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The Association Between Depressive Symptoms and Accumulation of Stress Among Black Men in the Health and Retirement Study. | LitMetric

AI Article Synopsis

  • The study investigates the connection between allostatic load (AL), a measure of chronic stress, and depressive symptoms in middle- to old-aged black men, highlighting stress as a key factor in health disparities.
  • Using data from the Health and Retirement Study, researchers assessed depressive symptoms and calculated AL scores to categorize participants into high or low AL groups.
  • Findings revealed that black men with high AL reported a significantly higher prevalence of depressive symptoms (30.0%) compared to those with low AL (20.0%), emphasizing the impact of chronic stress on mental health in this demographic.

Article Abstract

Background And Objectives: Among the multiple factors posited to drive the health inequities that black men experience, the fundamental role of stress in the production of poor health is a key component. Allostatic load (AL) is considered to be a byproduct of stressors related to cumulative disadvantage. Exposure to chronic stress is associated with poorer mental health including depressive symptoms. Few studies have investigated how AL contributes to depressive symptoms among black men. The purpose of the cross-sectional study was to examine the association between AL and depressive symptoms among middle- to old age black men.

Research Design And Methods: This project used the 2010 and 2012 wave of the Health and Retirement Study enhanced face-to-face interview that included a biomarker assessment and psychosocial questionnaire. Depressive symptoms, assessed by the endorsement of 3 or more symptoms on the Center for Epidemiological Studies-Depression 8-item scale, was the outcome variable. The main independent variable, AL, score was calculated by summing the number values that were in the high range for that particular biomarker value scores ranging from 0 to 7. black men whose AL score was 3 or greater were considered to be in the high AL group. Modified Poisson regression was used to estimate prevalence ratios (PRs) and corresponding 95% confidence intervals (CIs).

Results: There was a larger proportion of black men in the high AL group who reported depressive symptoms (30.0% vs. 20.0%) compared with black men in the low AL group. After adjusting for age, education, income, drinking, and smoking status, the prevalence of reporting 3 or more depressive symptoms was statistically significant among black men in the high AL group (PR = 1.61 [95% CI: 1.20-2.17]) than black men in the low AL group.

Discussion And Implications: Exposure to chronic stress is related to reporting 3 or more depressive symptoms among black men after controlling for potential confounders. Improving the social and economic conditions for which black men work, play, and pray is key to reducing stress, thereby potentially leading to the reporting of fewer depressive symptoms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737789PMC
http://dx.doi.org/10.1093/geroni/igaa047DOI Listing

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