Mental and Physical Health Correlates of Financial Difficulties Among African-American Older Adults in Low-Income Areas of Los Angeles

Evans, Meghan C; Bazargan, Mohsen; Cobb, Sharon; Assari, Shervin

doi:10.3389/fpubh.2020.00021

Cited by 19 publications

(20 citation statements)

References 72 publications

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“…Socioeconomic support cannot play a role in the self-rated health of the elderly patients with chronic diseases in the central regions, but significantly improve the health status of the elderly patients with chronic diseases in the western regions. Evans, MC study finds that economic difficulties have an impact on the health of low-income elderly persons and suggested that solving economic difficulties may help to promote the health of the elderly (50). The interpretation of this paper is that in undeveloped regions, the family economic condition cannot meet the normal health needs of elderly patients with chronic diseases, thus, worsening the health status of the elderly.…”

Section: Discussionmentioning

confidence: 83%

Does Economic Support Have an Impact on the Health Status of Elderly Patients With Chronic Diseases in China? - Based on CHARLS (2018) Data Research

Tang

et al. 2021

Front. Public Health

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Objective: The economic support of elderly patients with chronic diseases may affect their health status. This study assessed the impact of economic support on the health status of elderly patients with chronic diseases in China and explored the relationship between regional economic differences and the impact of economic support on health status.Methods: This study used the data of 3,416 elderly patients with chronic diseases from the China Health and Retirement Longitudinal Study (CHARLS) in 2018. Logit model and stepwise regression method were used to analyze and compare the influence of economic support on self-rated health, mental health, and activities of daily living (ADL) of elderly patients with chronic diseases. Sub-regional comparison was used for the research of regional differences in the impact of economic support on health.Results: we find that economic support has a positive effect on the health status of elderly patients with chronic diseases in China. Socioeconomic support has a positive effect on self-rated health and mental health of elderly patients with chronic diseases, and the effect on activities of daily living (ADL) is no longer significant after the gradual inclusion of control variables. Family economic support has no significant impact on the health dimensions of elderly patients with chronic diseases. With respect to regional differences, socioeconomic support can improve mental health in central China and improve self-rated health in western China, while it can improve overall health status in eastern China. The influence of family economic support on different health dimensions in different regions is still insignificant.Conclusions: The health status of elderly patients with chronic diseases is affected by socioeconomic support in China. In order to improve the health of elderly patients with chronic diseases, it is necessary to increase socioeconomic support. Meanwhile, it is also essential to pay attention to the differences in economic support between different regions and increase the socioeconomic support for elderly patients with chronic diseases in undeveloped regions so as to improve their health status.

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Section: Discussionmentioning

confidence: 83%

Does Economic Support Have an Impact on the Health Status of Elderly Patients With Chronic Diseases in China? - Based on CHARLS (2018) Data Research

Tang

et al. 2021

Front. Public Health

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“…This community-based cross-sectional study surveyed a convenience sample (n = 740) of older African Americans residing in South Los Angeles [3,4,6,[28][29][30][31]. Also referred to as "South Los Angeles" Service Planning Area 6 of Los Angeles County, which serves the communities of Athens, Compton, Crenshaw, Florence, Hyde Park, Lynwood, Paramount, and Watts.…”

Section: Methodsmentioning

confidence: 99%

“…This subset of older adults is faced with numerous health disparities, including lower rates of preventative health services and a greater delay in care. Individuals enrolled in any type of nursing facility, enrolled in any other research study, and who have observable intellectual impairments, were excluded from this study [3,4,6,[28][29][30][31].…”

Section: Methodsmentioning

confidence: 99%

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Smoking Status and Well-Being of Underserved African American Older Adults

Bazargan

Cobb

Sandoval

et al. 2020

Behavioral Sciences

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Purpose: This study investigated the association between current and past cigarette smoking, with four domains of well-being, namely, physical quality of life, mental quality of life, depressive symptoms, and self-rated health status (SRH), among older African American adults who lived in economically impoverished areas of South Los Angles. Methods: This community-based cross-sectional study included a convenience sample of economically-disadvantaged African Americans adults (n = 740) who were 55 years old and older residing in South Los Angeles. We conducted in-depth face-to-face interviews to collect data on the socioeconomic status (level of education and fiscal pressures), demographic factors (age and gender), physical health (number of chronic medical conditions), smoking (never smokers (reference group), past smokers, and current smokers), and well-being (quality of life, depressive symptoms, and self-rated health). Linear regressions were used to analyze the data. Results: Over 21% reported that they are current smokers, compared with 31% who identified as former smokers. Almost 40% perceived the quality of their health status to be fair or poor. Compared with non-smokers, current cigarette smokers reported a worse physical quality of life, depressive symptoms, and self-rated health. Current smokers also reported a marginally worse mental quality of life.

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“…In a recent study 57 , economic strain was positively associated with chronic diseases, chronic pain, self-rated health, depressive symptoms, and sick days. Although this study suggested that economic strain seems to be linked to self-rated health, sick days, chronic pain, chronic diseases, and depressive symptoms, this study did not compare the role of economic strain and educational attainment.…”

Section: Introductionmentioning

confidence: 93%

Economic Strain Deteriorates While Education Fails to Protect Black Older Adults Against Depressive Symptoms, Pain, Self-rated Health, Chronic Disease, and Sick Days

Assari¹,

Cobb²,

Saqib³

et al. 2020

J Ment Health Clin Psychol

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Background: A large body of empirical evidence on Minorities' Diminished Returns (MDRs) suggests that educational attainment shows smaller health effects for Blacks compared to Whites. At the same time, economic strain may operate as a risk factor for a wide range of undesired mental and physical health outcomes in Black communities. Aim:The current study investigated the combined effects of education and economic strain on the following five health outcomes in Black older adults in underserved areas of South Los Angeles: depressive symptoms, number of chronic diseases, pain intensity, self-rated health, and sick days. Methods:This cross-sectional study included 619 Black older adults residing in South Los Angeles. Data on demographic factors (age and gender), socioeconomic characteristics, economic strain, health insurance, living arrangement, marital status, health behaviors, depressive symptoms, pain intensity, number of chronic diseases, sick days, and self-rated health were collected. Five linear regressions were used to analyze the data.Results: Although high education was associated with less economic strain, it was the economic strain, not educational attainment, which was universally associated with depressive symptoms, pain intensity, self-rated health, chronic diseases, and sick days, independent of covariates. Similar patterns emerged for all health outcomes suggesting that the risk associated with economic strain and lack of health gain due to educational attainment are both robust and independent of type of health outcome. Conclusion:In economically constrained urban environments, economic strain is a more salient social determinant of health of Black older adults than educational attainment. While education loses some of its protective effects, economic strain deteriorates health of Black population across domains. There is a need for bold economic and social policies that increase access of Black communities to cash at times of emergency. There is also a need to improve the education quality in the Black communities.

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Mental and Physical Health Correlates of Financial Difficulties Among African-American Older Adults in Low-Income Areas of Los Angeles

Cited by 19 publications

References 72 publications

Does Economic Support Have an Impact on the Health Status of Elderly Patients With Chronic Diseases in China? - Based on CHARLS (2018) Data Research

Does Economic Support Have an Impact on the Health Status of Elderly Patients With Chronic Diseases in China? - Based on CHARLS (2018) Data Research

Smoking Status and Well-Being of Underserved African American Older Adults

Economic Strain Deteriorates While Education Fails to Protect Black Older Adults Against Depressive Symptoms, Pain, Self-rated Health, Chronic Disease, and Sick Days

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