Stress and health behaviors as potential mediators of the relationship between neighborhood quality and allostatic load

Buschmann, Robert N.; Prochaska, John; Cutchin, Malcolm P.; Peek, M. Kristen

doi:10.1016/j.annepidem.2018.03.014

Cited by 17 publications

(15 citation statements)

References 28 publications

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“…On the other hand, AL was associated with income for those earning between $10,000 and $14,999, with p -value = 0.0225. This is in agreement with the works of Guidi et al and Buschmann et al, who found that family income was associated with AL [ 32 , 33 ].…”

Section: Discussionsupporting

confidence: 93%

Interaction of Per- and Polyfluoroalkyl Substances and Allostatic Load among Adults in Various Occupations

Bashir

Obeng-Gyasi

2022

Diseases

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Objective: This study sought to assess the associations between occupation, serum concentrations of selected of Per- and Polyfluoroalkyl Substances (PFAS), and chronic physiological stress, as operationalized by Allostatic Load (AL), among adults aged ≥20 years. Methods: To explore the interactions of occupation with PFAS levels and AL, data from the National Health and Nutrition Examination Survey (NHANES) 2007–2014 were used. We performed Poisson regression modeling to evaluate AL’s relationships with PFAS concentrations and occupations on weighted data. Results: The results demonstrated that increased AL was positively associated with different occupation groups such as a) Public Administration and b) Arts, Entertainment, and Recreation (p-values 0.018 and 0.002, respectively), and with certain PFAS concentrations (Perfluorooctanoic acid, PFOA, p-value = 0.002). Finally, AL had a strong association with the interaction of some PFAS such as Perfluorobutane sulfonic acid (PFBS) and occupation (AL: PFBS: occupation, p-value < 0.0001), with different association measures existing across varying occupations. Conclusions: Occupation and PFOA seem to be associated with AL. This suggests the need of implementing further strategies to limit the exposure to stressors and PFAS in the work environment to promote longevity among the workforce in the U.S. Finally, policymakers must do more to clearly define standards and regulations in the work environment related to PFAS exposure.

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Section: Discussionsupporting

confidence: 93%

Interaction of Per- and Polyfluoroalkyl Substances and Allostatic Load among Adults in Various Occupations

Bashir

Obeng-Gyasi

2022

Diseases

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“…Similarly, income level was negatively re lated to allostatic load in different populations [65,[73][74][75][76]. Perceived neighborhood quality may have an impact on allostatic load [77,78], and high levels of allostatic load were reported by individuals living in impoverished [79][80][81][82][83][84][85] or segregated neighborhoods [86]. Nonetheless, adults who grew up in low socioeconomic status house holds showed lower levels of allostatic load when adapt ing to life stressors maintaining a focus on the future [87].…”

Section: General Population Studies Sociodemographic Correlatesmentioning

confidence: 97%

Allostatic Load and Its Impact on Health: A Systematic Review

Guidi

Lucente

Sonino

et al. 2020

Psychother Psychosom

580

466

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Introduction: Allostatic load refers to the cumulative burden of chronic stress and life events. It involves the interaction of different physiological systems at varying degrees of activity. When environmental challenges exceed the individual ability to cope, then allostatic overload ensues. Allostatic load is identified by the use of biomarkers and clinical criteria. Objective: To summarize the current knowledge on allostatic load and overload and its clinical implications based on a systematic review of the literature. Methods: PubMed, PsycINFO, Web of Science, and the Cochrane Library were searched from inception to December 2019. A manual search of the literature was also performed, and reference lists of the retrieved articles were examined.We considered only studies in which allostatic load or overload were adequately described and assessed in either clinical or non-clinical adult populations. Results: A total of 267 original investigations were included. They encompassed general population studies, as well as clinical studies on consequences of allostatic load/overload on both physical and mental health across a variety of settings. Conclusions: The findings indicate that allostatic load and overload are associated with poorer health outcomes. Assessment of allostatic load provides support to the understanding of psychosocial determinants of health and lifestyle medicine. An integrated approach that includes both biological markers and clinimetric criteria is recommended.

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“…However, the mechanism of neighborhood cohesion on the biopsychosocial stress process remains largely unknown [ 24 ]. Barber and colleagues (2016) postulated that low neighborhood cohesion may be accompanied by crime to which men were exposed [ 23 ] (p. 113).…”

Section: Introductionmentioning

confidence: 99%

“…Mental and functional health were chosen as relevant goals of place-based, age-friendly interventions [ 3 ]. With reference to the Transdisciplinary Neighborhood Health Framework [ 32 ] and other studies [ 16 , 24 , 33 ], we hypothesize that neighborhood cohesion mediates between active living and mental health. We define neighborhood cohesion as the depth and breadth of social ties in a local area, regardless of societal fault lines.…”

Section: Introductionmentioning

confidence: 99%

Neighborhood Makes or Breaks Active Ageing? Findings from Cross-Sectional Path Analysis

Gan

Cheng

et al. 2022

IJERPH

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Mental ill-health prolongs and complicates other chronic illnesses, which is a major public health concern because of the potential stress it places on health systems. Prevention via active aging and place-based interventions thus became increasingly important with population aging, e.g., through health promotion and age-friendly neighborhoods. However, how the targeted outcomes of these efforts are related remains unclear. This paper examined whether the relationship between active living and mental health or health-related quality of life is mediated by neighborhood cohesion. Cross-sectional data were drawn from n = 270 community-dwelling adults aged 50 and above in the Gerontology Research Program—Center for Ageing Research in the Environment (GRP-CARE) Survey. Path analysis showed that one can live actively for better mental health (Btotal = 0.24), but it is largely mediated by neighborhood cohesion (37%). Further examination of the factors of neighborhood cohesion showed that this mediation is explained by communal affordance (Bindirect = 0.05) and neighborhood friendship (Bindirect = 0.05). Additional study of the association between these mediators and factors of mental health revealed two psychosocial processes: (1) better community spaces (e.g., greenery and third places) support communal living (B = 0.36) and help older adults obtain emotional support (B = 0.32) for greater autonomy (B = 0.25); (2) spending more time outdoors enhances neighborhood friendship (B = 0.33) and interpersonal skills (B = 0.37), which in turn improves coping (B = 0.39). In short, the effects of active living on health are limited by one’s neighborhood environment. Neighborhood cohesion must be considered or it may stifle individual and policy efforts to age actively and healthily in urban environments. Context-sensitive implementations are required.

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Stress and health behaviors as potential mediators of the relationship between neighborhood quality and allostatic load

Cited by 17 publications

References 28 publications

Interaction of Per- and Polyfluoroalkyl Substances and Allostatic Load among Adults in Various Occupations

Interaction of Per- and Polyfluoroalkyl Substances and Allostatic Load among Adults in Various Occupations

Allostatic Load and Its Impact on Health: A Systematic Review

Neighborhood Makes or Breaks Active Ageing? Findings from Cross-Sectional Path Analysis

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