revealed that impulsivity (β=0.64, P<0.01) and experiential avoidance (β=0.71, P<0.01) played mediating roles between difficulties in ER and the tendency to IPV. The model presented a good fit with the data (AVIF=2.88, GOF=0.63, SPR=1, RSCR=1, SSR=1, NLBCDR=1). Conclusion: Difficulties in ER, impulsivity, and experiential avoidance play important roles in the tendency to IPV. Impulsivity and experiential avoidance, as two modes of ER, can mediate the relationship between difficulties in ER and the tendency to IPV; therefore, they should be taken into consideration in this regard.

scholarly journals Impact of Work Value Perception on Workers’ Physical and Mental Health: Evidence from China

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1059
Author(s):  
Fan Yang ◽  
Yao Jiang ◽  
Xiaohong Pu
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Emerging Economies ◽  
Ordered Probit ◽  
Physical And Mental Health ◽  
Probit Regression ◽  
Mediating Role ◽  
Value Perception ◽  
Work Value ◽  
The Relationship

Research on the effect of work value perception on workers’ health, especially in emerging economies, is scarce. This study, therefore, explored how work value perception affects the physical and mental health of workers in China. We also examined the mediating role of life satisfaction in the relationship between work value perception and health. Taking a random sample of 16,890 individuals in China, we used ordered probit regression and instrumental variable ordered probit regression to test the links between work value perception and workers’ health based on existence, relatedness, and growth (ERG) theory. The results showed that work value perception significantly affected both the physical and mental health of workers; the results remained robust after solving the endogeneity problem. The subsample regression results showed that work value perception significantly affected the physical and mental health of female, male, married, unmarried, religious, and nonreligious workers. Furthermore, life satisfaction mediated the effect of work value perception on workers’ health. These results shed light on the relationship between work value perception and health and thus have implications for improving workers’ physical and mental health. This study can provide a reference for both governmental and corporate policymakers in emerging economies.

Familism and the Hispanic Health Advantage: The Role of Immigrant Status

2019 ◽  
Vol 60 (3) ◽  
pp. 274-290 ◽  
Author(s):  
Christina J. Diaz ◽  
Michael Niño
Keyword(s):  
Mental Health ◽  
Health Study ◽  
Foreign Born ◽  
Physical And Mental Health ◽  
Symptoms Of Depression ◽  
Familial Support ◽  
Hispanic Community ◽  
Relationship Of ◽  
The Relationship

It is well known that Hispanic immigrants exhibit better physical and mental health than their U.S.-born counterparts. Scholars theorize that stronger orientations toward the family, also known as familism, could contribute to this immigrant advantage. Yet, little work directly tests whether familial attitudes may be responsible for the favorable health of foreign-born Hispanics. We investigate this possibility using biomarkers, anthropometrics, and mental health assessments from the Hispanic Community Health Study/Study of Latinos (N = 4,078). Results demonstrate that the relationship between familial attitudes and health vary depending on the outcome assessed. While Hispanics with strong attitudes toward familial support have fewer symptoms of depression and anxiety, those who report high referent familism display worse mental health outcomes. We find little evidence that familism is linked to physical health or that immigrant generation moderates the relationship of interest. Our results challenge assumptions that familism is responsible for the comparably better health of foreign-born Hispanics.

The Longitudinal Association Between Passive Social Networking Site Usage and Depressive Symptoms: The Mediating Role of Envy and Moderating Role of Life Satisfaction

2019 ◽  
Vol 38 (3) ◽  
pp. 181-199
Author(s):  
Hai-Zhen Wang ◽  
Ting-Ting Yang ◽  
James Gaskin ◽  
Jin-Liang Wang
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Networking ◽  
Social Networking Site ◽  
Mediation Effect ◽  
Mediating Role ◽  
Indirect Relationship ◽  
The Relationship

Introduction: The relationship between Social Networking Site (SNS) usage and depressive symptoms is a growing concern among mental health researchers and practitioners. The purpose of this study was to better understand the mechanism and context under which SNS use affects depressive symptoms. Method: We did this by examining envy as a mediator of the relationship between passive SNS usage and depression over time, with life satisfaction as a moderator of this mediation effect. The sample included 266 college students, who completed the surveys in two waves. Results: The results showed that envy fully mediated the association between passive SNS usage and depression. This indirect relationship was moderated by level of life satisfaction. Specifically, and unexpectedly, among individuals with higher levels of life satisfaction, more frequent passive SNS use was related to increased envy, which, in turn, was associated with increased depressive symptoms. However, this indirect relationship was non-significant for those with lower levels of life satisfaction. Discussion: Thus, the potential of passive SNS use to increase depressive symptoms through envy among individuals with high life satisfaction should be considered when mental health practitioners design interventions.

Father-youth closeness and adolescent self-rated health: The mediating role of mental health

2019 ◽  
Vol 104 ◽  
pp. 104386 ◽  
Author(s):  
Jaimie L. O'Gara ◽  
Anao Zhang ◽  
Yolanda Padilla ◽  
Chun Liu ◽  
Kaipeng Wang
Keyword(s):  
Mental Health ◽  
Mediating Role ◽  
Self Rated Health

scholarly journals Partner’s emotional reaction to pregnancy mediates the relationship between pregnancy planning and prenatal mental health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ashraf Kazemi ◽  
Maryam Ghaedrahmati ◽  
Gholamreza Kheirabadi
Keyword(s):  
Mental Health ◽  
Unplanned Pregnancy ◽  
Emotional Reaction ◽  
Point Estimate ◽  
Depression And Anxiety ◽  
Pregnancy Planning ◽  
Mediating Role ◽  
The Relationship ◽  
Prenatal Mental Health

Abstract Background An unplanned pregnancy may be followed by increased depression and anxiety. The aim of the present study was to evaluate the mediating role of partner’s emotional reaction to pregnancy (PERP) on the relationship between pregnancy planning and prenatal mental health. Methods This cross-sectional study was conducted on 303 healthy Iranian pregnant women during their third trimester. The levels of depression and anxiety were measured using the Edinburgh Postnatal Depression Scale and the State-Trait Anxiety Inventory. The PERP score was also measured using a researcher-made questionnaire. The data were analyzed using the plug-in application PROCESS macro. Results The results showed that PERP score was reversely related to pregnancy planning and prenatal depression and anxiety. The direct effect of the pregnancy planning on depression (c = −.05) and anxiety levels (c = −.02) were not significant; but the indirect effect of pregnancy planning on depression (Point Estimate = −.379, CI: −.523 to −.250) and anxiety levels (Point Estimate = −.560, CI: −.741 to −.385) with the mediating role of PERP were significant. Conclusions The results indicated that the effect of pregnancy planning on prenatal mental health is mediated by PERP, and in unplanned pregnancy women need to receive positive reaction of their partners toward pregnancy so that they can preserve their mental health.

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