Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk

the HCHS/SOL Sociocultural Ancillary Study

Jessica L. McCurley, Frank Penedo, Scott C. Roesch, Carmen R. Isasi, Mercedes Carnethon, Daniela Sotres-Alvarez, Neil Schneiderman, Patricia Gonzalez, Diana A. Chirinos, Alvaro Camacho, Yanping Teng, Linda C. Gallo

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), a group of co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is associated with higher risk for MetSyn in Hispanics/Latinos, and psychosocial factors may play a role in this relationship. Purpose: This cross-sectional study examined psychosocial factors in the association of SES and MetSyn components in 4,996 Hispanic/Latino adults from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Methods: MetSyn components were measured at the baseline examination. Participants completed interviews to determine psychosocial risks (e.g., depression) and resources (e.g., social support) within 9 months of baseline (< 4 months in 72.6% of participants). Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to identify latent constructs and examine associations. Results: Participant mean age was 41.7 years (SE = 0.4) and 62.7% were female. CFA identified single latent factors for SES and psychosocial indicators, and three factors for MetSyn [blood pressure, lipids, metabolic factors]. SEMs showed that lower SES was related to MetSyn factors indirectly through higher psychosocial risk/lower resources (Y-Bχ2 (df = 420) = 4412.90, p < .05, RMSEA = .042, SRMR = .051). A statistically significant effect consistent with mediation was found from lower SES to higher metabolic risk (glucose/waist circumference) via psychosocial risk/resource variables (Mackinnon’s 95% asymmetric CI = −0.13 to −0.02). Conclusions: SES is related to metabolic variables indirectly through psychosocial factors in U.S. Hispanics/Latinos of diverse ancestries.

Original languageEnglish (US)
Pages (from-to)1-12
Number of pages12
JournalAnnals of Behavioral Medicine
DOIs
StateAccepted/In press - Jan 27 2017

Fingerprint

Hispanic Americans
Social Class
Psychology
Health
Statistical Factor Analysis
Blood Pressure
Glucose
Abdominal Obesity
Waist Circumference
Dyslipidemias
Social Support
Fasting
Cardiovascular Diseases
Cross-Sectional Studies
Interviews
Depression
Lipids
Mortality

Keywords

  • Cardiovascular
  • Hispanic
  • Latino
  • Metabolic syndrome
  • Psychosocial
  • Socioeconomic status

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Cite this

Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk : the HCHS/SOL Sociocultural Ancillary Study. / McCurley, Jessica L.; Penedo, Frank; Roesch, Scott C.; Isasi, Carmen R.; Carnethon, Mercedes; Sotres-Alvarez, Daniela; Schneiderman, Neil; Gonzalez, Patricia; Chirinos, Diana A.; Camacho, Alvaro; Teng, Yanping; Gallo, Linda C.

In: Annals of Behavioral Medicine, 27.01.2017, p. 1-12.

Research output: Contribution to journalArticle

McCurley, JL, Penedo, F, Roesch, SC, Isasi, CR, Carnethon, M, Sotres-Alvarez, D, Schneiderman, N, Gonzalez, P, Chirinos, DA, Camacho, A, Teng, Y & Gallo, LC 2017, 'Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk: the HCHS/SOL Sociocultural Ancillary Study', Annals of Behavioral Medicine, pp. 1-12. https://doi.org/10.1007/s12160-016-9871-z
McCurley, Jessica L. ; Penedo, Frank ; Roesch, Scott C. ; Isasi, Carmen R. ; Carnethon, Mercedes ; Sotres-Alvarez, Daniela ; Schneiderman, Neil ; Gonzalez, Patricia ; Chirinos, Diana A. ; Camacho, Alvaro ; Teng, Yanping ; Gallo, Linda C. / Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk : the HCHS/SOL Sociocultural Ancillary Study. In: Annals of Behavioral Medicine. 2017 ; pp. 1-12.
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abstract = "Background: U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), a group of co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is associated with higher risk for MetSyn in Hispanics/Latinos, and psychosocial factors may play a role in this relationship. Purpose: This cross-sectional study examined psychosocial factors in the association of SES and MetSyn components in 4,996 Hispanic/Latino adults from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Methods: MetSyn components were measured at the baseline examination. Participants completed interviews to determine psychosocial risks (e.g., depression) and resources (e.g., social support) within 9 months of baseline (< 4 months in 72.6{\%} of participants). Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to identify latent constructs and examine associations. Results: Participant mean age was 41.7 years (SE = 0.4) and 62.7{\%} were female. CFA identified single latent factors for SES and psychosocial indicators, and three factors for MetSyn [blood pressure, lipids, metabolic factors]. SEMs showed that lower SES was related to MetSyn factors indirectly through higher psychosocial risk/lower resources (Y-Bχ2 (df = 420) = 4412.90, p < .05, RMSEA = .042, SRMR = .051). A statistically significant effect consistent with mediation was found from lower SES to higher metabolic risk (glucose/waist circumference) via psychosocial risk/resource variables (Mackinnon’s 95{\%} asymmetric CI = −0.13 to −0.02). Conclusions: SES is related to metabolic variables indirectly through psychosocial factors in U.S. Hispanics/Latinos of diverse ancestries.",
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author = "McCurley, {Jessica L.} and Frank Penedo and Roesch, {Scott C.} and Isasi, {Carmen R.} and Mercedes Carnethon and Daniela Sotres-Alvarez and Neil Schneiderman and Patricia Gonzalez and Chirinos, {Diana A.} and Alvaro Camacho and Yanping Teng and Gallo, {Linda C.}",
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T2 - the HCHS/SOL Sociocultural Ancillary Study

AU - McCurley, Jessica L.

AU - Penedo, Frank

AU - Roesch, Scott C.

AU - Isasi, Carmen R.

AU - Carnethon, Mercedes

AU - Sotres-Alvarez, Daniela

AU - Schneiderman, Neil

AU - Gonzalez, Patricia

AU - Chirinos, Diana A.

AU - Camacho, Alvaro

AU - Teng, Yanping

AU - Gallo, Linda C.

PY - 2017/1/27

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N2 - Background: U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), a group of co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is associated with higher risk for MetSyn in Hispanics/Latinos, and psychosocial factors may play a role in this relationship. Purpose: This cross-sectional study examined psychosocial factors in the association of SES and MetSyn components in 4,996 Hispanic/Latino adults from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Methods: MetSyn components were measured at the baseline examination. Participants completed interviews to determine psychosocial risks (e.g., depression) and resources (e.g., social support) within 9 months of baseline (< 4 months in 72.6% of participants). Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to identify latent constructs and examine associations. Results: Participant mean age was 41.7 years (SE = 0.4) and 62.7% were female. CFA identified single latent factors for SES and psychosocial indicators, and three factors for MetSyn [blood pressure, lipids, metabolic factors]. SEMs showed that lower SES was related to MetSyn factors indirectly through higher psychosocial risk/lower resources (Y-Bχ2 (df = 420) = 4412.90, p < .05, RMSEA = .042, SRMR = .051). A statistically significant effect consistent with mediation was found from lower SES to higher metabolic risk (glucose/waist circumference) via psychosocial risk/resource variables (Mackinnon’s 95% asymmetric CI = −0.13 to −0.02). Conclusions: SES is related to metabolic variables indirectly through psychosocial factors in U.S. Hispanics/Latinos of diverse ancestries.

AB - Background: U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), a group of co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is associated with higher risk for MetSyn in Hispanics/Latinos, and psychosocial factors may play a role in this relationship. Purpose: This cross-sectional study examined psychosocial factors in the association of SES and MetSyn components in 4,996 Hispanic/Latino adults from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Methods: MetSyn components were measured at the baseline examination. Participants completed interviews to determine psychosocial risks (e.g., depression) and resources (e.g., social support) within 9 months of baseline (< 4 months in 72.6% of participants). Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to identify latent constructs and examine associations. Results: Participant mean age was 41.7 years (SE = 0.4) and 62.7% were female. CFA identified single latent factors for SES and psychosocial indicators, and three factors for MetSyn [blood pressure, lipids, metabolic factors]. SEMs showed that lower SES was related to MetSyn factors indirectly through higher psychosocial risk/lower resources (Y-Bχ2 (df = 420) = 4412.90, p < .05, RMSEA = .042, SRMR = .051). A statistically significant effect consistent with mediation was found from lower SES to higher metabolic risk (glucose/waist circumference) via psychosocial risk/resource variables (Mackinnon’s 95% asymmetric CI = −0.13 to −0.02). Conclusions: SES is related to metabolic variables indirectly through psychosocial factors in U.S. Hispanics/Latinos of diverse ancestries.

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