Racial/ethnic disparities in midlife depressive symptoms: The role of cumulative disadvantage across the life course

Garbarski, Dana

doi:10.1016/j.alcr.2014.12.006

Cited by 16 publications

(8 citation statements)

References 115 publications

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“…This lack of heterogeneity means that neither the resource substitution nor the resource multiplication perspectives were supported by the findings, as these competing hypotheses both assumed some consistent pattern of change in the health benefits of marriage according to the likelihood of marriage. Prior studies have used the NLSY79 to characterize how marriage at this age is associated with health outcomes, noting that the benefits of marriage were generally small (Carlson, ; Garbarski, ; Williams et al, ). Our study adds evidence that health differences according to marital status at age 40 (married vs. unmarried) remain modest even when examining men and women who were most likely to marry.…”

Section: Discussionmentioning

confidence: 99%

Do the Health Benefits of Marriage Depend on the Likelihood of Marriage?

Tumin

Zheng

2018

J of Marriage and Family

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Marriage promotion initiatives presume substantial health benefits of marriage. Current literature, however, has provided inconsistent results on whether these benefits would be shared by people unlikely to marry. We investigate whether the physical and mental health benefits of marriage depend on the likelihood of marriage. Whereas prior studies have compared health benefits of marriage across a single predictor of marriage chances, we define the likelihood of marriage as a composite of demographic, economic, and health characteristics. Using the National Longitudinal Survey of Youth 1979, we find that married adults are only modestly healthier than unmarried adults in both physical and mental dimensions. People with a higher likelihood of marriage generally do not reap greater health benefits from marriage than their counterparts. The only exception is that continuous marriage is more strongly associated with improved mental health among men who are more likely to be married.

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Section: Discussionmentioning

confidence: 99%

Do the Health Benefits of Marriage Depend on the Likelihood of Marriage?

Tumin

Zheng

2018

J of Marriage and Family

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“…Similarly, in a recent nationwide study, 15% of Black adults and 11% of Hispanic adults reported being in fair or poor physical health, compared to 9% of white adults [7]. Black individuals are also more likely than non-Latinx whites to report depressive symptoms, though reports comparing differences between Latinx and non-Latinx whites are mixed [8].…”

Section: Introductionmentioning

confidence: 99%

Experiences of Racial and Ethnic Discrimination Are Associated with Food Insecurity and Poor Health

Phojanakong

Weida

Grimaldi

et al. 2019

IJERPH

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This study examines the associations of mothers’ experiences of discrimination (EODs) with household food insecurity (HFI), physical health, and depressive symptoms, while taking into account the influence of mothers’ Adverse Childhood Experiences (ACEs) and public assistance participation. Mothers (N = 1372) of young children under age 4 who self-identified as Latinx, Non-Latinx Black/African American and Non-Latinx white answered questions for a cross-sectional survey in an emergency room in a large children’s hospital in Philadelphia between 2016 and 2018. Logistic regression was used to model associations of EODs in specific settings with HFI, depressive symptoms, and physical health. Compared to those without EODs, mothers with EODs from police/courts and in workplaces had higher odds of HFI, AOR =2.04 (95% CI: 1.44–2.89) and AOR = 1.57 (95% CI: 1.18–2.11), respectively. Among Latinx mothers, EODs in school were associated with nearly 60% higher odds of HFI and nearly 80% higher odds of depressive symptoms. Latinx and Black mothers with EODs in workplaces had higher odds of HFI (AOR = 1.76, 95% CI: 1.21–2.56 and AOR = 1.46, 95% CI: 1.05–2.36, respectively), compared to mothers without EODs. Discrimination is associated with HFI, depressive symptoms, and poor health. Public health interventions intended to improve food security and health may be only partially effective without simultaneously addressing racism and discrimination.

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“…Neighborhood conditions have long-lasting social consequences [20], primarily by determining intermediate outcomes, like educational attainment [21,22]. These effects can accumulate over the life course [23] and can lead to disparate health effects like ‘accelerated aging’ [24]. We explore a method that can gauge how disparities in neighborhood conditions may potentially affect disparities in mental health, depression primarily, and anxiety secondarily.…”

Section: Introductionmentioning

confidence: 99%

Exploring Causes of Depression and Anxiety Health Disparities (HD) by Examining Differences between 1:1 Matched Individuals

Coman

Assari

2018

Brain Sciences

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Poor comparability of social groups is one of the major methodological problems that threatens the validity of health disparities (HD) research findings. We illustrate a methodological solution that can additionally unpack the mechanisms behind differential effects on depression and anxiety. We describe racial/ethnic differences in the prevalence of depression and anxiety scores between Black and White women using classic methods, and then we illustrate a 1:1 matching procedure that allows for building of individual-level difference scores, i.e., actual HD difference score variables, for each pair of comparable participants. We compare the prevalence of depression disorder between Black and White young women after matching them 1:1 on common socio-economic characteristics (age, employment, education, and marital status). In essence, we follow matching or stratification methods, but make a step further and match cases 1:1 on propensity scores, i.e., we create Black–White ‘dyads’. Instead of concluding from plain comparisons that 11% more White young women (18–30 years old) report a depressive disorder than Black young women, the matched data confirms the trend, but provides more nuances. In 27% of the pairs of comparable pairs the White woman was depressed (and the comparable Black woman was not), while in 15% of the pairs the Black woman was depressed (and the comparable White woman was not). We find that Black-to-White disparities in neighborhood disorder do not predict depression differences (HDs), while such an effect is evident for anxiety HDs. The 1:1 matching approach allows us to examine more complex HD effects, like differential mediational or resilience mechanisms that appear to be protective of Black women’s mental health.

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Racial/ethnic disparities in midlife depressive symptoms: The role of cumulative disadvantage across the life course

Cited by 16 publications

References 115 publications

Do the Health Benefits of Marriage Depend on the Likelihood of Marriage?

Do the Health Benefits of Marriage Depend on the Likelihood of Marriage?

Experiences of Racial and Ethnic Discrimination Are Associated with Food Insecurity and Poor Health

Exploring Causes of Depression and Anxiety Health Disparities (HD) by Examining Differences between 1:1 Matched Individuals

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