Abstract 002: Assessing Profiles Of Cardiometabolic Risk Among South Asians Living In The United States Using A Syndemic Framework And Acculturation

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Francisco A Montiel Ishino ◽  
Katia M Canenguez ◽  
Jeffrey H Cohen ◽  
Belinda Needham ◽  
Namratha Kandula ◽  
...  
Keyword(s):  
Mental Health ◽  
Latent Class ◽  
Family Income ◽  
South Asians ◽  
Health Indicators ◽  
The United States ◽  
Sociocultural Factors ◽  
Cultural Traditions ◽  
Using Data ◽  
Religiosity And Spirituality

Background: South Asians (SA) are the second largest US immigrant group and have excess cardiometabolic (CM) disease. While acculturation is associated with increased CM risk among immigrants and refugees, the role of acculturation on SA CM risk is relatively unknown. CM disease presents as a syndemic or synergistic epidemic involving multiple disease clusters as well as the biological, social, and psychological interactions from the acculturative process to worsen morbidity within subgroups. Methods: We used latent class analysis to identify SA CM risk based on acculturation subgroups using data from adults aged 40-84 in the Mediators of Atherosclerosis in South Asians Living in America study (N=771). The distal outcome of CM risk was constructed using hypertension, type 2 diabetes, and body mass index. Proxies of acculturation included years lived in the US, English proficiency, cuisine eaten at home, cultural traditions, ethnicity of friends, social and neighborhood support, and experienced discrimination; as well as mental health indicators, which included depression, trait anxiety, anger, and positive and negative spiritual coping. Covariates included demographic characteristics, family income, education, study site, exercise, smoking, alcohol use, religiosity and spirituality. Results: Four CM risk profiles and acculturation subgroups were identified: 1) lowest risk [73.8%] were the most integrated with both SA and US culture; 2) intermediate-low risk [13.4%] had high mental health distress and discrimination and separated from SA and US culture; 3) intermediate-high risk [8.9%] were more assimilated with US culture; and 4) highest risk [3.9%] were more assimilated with US culture [Figure]. Conclusion: Our approach identified distinct nuanced profiles of syndemic CM risk to understand how acculturation and sociocultural factors cluster with health in US South Asians. Our syndemic framework will further understanding of CM risk among SA to best design tailored prevention and intervention programs.

scholarly journals Social class versus cultural identity as factors in the residential segregation of ethnic groups in Toronto, Montreal and Vancouver for 2001

2005 ◽  
Vol 32 (2) ◽  
pp. 203 ◽  
Author(s):  
T. R. Balakrishnan ◽  
Paul Maxim ◽  
Rozzet Jurdi
Keyword(s):  
Social Class ◽  
Ethnic Groups ◽  
Residential Segregation ◽  
Minority Groups ◽  
South Asians ◽  
The United States ◽  
Visible Minority ◽  
Cultural Preferences ◽  
Visible Minorities ◽  
Using Data

This article examines the relevance of the spatial assimilation model in understanding residential segregation of ethnic groups in the three largest gateway cities of Canada. Using data from the census of 2001 it finds that while the model may have worked for the European groups they are less applicable to the visible minorities such as the Chinese, South Asians and Blacks. Residential segregation reduces with generation for the European groups but not for the visible minorities. Canadian patterns seem to be different from that seen in the United States. Many visible minority groups maintain their concentration levels even in the suburbs. The findings seem to indicate that cultural preferences may be just as important as social class in the residential choices of visible minority groups.

A national study of the availability of law enforcement agency wellness programming for officers: A latent class analysis

2021 ◽  
pp. 146135572110640
Author(s):  
Bruce G Taylor ◽  
Weiwei Liu ◽  
Elizabeth A. Mumford
Keyword(s):  
Mental Health ◽  
United States ◽  
Substance Use ◽  
Law Enforcement ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Wellness Programs ◽  
The United States ◽  
Substance Use Treatment ◽  
Class Analysis

The purpose of this study is to understand the availability of employee wellness programs within law enforcement agencies (LEAs) across the United States, including physical fitness, resilience/wellness, coping skills, nutrition, mental health treatment, and substance use treatment. The research team investigated whether patterns of LEA wellness programming are identifiable and, if so, what characteristics describe these patterns. We assess using latent class analysis whether there are distinct profiles of agencies with similar patterns offering different types of wellness programs and explore what characteristics distinguish agencies with certain profiles of wellness programming. Data were from a nationally representative sample of 1135 LEAs: 80.1% municipal, 18.6% county and 1.3% other agencies (state-level and Bureau of Indian Affairs LEAs). We found that many agencies (62%) offer no wellness programming. We also found that 23% have comprehensive wellness programming, and that another group of agencies specialize in specific wellness programming. About 14% of the agencies have a high probability of providing resilience coping skill education, mental health and/or substance use treatment services programming. About 1% of the agencies in the United States limit their programming to fitness and nutrition, indicating that fitness and nutrition programs are more likely to be offered in concert with other types of wellness programs. The analyses revealed that agencies offering broad program support are more likely to be large, municipal LEAs located in either the West, Midwest or Northeast (compared with the southern United States), and not experiencing a recent budget cut that impacted wellness programming.

Integrating models of marital functioning to understand the mental health consequences of the Great Recession

2020 ◽  
Vol 37 (7) ◽  
pp. 2118-2135
Author(s):  
Esra Ascigil ◽  
Emre Selcuk ◽  
Gul Gunaydin ◽  
Anthony D. Ong
Keyword(s):  
Mental Health ◽  
Negative Affect ◽  
Great Recession ◽  
Health Impact ◽  
The United States ◽  
Marital Functioning ◽  
Family Stress Model ◽  
The Great Recession ◽  
Financial Events ◽  
Using Data

It is well established that negative financial events during macroeconomic crises have a significant impact on individuals’ mental health. Much less is known about how and for whom economic crises impact mental health. Using data from the Midlife in the United States study, we examine the mental health impact of the Great Recession in the U.S. Drawing on predictions from the Vulnerability-Stress-Adaptation Model of Marriage and the Family Stress Model, we examined whether increases in marital disagreements mediated the link between recession adversities (e.g., unemployment, increased debt, loss of a home) and mental health following the recession (2013–2014), controlling for prerecession marital disagreements and mental health (2004–2006). We found that those who experienced a greater number of recession adversities showed increased marital disagreements following the Great Recession, which were in turn associated with poorer mental health (negative affect and affective disorder). These associations held after controlling for prerecession levels of gender, age, race, and education. Furthermore, those who had lower income before the recession experienced greater increases in negative affect following the recession. These findings highlight the importance of marital processes in how the Great Recession is linked to mental health.

“In Sickness and in Health”

2003 ◽  
Vol 24 (6) ◽  
pp. 811-838 ◽  
Author(s):  
Zheng Wu ◽  
Margaret J. Penning ◽  
Michael S. Pollard ◽  
Randy Hart
Keyword(s):  
Mental Health ◽  
Health Indicators ◽  
Physical And Mental Health ◽  
Positive Health ◽  
Never Married ◽  
Self Selection ◽  
Health Differences ◽  
Using Data ◽  
The Impact ◽  
Relevant Factors

Using data from the 1994-95 (Canadian) National Population Health Survey (6,494 women, 5,368 men), we investigated the impact of cohabitation on a range of physical and mental health indicators, controlling for self-selection into cohabitation and other relevant factors. Uncontrolled results indicate that the physical and mental health of cohabitors tends to fall between that of the married and the divorced/separated, widowed, and single/never married. However, when other factors are controlled, health differences between cohabitors and the currently married become nonsignificant. Self-selection, into cohabitation and into marriage, initially appears to play a significant role in accounting for variations in health, but with controls added to the models, selection mostly becomes nonsignificant. We concluded that self-selection at most may explain a small proportion of the variation in health but that protection effects are more likely to explain the positive health advantages of marriage and cohabitation.

scholarly journals PHYSICAL-MENTAL-ORAL-COGNITIVE HEALTH IN OLDER KOREAN AMERICANS: A MULTISITE STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S406-S406
Author(s):  
Yuri Jang ◽  
Nan Sook Park ◽  
Min-Kyoung Rhee ◽  
Hyunwoo Yoon ◽  
Yong Ju Cho ◽  
...  
Keyword(s):  
New York ◽  
Health Indicators ◽  
Korean Americans ◽  
Sociocultural Factors ◽  
Cognitive Health ◽  
The Status ◽  
Health Domains ◽  
Using Data ◽  
Fair Poor ◽  
Older Korean Americans

Abstract Using data from surveys with older Korean Americans (n = 2,150) conducted at five sites in the U.S. (California, New York, Texas, Hawaii, and Florida), the present study explored the status of physical/mental/oral/cognitive health and its determinants. For each health domain, we examined how self-rating (excellent/very good/good/fair/poor) of health was associated with other domain-relevant indicators (e.g., the number of chronic diseases, symptoms of depression, problems with teeth or gums, or cognitive performance) and sociocultural factors (e.g., socioeconomic status, acculturation, social network, and social cohesion). Geographic variation was also considered. The correlations between self-ratings and domain-relevant indicators in all health domains were significant but moderate. A series of multivariate regression models of self-ratings of physical/mental/oral/cognitive health not only confirmed the effect of the domain-relevant health indicators but also demonstrated a critical contribution of sociocultural determinants. Implications for older immigrants were discussed in terms of place, culture, and context.

Marital Quality as a Mechanism Linking Childhood Abuse to Mental Health

2022 ◽  
pp. 0192513X2110598
Author(s):  
Michael Fitzgerald ◽  
Jacob A. Esplin
Keyword(s):  
Mental Health ◽  
Childhood Abuse ◽  
Marital Quality ◽  
Indirect Effects ◽  
Structural Equation ◽  
Mental Health Problems ◽  
The United States ◽  
Equation Modeling ◽  
Midlife Development ◽  
Using Data

Childhood abuse has been widely associated with mental health problems in adulthood and marital quality may be one possible mediator. We examine marital quality as a mediator linking childhood abuse to positive affect, negative affect, emotionally reactivity, and aggression. Using data from Midlife Development in the United States (MIDUS), results of structural equation modeling indicate that the indirect effects from childhood abuse to each of the mental health outcomes were significant. Marital quality may be a source of resilience among adults who were abused in childhood and could be a point of intervention for clinicians.

From Criminological Heterogeneity to Coherent Classes

2017 ◽  
Vol 16 (3) ◽  
pp. 299-318 ◽  
Author(s):  
Bryanna Fox ◽  
Matt DeLisi
Keyword(s):  
Sexual Abuse ◽  
Sex Offenders ◽  
Juvenile Justice ◽  
Latent Class ◽  
The United States ◽  
Criminal History ◽  
Male And Female ◽  
Florida Department ◽  
Using Data ◽  
The Individual

Although juvenile sex offenders (JSOs) are a pressing topic among researchers and juvenile justice practitioners, empirically driven typologies of JSOs using U.S. data are lacking. Here, we develop the first statistical typology of male and female JSOs using data from the United States selected from a sample of 4,143 JSOs referred to the Florida Department of Juvenile Justice. Significant predictors of juvenile sex offending (age of criminal onset, criminal history, impulsivity, empathy, depression, psychosis, and childhood sexual abuse) derived from the literature were used as grouping covariates to develop a profile of male and female JSOs using a latent class analysis (LCA). Results of the LCA show four unique subtypes of male JSOs and two subtypes of female JSOs exist within the data. These groups had differential compositions for key features such as criminal history and onset, psychopathologies, empathy and impulsivity, and sexual abuse victimization. These differences may be critical toward developing more tailored and effective correctional and treatment responses that balance containment and therapeutic approaches depending on the individual needs of the JSOs based upon their profile. Other practical and theoretical implications of these findings are discussed.

scholarly journals Trans Men’s Access to Knowledgeable Providers and Their Experiences in Health Care Settings: Differences by Demographics, Mental Health, and Degree of Being “Out” to Providers

2020 ◽  
Author(s):  
Kristie L Seelman ◽  
Shanna K Kattari ◽  
Penny Harvey ◽  
Matthew Bakko
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Native American ◽  
Alaska Native ◽  
Race And Ethnicity ◽  
Culturally Responsive ◽  
The United States ◽  
Trans Men ◽  
Men Of Color ◽  
Using Data

  Transgender adults face a health care system rife with stigma, including a lack of culturally responsive providers and high likelihood of discrimination and mistreatment. However, there is a gap in knowledge about trans men—those assigned a female sex at birth who identify as men or as transmasculine—including subgroups, such as trans men of color. Using data from the U.S. Transgender Survey, the largest transgender survey conducted in the United States, this study analyzes whether trans men’s access to knowledgeable providers and their experiences of mistreatment in health care were related to demographic and mental health characteristics and degree of being “out” to providers. Among 7,950 trans men, respondent race and ethnicity, education level, disability status, psychological distress, suicidality, and being less “out” were associated with assessing one’s health care provider as not knowledgeable about trans-related care. Mistreatment in health care was more common among Alaska Native/American Indian trans men; those who lived in or near poverty; those who were queer, pansexual, bisexual, or an orientation not listed; those with a disability; those experiencing distress or suicidality; and those who were more “out.” This article discusses how findings can inform culturally responsive health care interventions with trans men.

Clarifying the Relationship Between Parenthood and Depression

2005 ◽  
Vol 46 (4) ◽  
pp. 341-358 ◽  
Author(s):  
Ranae J. Evenson ◽  
Robin W. Simon
Keyword(s):  
Mental Health ◽  
United States ◽  
Social Role ◽  
Well Being ◽  
The United States ◽  
Symptoms Of Depression ◽  
Role Involvement ◽  
Using Data ◽  
The Relationship ◽  
Status Differences

Unlike other major adult social roles in the United States, parenthood does not appear to confer a mental health advantage for individuals. However, while research has examined parental status differences in emotional well-being, relatively little is known about variations in emotional distress among parents. In this article, we clarify the relationship between parenthood and current symptoms of depression using data from the National Survey of Families and Households. The analyses provide support for our first hypothesis: Parenthood is not associated with enhanced mental health since there is no type of parent who reports less depression than nonparents. We also find support for our second hypothesis: Certain types of parenthood are associated with more depression than others. Additionally, although we find marital status differences in symptoms among parents, there are no gender differences in the association between parenthood and depression. We discuss the implications of our findings for ongoing theoretical debates about the advantages of social role involvement for mental health as well as the meaning of contemporary parenthood in the United States.

scholarly journals Psychological Distress Among Smokers in the United States: 2008–2014

2017 ◽  
Vol 20 (6) ◽  
pp. 707-713 ◽  
Author(s):  
Michael J Zvolensky ◽  
Charles Jardin ◽  
Melanie M Wall ◽  
Misato Gbedemah ◽  
Deborah Hasin ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Psychological Distress ◽  
Family Income ◽  
Mental Health Problems ◽  
The United States ◽  
Cross Sectional ◽  
Annual Family Income ◽  
The Past ◽  
Never Smokers

Abstract Introduction Decline in smoking in the United States has slowed over the past 25 years. Mental health problems are common among smokers, and may be an impediment to quitting and remaining abstinent. The study investigated the relationship between serious (past-30-day) psychological distress (SPD) and smoking, estimated trends in the prevalence of SPD among current, former, and never smokers in the United States from 2008 to 2014, and investigated whether heterogeneity in these trends varied by sociodemographic characteristics. Methods Data were drawn from the National Household Survey on Drug Use (NSDUH), an annual cross-sectional study of persons ages 12 and over (N = 270 227). SPD and smoking in the past 30 days were examined using logistic regression models among adults 18 and older. The prevalence of SPD was examined annually among current, former, and never smokers from 2008 to 2014. Results SPD increased among smokers in the United States from 2008 to 2014. An increase in SPD was more rapid among non-daily smokers than daily smokers. The prevalence of SPD was higher among younger smokers, those with less formal education and lower annual family income and higher among current smokers than former and never smokers. The relationships between SPD and smoking were stronger among smokers with higher education levels and annual family income. Conclusions Our findings suggest an increase in SPD among smokers over time and that as smoking has declined, those with SPD are comprising a greater proportion of the remaining smokers. Results suggest that mental health must be integrated into mainstream tobacco control efforts. Implications The greater prevalence and increasing rate of Serious Psychological Distress among smokers, relative to former- and never-smokers, from 2008 to 2014 provides support that the greater mental health burden among smokers may be contributing to the slowed reduction in smoking prevalence in the United States. In addition, relationships between SPD and smoking were consistently stronger among smokers with higher levels of education and annual family income. Such results suggest the necessity of incorporating mental health treatments in tobacco use reduction efforts.

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