Lauren L Brown1, Catherine García2, Alexis N Reeves3, John R Pamplin4,5, Uchechi A Mitchell6. 1. School of Public Health Management and Policy, 7117San Diego State University, San Diego, CA, USA. 2. Human Development and Family Science, Aging Studies Institute, Center for Aging and Policy Studies, Lerner Center for Public Health Promotion, 2029Syracuse University, Syracuse, NY, USA. 3. Department of Epidemiology and Population Health, School of Medicine, 10624Stanford University, Palo Alto, CA, USA. 4. Center for Urban Science and Progress, New York University, New York, NY, USA. 5. Center for Opioid Epidemiology and Policy, Department of Population Health, 12296New York University Grossman School of Medicine, New York, NY, USA. 6. Division of Community Health Sciences, School of Public Health, 14681University of Illinois Chicago, Chicago, IL, USA.
Abstract
Objectives: While evidence highlights the detrimental mental health consequences of chronic stress exposure, the impact of this stress exposure on older Black Americans' mental health varies by exposure to other types of stressors like discrimination as well as subjective evaluations of stress like chronic stress appraisal. Methods: Using data from the 2010/2012 Health and Retirement Study, we use latent profile analysis (LPA) to describe 2,415 Black older adults experience with chronic stress exposure, appraisal, and discrimination and examine which stress contexts are associated with depressive symptomology. Results: Analyses revealed five stress clusters-demonstrating the diversity in the stress experience for older Black adults. Black older adults with stress profiles that include lower stress appraisal report fewer depressive symptoms regardless of number of stress exposures. Discussion: LPA is as an alternative approach to examining the stress-mental health link that can define stress profiles by both exposure and appraisal-based measures.
Objectives: While evidence highlights the detrimental mental health consequences of chronic stress exposure, the impact of this stress exposure on older Black Americans' mental health varies by exposure to other types of stressors like discrimination as well as subjective evaluations of stress like chronic stress appraisal. Methods: Using data from the 2010/2012 Health and Retirement Study, we use latent profile analysis (LPA) to describe 2,415 Black older adults experience with chronic stress exposure, appraisal, and discrimination and examine which stress contexts are associated with depressive symptomology. Results: Analyses revealed five stress clusters-demonstrating the diversity in the stress experience for older Black adults. Black older adults with stress profiles that include lower stress appraisal report fewer depressive symptoms regardless of number of stress exposures. Discussion: LPA is as an alternative approach to examining the stress-mental health link that can define stress profiles by both exposure and appraisal-based measures.
Authors: Amy J Schulz; Clarence C Gravlee; David R Williams; Barbara A Israel; Graciela Mentz; Zachary Rowe Journal: Am J Public Health Date: 2006-05-30 Impact factor: 9.308