Pathways between socioeconomic status and modifiable risk factors among African American smokers
Pathways between socioeconomic status and modifiable risk factors among African American smokers
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DOI：
10.1007/s10865-009-9226-3
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发表时间：
2009-12-01
影响因子：
3.1
通讯作者：
Wetter, David W.
中科院分区：
文献类型：
--
作者：
Kendzor, Darla E.;Businelle, Michael S.;Wetter, David W.
虽然社会经济地位是造成健康差距的一个主要因素，但社会经济地位影响健康的机制仍不清楚。本研究的目的是评估一个先验的概念模型的社会经济地位和可改变的健康风险因素之间的路径在399名非洲裔美国人寻求戒烟治疗的样本。利用潜变量建模方法来表征社会经济地位、邻里劣势、社会支持、负面影响/感知压力和三个特定的可改变的风险因素（即，超重/肥胖、体力活动不足、危险饮酒）。研究结果表明，邻里劣势，社会支持，和负面影响/感知压力的功能作为途径联系社会经济地位和可改变的风险因素之间的非裔美国人吸烟者，和负面影响/感知压力似乎发挥了关键的中介作用。政策，社区和个人层面的干预措施可以通过针对中间心理，环境和行为途径来减轻社会经济地位对健康的影响。
Although socioeconomic status is a major contributing factor to health disparities, the mechanisms through which socioeconomic status influences health remain unclear. The purpose of the present study was to evaluate an a priori conceptual model of the pathways between socioeconomic status and modifiable health risk factors in a sample of 399 African Americans seeking smoking cessation treatment. A latent variable modeling approach was utilized to characterize the interrelationships among socioeconomic status, neighborhood disadvantage, social support, negative affect/perceived stress, and three specific modifiable risk factors (i.e., overweight/obesity, insufficient physical activity, at-risk drinking). Findings indicated that neighborhood disadvantage, social support, and negative affect/perceived stress function as pathways linking socioeconomic status and modifiable risk factors among African American smokers, and negative affect/perceived stress appears to play a key mediating role. Policy, community, and individual-level interventions may attenuate the impact of socioeconomic status on health by targeting intermediate psychosocial, environmental, and behavioral pathways.