Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk: the HCHS/SOL Sociocultur
- PDF / 581,055 Bytes
- 12 Pages / 595.276 x 790.866 pts Page_size
- 88 Downloads / 199 Views
ORIGINAL ARTICLE
Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk: the HCHS/SOL Sociocultural Ancillary Study
Published online: 27 January 2017 # The Society of Behavioral Medicine 2017
Abstract Background U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), a group of cooccurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is associated with higher risk for MetSyn in Hispanics/Latinos, and psychosocial factors may play a role in this relationship. Purpose This cross-sectional study examined psychosocial factors in the association of SES and MetSyn components in 4,996 Hispanic/Latino adults from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Methods MetSyn components were measured at the baseline examination. Participants completed interviews to determine psychosocial risks (e.g., depression) and resources (e.g., social support) within 9 months of baseline (< 4 months in 72.6% of
participants). Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to identify latent constructs and examine associations. Results Participant mean age was 41.7 years (SE = 0.4) and 62.7% were female. CFA identified single latent factors for SES and psychosocial indicators, and three factors for MetSyn [blood pressure, lipids, metabolic factors]. SEMs showed that lower SES was related to MetSyn factors indirectly through higher psychosocial risk/lower resources (Y-Bχ2 (df = 420) = 4412.90, p < .05, RMSEA = .042, SRMR = .051). A statistically significant effect consistent with mediation was found from lower SES to higher metabolic risk (glucose/waist circumference) via psychosocial risk/resource variables (Mackinnon’s 95% asymmetric CI = −0.13 to −0.02). Conclusions SES is related to metabolic variables indirectly through psychosocial factors in U.S. Hispanics/Latinos of diverse ancestries.
* Linda C. Gallo [email protected]
6
Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
1
San Diego Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, San Diego, CA, USA
7
Department of Psychology, University of Miami, Coral Gables, FL, USA
2
Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA
8
Graduate School of Public Health, San Diego State University, San Diego, CA, USA
3
Department of Psychology, San Diego State University, San Diego, CA, USA
9
Departments of Psychiatry and Family Medicine and Public Health, University of California, San Diego, San Diego, CA, USA
4
Deptartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
10
Department of Biostatistics, Gillings School of Public
Data Loading...
