Demographic and Socioeconomic Determinants of Physical and Mental Self-rated Health Across 10 Ethnic Groups in the United States

Assari, Shervin; Lankarani, Maryam Moghani

doi:10.15171/ijer.2017.02

Cited by 21 publications

(12 citation statements)

References 63 publications

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“…In other words, education affects health indirectly through social support. This result is not consistent with other studies [ 6 – 10 ] that argued a direct education effect on health. However, the significant path from education to social support and the one from social support to health were in agreement with previous studies.…”

Section: Discussioncontrasting

confidence: 99%

“…The health effects of education attainment against risk of morbidity and mortality are well established [ 6 – 8 ]. High education is shown to protect against a decline in self-rated health (SRH) [ 9 , 10 ], chronic disease [ 11 ], and mortality [ 12 ]. As another essential component of human life, social support has been known to be associated with health and well-being.…”

Section: Introductionmentioning

confidence: 99%

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The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study

et al. 2021

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Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the associations of education and social support with the self-rated health status among NKDs. Methods This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support on their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables. Results NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR = 5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study

et al. 2021

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“…Screening for suicide and emotional problems, particularly depression, needs to consider the racial variations in experience and expression of negative emotions and cognitions [ 44 , 45 ]. Multiple studies have shown differences between Blacks and Whites in how poor self-evaluation of mental health reflects psychiatric disorders, such as depression [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Suicide Attempts in Michigan HealthCare System; Racial Differences

Assari

2018

Brain Sciences

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Background. Community-based studies have documented racial differences in social, psychiatric, and medical determinants of suicidal ideation; however, less is known about racial differences in the profile of suicide attempts in clinical settings. Aim. The current study aimed to compare Blacks and Whites who attempted suicide for demographic factors, socioeconomic status, medical history, psychiatric disorders, and outcomes. Methods. This retrospective study was a retrospective chart review of DataDirect, which is an electronic data repository of the Michigan Health Care System, 2014 to 2017. This analysis included 6147 suicide attempts (5388 Whites and 759 Blacks). Race, sociodemographic factors, medical history, psychiatric disorders, and outcomes were measured. Results. Blacks and Whites with suicide attempt did not differ in age or gender, but varied by insurance type. Blacks were more commonly under Medicare and Medicaid, while Whites were more commonly under private insurance or self-pay (p < 0.05). Blacks with suicide attempt were more likely to be obese, while Whites with suicide attempt were more likely to be underweight. Frequency of psychiatric disorders, including depression, alcohol abuse, drug abuse, and psychosis, were not different between Whites and Blacks with suicide attempt; however, medical conditions showed a different profile across racial groups. When compared to Whites, Blacks had higher prevalence of uncomplicated hypertension, renal failure, chronic obstructive pulmonary disease, coagulopathy, and obesity (p < 0.05 for all comparisons). In contrast, Whites had higher prevalence of other neurological disorders than Blacks. There were no differences in in-patient survival rate between Whites and Blacks who attempted suicide. Conclusion. There are considerable differences between Blacks and Whites with at least one suicide attempt. Although their psychiatric diagnoses seem to be similar, Blacks who have attempted suicide attempt have more medical comorbidities than their White counterparts. Lack of racial disparities in in-patient mortality rate of suicide attempts in the Michigan Health Care System is promising news given the higher physical health needs of Blacks when compared to Whites.

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“…SRPH was dichotomized as poor/fair (1) and good/very good/excellent (0) and high SES was shown to predict better SRPH. 6…”

Section: Dependent Variable Self-rated Physical Health (Srph)mentioning

confidence: 99%

“…[1][2][3][4][5] High SES is also related to self-rated physical health (SRPH). 6 According to the Minorities' Diminished Return Theory, the members of race/ethnic minority groups and White Americans differ regarding the relationship between their SES and health. 7,8 The protective effects of SES on physical, mental, and oral health are also found to vary for Blacks [9][10][11][12][13][14][15][16] and Hispanics 10 compared to Whites.…”

Section: Introductionmentioning

confidence: 99%

Marital Status and Physical Health: Racial Differences

Assari

2019

Int J Epidemiol Res

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Background and aims: As suggested by the Minorities’ Diminished Return Theory, the association between socioeconomic status and health is weaker for racial and ethnic minorities compared to Whites. The current study compared Blacks and Whites in terms of the association between marital status and physical health. Methods: The State of the State Survey (SOSS) included 881 adults (92 Blacks and 782 Whites) generalizable to the state of Michigan, the United States. The marital status and self-rated physical health (SRPH), which was measured using a single item, were considered as independent and dependent variables, respectively. In addition, age, gender, education, and employment were covariates and race/ ethnicity was regarded as the moderating factor. Finally, logistic regression was used for data analysis. Results: Based on the results, being married was associated with better SRPH, which is the net considered by all confounders. A significant interaction was found between race and marital status on SRPH, suggesting a larger association for Blacks compared to Whites. In race stratified models, marital status was related to better SRPH for Whites and Blacks, but the magnitude of this link was larger for Blacks compared to Whites. Conclusion: Overall, marital status was differently linked to SRPM for Whites and Blacks. Accordingly, policymakers should be cautious while not assuming that diverse racial and ethnic groups with similar economic resources have similar health status.

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Demographic and Socioeconomic Determinants of Physical and Mental Self-rated Health Across 10 Ethnic Groups in the United States

Abstract: Background and aims: The aim of this study was to explore ethnic differences in demographic and socioeconomic determinants of poor physical and mental self-rated health (SRH) in the United States.

Cited by 21 publications

References 63 publications

The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study

The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study

Suicide Attempts in Michigan HealthCare System; Racial Differences

Marital Status and Physical Health: Racial Differences

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