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Disparities in the Life Course Origins of Dual Functionality. 双重功能生命历程起源的差异。
IF 3.6 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-09-01 Epub Date: 2024-11-14 DOI: 10.1177/00221465241293191
Kenneth F Ferraro, Madison R Sauerteig-Rolston, Shawn Bauldry, Patricia A Thomas
{"title":"Disparities in the Life Course Origins of Dual Functionality.","authors":"Kenneth F Ferraro, Madison R Sauerteig-Rolston, Shawn Bauldry, Patricia A Thomas","doi":"10.1177/00221465241293191","DOIUrl":"10.1177/00221465241293191","url":null,"abstract":"<p><p>Although research has identified how stressors are related to either physical or cognitive function in later life, we bridge these literatures by examining dual functionality (neither physical nor cognitive impairment) among Black, White, and Hispanic adults. Using data from the Health and Retirement Study (2006-2016), we investigated whether stressors and resources during childhood and adulthood are related to functional loss at baseline and longitudinally. Analyses revealed that lifetime trauma was associated with dual functionality impairment at baseline, but childhood stressors and everyday discrimination were prospectively associated with loss of dual functionality. Black and foreign-born Hispanic adults experienced earlier loss of dual functionality than White adults, and the effect of childhood stressors on the transition to impairment occurred earlier for U.S.-born Hispanic adults. Findings reveal the influence of exposures in childhood and adulthood on functional health in later life-and how resources may be a counterbalance to functional loss.</p>","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"393-409"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Life Course Perspective on Cognitive Aging: The Interplay between Early and Later Life Stimulating Environments 认知衰老的生命历程视角：早期和后期生活刺激环境之间的相互作用
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-08-23 DOI: 10.1177/00221465251356611
Siyun Peng, Brea Perry
{"title":"A Life Course Perspective on Cognitive Aging: The Interplay between Early and Later Life Stimulating Environments","authors":"Siyun Peng, Brea Perry","doi":"10.1177/00221465251356611","DOIUrl":"https://doi.org/10.1177/00221465251356611","url":null,"abstract":"A gap in the literature on social determinants of cognitive aging is the lack of focus on the interplay of cognitively stimulating environments across the life course. This study uses a life course perspective to propose and examine potential interaction and mediation effects between early and later life stimulating environments. Using rich cognitive assessments and egocentric network data from the state-representative Person to Person Health Interview Study (N = 685) conducted in Indiana, we find that associations between social bridging network (later life stimulating environments) and cognitive outcomes are strongest for people with less than a high school education (early life stimulating environments), constituting a moderating compensatory leveling effect rather than an added protection effect. Regarding mediation, we find no evidence of a cumulative (dis)advantage effect in the context of cognitive aging. Overall, this study presents a useful theoretical framework to study the interplay of cognitively stimulating environments across the life course.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"35 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Your Subject Make You Sick? How Academic Majors Shape Students’ Self-Rated Health 你的主题会让你感到恶心吗？学术专业如何塑造学生的自评健康
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-08-23 DOI: 10.1177/00221465251357845
Marvin Reuter
{"title":"Does Your Subject Make You Sick? How Academic Majors Shape Students’ Self-Rated Health","authors":"Marvin Reuter","doi":"10.1177/00221465251357845","DOIUrl":"https://doi.org/10.1177/00221465251357845","url":null,"abstract":"Higher education can expose young people to various health challenges, yet potential disparities in health across academic disciplines remain underexplored. This study analyzes panel data on self-rated health of 14,022 German university students across nine subject groups employing both random- and fixed-effects regression models to examine selection and potential causal mechanisms. The results show that students of medicine and health sciences reported consistently good health throughout their studies. By contrast, law students exhibited the highest initial health scores but experienced the steepest decline over time. Students in arts and humanities started with the lowest health scores, but no significant change was observed during their studies. Although initial health inequalities suggest selection effects, the observed within-change heterogeneity raises the possibility that academic majors influence student health trajectories. Field specialization could represent an important dimension of health inequality in higher education, potentially extending into later life stages.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"27 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Racial-Ethnic Differences in Mothers' Parenting Stress and Its Associations with Depression. 母亲养育压力的种族差异及其与抑郁症的关系。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-08-03 DOI: 10.1177/00221465251353534
Hope Xu Yan
{"title":"Racial-Ethnic Differences in Mothers' Parenting Stress and Its Associations with Depression.","authors":"Hope Xu Yan","doi":"10.1177/00221465251353534","DOIUrl":"https://doi.org/10.1177/00221465251353534","url":null,"abstract":"Despite awareness of racial-ethnic health inequalities in the United States, research on racial-ethnic differences in mothers' mental health remains scarce. Using data from the Early Childhood Longitudinal Study: 2010-2011 Kindergarten (N = 8,495), this study employs the stress process model to explore racial-ethnic differences in mothers' parenting stress and its associations with depression. To capture the multidimensionality of mothers' parenting stress, I conduct latent profile analysis to identify five types of parenting stress. Mothers' distributions across different types of parenting stress vary by race-ethnicity even when their overall parenting stress levels are similar. The relationships between each type of parenting stress and depression also differ by race-ethnicity. The findings underscore the need to consider different dimensions and types of parenting stress mothers face when studying racial-ethnic disparities in the mental health consequences of motherhood and exploring social inequalities in the relationship between stress and depression.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"724 1","pages":"221465251353534"},"PeriodicalIF":5.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life Course Dynamics in the Health of Mothers Raising Children with Serious Conditions. 养育严重疾病儿童的母亲健康的生命历程动态。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-08-03 DOI: 10.1177/00221465251353536
Xuewen Yan,Robert Crosnoe
{"title":"Life Course Dynamics in the Health of Mothers Raising Children with Serious Conditions.","authors":"Xuewen Yan,Robert Crosnoe","doi":"10.1177/00221465251353536","DOIUrl":"https://doi.org/10.1177/00221465251353536","url":null,"abstract":"Although raising children with serious conditions is known to be associated with poorer parental well-being, recent research following a life course perspective highlights how these associations accumulate over time. Expanding this perspective on long-term dynamics of this parental experience, this study examined how three conceptualizations of the \"intensity\" of this parental role-caregiving duration, cumulative transitions into this role, and the number of affected children-shaped maternal physical health in midlife. Fixed-effects modeling of panel data from the National Longitudinal Survey of Youth 1979 (n = 8,305) revealed that all three dimensions significantly predicted poorer maternal physical health, with particular salience for cumulative transitions and the number of affected children. These associations were generally weaker when mothers had higher income or greater labor force participation, although such buffering effects applied more consistently to labor force participation and specifically to repeated transitions and mothers of two (vs. one) affected children.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"10 1","pages":"221465251353536"},"PeriodicalIF":5.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multilevel Examination of Hospital Participation in the Healthcare Equality Index (HEI): The Role of Geographic Location and State Health Care Policies. 医院参与医疗保健平等指数（HEI）的多层次检验：地理位置和国家医疗保健政策的作用。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-08-03 DOI: 10.1177/00221465251355487
Hyunmin Yu,Matthew D McHugh,Stephen Bonett,Daniela Golinelli,Tari Hanneman,José A Bauermeister
{"title":"Multilevel Examination of Hospital Participation in the Healthcare Equality Index (HEI): The Role of Geographic Location and State Health Care Policies.","authors":"Hyunmin Yu,Matthew D McHugh,Stephen Bonett,Daniela Golinelli,Tari Hanneman,José A Bauermeister","doi":"10.1177/00221465251355487","DOIUrl":"https://doi.org/10.1177/00221465251355487","url":null,"abstract":"The Healthcare Equality Index (HEI) evaluates compliance with LGBTQ+ (lesbian, gay, bisexual, transgender, queer or questioning, and other sexual and gender diverse individuals) inclusion in U.S. health care facilities and is associated with greater patient satisfaction. We examined how hospitals' metropolitan location and state-level LGBTQ+ health care policies are associated with voluntary HEI participation and performance. This cross-sectional study analyzed 6,120 U.S. hospitals from the 2022 American Hospital Association Annual Survey. Multilevel logistic regression assessed the relationship and varying impact of metropolitan status and state policies on HEI participation and HEI Leader status (highest performance). State policies had a stronger positive association with nonmetropolitan hospitals. Each additional policy increased HEI participation odds by 58% for nonmetropolitan hospitals (adjusted odds ratio [aOR] = 1.58; 95% confidence interval [CI] = 1.19, 2.10) and 21% for metropolitan hospitals (aOR = 1.21; 95% CI = 1.02, 1.43). No significant associations with HEI Leader status were observed. Strengthening LGBTQ+ inclusive state policies may encourage hospitals, particularly in nonmetropolitan areas, to adopt LGBTQ+ inclusion initiatives.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"30 1","pages":"221465251355487"},"PeriodicalIF":5.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Armed Conflict and Unwanted Births in Colombia. 哥伦比亚的武装冲突和意外生育。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-07-24 DOI: 10.1177/00221465251353533
Signe Svallfors
{"title":"Armed Conflict and Unwanted Births in Colombia.","authors":"Signe Svallfors","doi":"10.1177/00221465251353533","DOIUrl":"https://doi.org/10.1177/00221465251353533","url":null,"abstract":"Armed conflict has been linked to fertility changes globally, but little is known about how reproductive autonomy is affected. Unwanted fertility is likely to occur during conflicts due to escalations of sexual violence and restricted access to contraception and abortion, especially among marginalized groups. Drawing on an intersectional lens of reproductive justice, this study investigates the relationship between women's exposure to local conflict violence and experiences of unwanted births in Colombia. The study is based on a nationally representative sample of 16,476 children born between 1999 and 2015, from the Demographic and Health Surveys, linked to spatiotemporal conflict data from the Uppsala Conflict Data Program. Results from fixed effects regressions show that exposure to conflict is indeed associated with a higher probability of experiencing unwanted births, especially among socioeconomically disadvantaged people. The study also evaluates how patterns vary by the frequency, intensity, duration, geographical scope, and type of conflict.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"110 1","pages":"221465251353533"},"PeriodicalIF":5.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144693429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
At the Front Stage: Uncertainty as a Medical Work Object. 前沿：作为医学工作对象的不确定性。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-07-23 DOI: 10.1177/00221465251349827
Susan Markens,Marzena Woinska
{"title":"At the Front Stage: Uncertainty as a Medical Work Object.","authors":"Susan Markens,Marzena Woinska","doi":"10.1177/00221465251349827","DOIUrl":"https://doi.org/10.1177/00221465251349827","url":null,"abstract":"In this article, we offer a novel exploration of how medical professionals other than physicians approach uncertainty in their training and work practices by using the concept of \"work object.\" Drawing on 65 in-depth interviews with genetic counselors and related health professionals, we illustrate how reconceiving medical uncertainty as a work object opens up and contributes to analytic perspectives that challenge classical assumptions that uncertainty is antithetical to biomedical expertise and instead can be a source of expert authority. In particular, rather than strategizing to minimize or resolve uncertainty and positioning it as exceptional and transitory, we find that the genetic counseling profession foregrounds it as central and ongoing to the profession's work and expertise. Overall, in positioning uncertainty at the front stage of their work, we show how the genetic counseling profession bolsters its expert status by normalizing and routinizing uncertainty as a central and permanent work object.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"678 1","pages":"221465251349827"},"PeriodicalIF":5.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144684147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatial Social Polarization and Cardiometabolic Disease Prevalence and Incidence: What Is the Role of the Neighborhood Environment? 空间社会极化与心脏代谢疾病患病率和发病率：邻里环境的作用是什么？
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-07-10 DOI: 10.1177/00221465251349818
Ethan Siu Leung Cheung, David S. Curtis, Sara Grineski, Yehua Dennis Wei, Ming Wen
{"title":"Spatial Social Polarization and Cardiometabolic Disease Prevalence and Incidence: What Is the Role of the Neighborhood Environment?","authors":"Ethan Siu Leung Cheung, David S. Curtis, Sara Grineski, Yehua Dennis Wei, Ming Wen","doi":"10.1177/00221465251349818","DOIUrl":"https://doi.org/10.1177/00221465251349818","url":null,"abstract":"This study examines the spatial polarization of income and racial-ethnic groups as predictors of prevalent and incident cardiometabolic disease and tests the extent to which local environmental features act as mediators. Spatial income and racial polarization are defined using the Index of Concentration at the Extremes. Using two waves of data from the Midlife in the United States study, generalized Poisson regression model results indicate that county- and tract-level income polarization are independently associated with prevalence and incidence of cardiometabolic disease. Results from path models showed that more income-privileged counties and tracts generally had greater parkland availability, lower social risks, less air pollution, fewer extreme heat days, and more tree canopy cover—but lower walkability. However, associations between income polarization and cardiometabolic disease are not substantively attenuated when accounting for these tract-level features. The findings show how income polarization locally and regionally patterns both environmental inequities and cardiometabolic disease.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"25 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144594505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Racial Disparities in Childhood Exposure to Neurotoxic Air Pollution. 儿童暴露于神经毒性空气污染中的种族差异。
IF 5 1区 医学
Journal of Health and Social Behavior Pub Date : 2025-07-09 DOI: 10.1177/00221465251340649
Betsy Priem,Geoffrey T Wodtke,Kerry Ard
{"title":"Racial Disparities in Childhood Exposure to Neurotoxic Air Pollution.","authors":"Betsy Priem,Geoffrey T Wodtke,Kerry Ard","doi":"10.1177/00221465251340649","DOIUrl":"https://doi.org/10.1177/00221465251340649","url":null,"abstract":"Racial disparities in exposure to pollution exacerbate health and developmental inequalities. This study examines racial differences in cumulative exposure to a comprehensive set of neurotoxic air pollutants during early childhood, when individuals are especially vulnerable to their harms, and it investigates whether these disparities are attributable to or intersect with socioeconomic status (SES). Integrating the Early Childhood Longitudinal Study-Birth Cohort with data on industrial-source and criteria air pollutants from the U.S. Environmental Protection Agency, we estimate Gini coefficients to quantify racial inequality in pollution exposure and employ inverse probability weighting and other intersectional analyses to explore their link with SES. Our findings reveal large racial disparities in exposure to neurotoxic pollutants from birth through kindergarten entry, with Black and Hispanic children consistently exposed at the highest levels. Although socioeconomic factors do not explain these disparities, they do interact with them, resulting in more pronounced racial differences among children of lower SES.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":"109 1","pages":"221465251340649"},"PeriodicalIF":5.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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