Coping With Chronic Stress by Unhealthy Behaviors: A Re-Evaluation Among Older Adults by Race/Ethnicity.

TitleCoping With Chronic Stress by Unhealthy Behaviors: A Re-Evaluation Among Older Adults by Race/Ethnicity.
Publication TypeJournal Article
Year of Publication2017
AuthorsRodriquez, EJ, Gregorich, SE, Livaudais-Toman, J, Perez-Stable, EJ
JournalJ Aging Health
Volume29
Issue5
Pagination805-825
Date Published2017 08
ISSN Number1552-6887
KeywordsAdaptation, Psychological, Aged, California, Chronic disease, Continental Population Groups, depression, Ethnic Groups, Female, Humans, Logistic Models, Longitudinal Studies, Male, Middle Aged, Minority Groups, Risk-Taking, Stress, Psychological, Surveys and Questionnaires
Abstract

OBJECTIVE: To assess the role of unhealthy behaviors in the relationship between chronic stress and significant depressive symptoms by race/ethnicity among older adults.

METHOD: Participant data from the 2006 to 2008 Health and Retirement Study were analyzed. Unhealthy behaviors included current smoking, excessive/binge drinking, and obesity. Chronic stress was defined by nine previously used factors. The eight-item Center for Epidemiologic Studies Depression (CES-D) Scale measured depressive symptoms, where ≥4 symptoms defined significant. Multivariable logistic regression assessed the effects of chronic stress and unhealthy behaviors in 2006 on depressive symptoms in 2008.

RESULTS: A higher chronic stress index score predicted depressive symptoms in 2008 among African Americans, Latinos, and Whites (adjusted odds ratio [aOR] = 1.78, 95% confidence interval [CI] = [1.48, 2.15]; aOR = 1.54, 95% CI = [1.15, 2.05]; and aOR = 1.40, 95% CI = [1.26, 1.56], respectively). Unhealthy behaviors moderated this relationship among Latinos (aOR = 1.54, 95% CI = [1.02, 2.33]).

DISCUSSION: Unhealthy behaviors were not effective coping mechanisms for chronic stress in terms of preventing significant depressive symptoms. Instead, they strengthened the relationship between chronic stress and significant depressive symptoms among Latinos.

URLhttp://www.ncbi.nlm.nih.gov/pubmed/27178298
DOI10.1177/0898264316645548
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/27178298?dopt=Abstract

Alternate JournalJ Aging Health
Citation Key8487
PubMed ID27178298
PubMed Central IDPMC6207432
Grant ListR25 CA113710 / CA / NCI NIH HHS / United States
U54 CA153511 / CA / NCI NIH HHS / United States
K24 DK102057 / DK / NIDDK NIH HHS / United States
UL1 RR024131 / RR / NCRR NIH HHS / United States
P30 AG015272 / AG / NIA NIH HHS / United States
U01 CA086117 / CA / NCI NIH HHS / United States
Z99 HL999999 / / Intramural NIH HHS / United States