Relations Between Negative Affect and Health Behaviors by Race/Ethnicity: Differential Effects for Symptoms of Depression and Anxiety
Relations Between Negative Affect and Health Behaviors by Race/Ethnicity: Differential Effects for Symptoms of Depression and Anxiety
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DOI：
10.1037/hea0000197
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发表时间：
2015-09-01
影响因子：
4.2
通讯作者：
Kiviniemi, Marc T.
中科院分区：
文献类型：
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作者：
Ellis, Erin M.;Orom, Heather;Kiviniemi, Marc T.
目的：健康行为，包括吸烟和水果蔬菜消费，都与心理困扰有关，并因种族/民族而异。整体心理困扰与行为的关系也因种族/民族而异，但造成这种影响的具体消极情感状态尚不清楚。本研究考察了抑郁和焦虑情绪与健康行为的关系如何因种族/民族而异。方法：对全国代表性人口调查资料进行二次分析。调查参与者报告了他们目前的抑郁和焦虑症状，以及吸烟状况和水果和蔬菜的摄入量。使用调查加权线性和逻辑回归分析来评估种族/民族是否调节抑郁和焦虑症状与吸烟和水果和蔬菜消费的关系。结果：对于抑郁症状，而不是焦虑，种族/民族和心理困扰在预测吸烟状况和水果和蔬菜消费方面存在显著的相互作用。对于白人受访者来说，更严重的抑郁症状与吸烟的可能性更大、水果和蔬菜的摄入量更低有关，但与黑人受访者无关。对于西班牙裔受访者来说，抑郁症状与当前吸烟的可能性较大有关，但与水果和蔬菜消费无关。结论：抑郁症状与吸烟和水果蔬菜消费之间的关系因种族/民族而异。这些发现对于理解消极情感状态对不同种族/民族群体健康行为的影响程度，以及开发针对不同种族/民族亚群体吸烟和水果和蔬菜消费的有效干预措施具有重要意义。
Objective: Health behaviors, including smoking and fruit and vegetable consumption, are both associated with psychological distress and vary by race/ethnicity. The relation of global psychological distress to behavior also varies by race/ethnicity, but the specific negative affective states responsible for this effect are not known. This study examined how the relation of feelings of depression and anxiety to health behaviors differs by race/ethnicity. Method: Secondary data analysis of the HINTS nationally representative population survey was conducted. Survey participants reported their current symptoms of depression and anxiety, as well as smoking status and fruit and vegetable consumption. Survey weighted linear and logistic regression analyses were used to assess whether race/ethnicity moderated the relation of symptoms of depression and anxiety to smoking and fruit and vegetable consumption. Results: For symptoms of depression, but not anxiety, there was a significant interaction between race/ethnicity and psychological distress in predicting both smoking status and fruit and vegetable consumption. Greater depressive symptoms were related to a greater likelihood of smoking and lower fruit and vegetable consumption for White, but not Black respondents. For Hispanic respondents, depressive symptoms were associated with a greater likelihood of currently smoking, but were not associated with fruit and vegetable consumption. Conclusion: The association between depressive symptoms and both smoking and fruit and vegetable consumption differs as a function of race/ethnicity. These findings have implications for understanding the extent to which negative affective states influence health behaviors across different racial/ethnic groups, and for developing interventions that effectively target smoking and fruit and vegetable consumption among different racial/ethnic subgroups.