Minority Health Archive

Reconsidering the role of social disadvantage in physical and mental health: stressful life events, health behaviors, race, and depression.

Mezuk, Briana and Rafferty, Jane A and Kershaw, Kiarri N and Hudson, Darrell and Abdou, Cleopatra M and Lee, Hedwig and Eaton, William W and Jackson, James S (2010) Reconsidering the role of social disadvantage in physical and mental health: stressful life events, health behaviors, race, and depression. American journal of epidemiology, 172 (11). pp. 1238-1249. ISSN 1476-6256

Full text not available from this repository.

Abstract

Prevalence of depression is associated inversely with some indicators of socioeconomic position, and the stress of social disadvantage is hypothesized to mediate this relation. Relative to whites, blacks have a higher burden of most physical health conditions but, unexpectedly, a lower burden of depression. This study evaluated an etiologic model that integrates mental and physical health to account for this counterintuitive patterning. The Baltimore Epidemiologic Catchment Area Study (Maryland, 1993-2004) was used to evaluate the interaction between stress and poor health behaviors (smoking, alcohol use, poor diet, and obesity) and risk of depression 12 years later for 341 blacks and 601 whites. At baseline, blacks engaged in more poor health behaviors and had a lower prevalence of depression compared with whites (5.9% vs. 9.2%). The interaction between health behaviors and stress was nonsignificant for whites (odds ratio (OR = 1.04, 95% confidence interval: 0.98, 1.11); for blacks, the interaction term was significant and negative (β: -0.18, P < 0.014). For blacks, the association between median stress and depression was stronger for those who engaged in zero (OR = 1.34) relative to 1 (OR = 1.12) and ≥2 (OR = 0.94) poor health behaviors. Findings are consistent with the proposed model of mental and physical health disparities.


Export/Citation:EndNote | BibTeX | Dublin Core | ASCII (Chicago style) | HTML Citation | OpenURL | Reference Manager
Social Networking:

Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: adaptation, psychological, depression, health behavior, health status, disparities, minority health, stress, psychological
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Mental Health
Health > Public Health > Health Risk Factors > Stress
Related URLs:
Depositing User: Users 141 not found.
Date Deposited: 31 Jul 2011 20:47
Last Modified: 31 Jul 2011 20:47
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2942

Actions (login required)

View Item