Yueh-Ying Han, Wei Chen, Erick Forno, Krista M Perreira, Eyal Oren, Martha Daviglus, Olga Garcia-Bedoya, Robert Kaplan, Carmen R Isasi, Juan C Celedón
{"title":"西班牙裔社区健康研究/拉美裔研究（HCHS/SOL）中成年人的社会文化压力与哮喘。","authors":"Yueh-Ying Han, Wei Chen, Erick Forno, Krista M Perreira, Eyal Oren, Martha Daviglus, Olga Garcia-Bedoya, Robert Kaplan, Carmen R Isasi, Juan C Celedón","doi":"10.1513/AnnalsATS.202407-705OC","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hispanic/Latino adults commonly experience high psychosocial stress yet little is known about the pathways linking sociocultural stressors and asthma in this population.</p><p><strong>Objective: </strong>Whether and how sociocultural stressors are associated with asthma in Hispanic/Latino adults.</p><p><strong>Methods: </strong>Cross-sectional study of 4,759 adults aged 18 to 74 years who participated in the Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos. All participants completed a sociocultural assessment including acculturative stress, perceived ethnic discrimination, neighborhood problems, neighborhood social cohesion, and a cumulative measure of all sociocultural stressors. Weighted multivariable logistic regression accounting for sampling design was used for the analysis of sociocultural stressors and current asthma or current asthma symptoms. A mediation analysis was conducted to estimate the contributions of depressive symptoms and anxiety to the cumulative sociocultural stressors-asthma association.</p><p><strong>Results: </strong>Acculturative stress and neighborhood problems were associated with 1.4 to 2.1-times higher odds of current asthma or current asthma symptoms, and perceived ethnic discrimination was associated with 1.4-times higher odds of current asthma symptoms. Neighborhood social cohesion was associated with 0.6-times lower odds of asthma. Cumulative sociocultural stressors were associated with 1.6-times higher odds of current asthma symptoms (OR for < median vs ≥ median value=1.60 [95% CI=1.29, 1.99). Depressive symptoms and anxiety explained 26% and 22%, respectively, of the association between cumulative sociocultural stressors and asthma symptoms.</p><p><strong>Conclusions: </strong>Among Hispanic/Latino adults, sociocultural stressors were associated with current asthma or asthma symptoms. Depressive symptoms and anxiety partly mediated this association. Clinicians caring for Hispanic/Latino adults with asthma should be aware of potential stressors and comorbidities such as depression and anxiety.</p>","PeriodicalId":93876,"journal":{"name":"Annals of the American Thoracic Society","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sociocultural Stressors and Asthma among Adults in the Hispanic Community Health Study / Study of Latinos (HCHS/SOL).\",\"authors\":\"Yueh-Ying Han, Wei Chen, Erick Forno, Krista M Perreira, Eyal Oren, Martha Daviglus, Olga Garcia-Bedoya, Robert Kaplan, Carmen R Isasi, Juan C Celedón\",\"doi\":\"10.1513/AnnalsATS.202407-705OC\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hispanic/Latino adults commonly experience high psychosocial stress yet little is known about the pathways linking sociocultural stressors and asthma in this population.</p><p><strong>Objective: </strong>Whether and how sociocultural stressors are associated with asthma in Hispanic/Latino adults.</p><p><strong>Methods: </strong>Cross-sectional study of 4,759 adults aged 18 to 74 years who participated in the Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos. All participants completed a sociocultural assessment including acculturative stress, perceived ethnic discrimination, neighborhood problems, neighborhood social cohesion, and a cumulative measure of all sociocultural stressors. Weighted multivariable logistic regression accounting for sampling design was used for the analysis of sociocultural stressors and current asthma or current asthma symptoms. A mediation analysis was conducted to estimate the contributions of depressive symptoms and anxiety to the cumulative sociocultural stressors-asthma association.</p><p><strong>Results: </strong>Acculturative stress and neighborhood problems were associated with 1.4 to 2.1-times higher odds of current asthma or current asthma symptoms, and perceived ethnic discrimination was associated with 1.4-times higher odds of current asthma symptoms. Neighborhood social cohesion was associated with 0.6-times lower odds of asthma. Cumulative sociocultural stressors were associated with 1.6-times higher odds of current asthma symptoms (OR for < median vs ≥ median value=1.60 [95% CI=1.29, 1.99). Depressive symptoms and anxiety explained 26% and 22%, respectively, of the association between cumulative sociocultural stressors and asthma symptoms.</p><p><strong>Conclusions: </strong>Among Hispanic/Latino adults, sociocultural stressors were associated with current asthma or asthma symptoms. Depressive symptoms and anxiety partly mediated this association. Clinicians caring for Hispanic/Latino adults with asthma should be aware of potential stressors and comorbidities such as depression and anxiety.</p>\",\"PeriodicalId\":93876,\"journal\":{\"name\":\"Annals of the American Thoracic Society\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of the American Thoracic Society\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1513/AnnalsATS.202407-705OC\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of the American Thoracic Society","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1513/AnnalsATS.202407-705OC","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Sociocultural Stressors and Asthma among Adults in the Hispanic Community Health Study / Study of Latinos (HCHS/SOL).
Background: Hispanic/Latino adults commonly experience high psychosocial stress yet little is known about the pathways linking sociocultural stressors and asthma in this population.
Objective: Whether and how sociocultural stressors are associated with asthma in Hispanic/Latino adults.
Methods: Cross-sectional study of 4,759 adults aged 18 to 74 years who participated in the Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos. All participants completed a sociocultural assessment including acculturative stress, perceived ethnic discrimination, neighborhood problems, neighborhood social cohesion, and a cumulative measure of all sociocultural stressors. Weighted multivariable logistic regression accounting for sampling design was used for the analysis of sociocultural stressors and current asthma or current asthma symptoms. A mediation analysis was conducted to estimate the contributions of depressive symptoms and anxiety to the cumulative sociocultural stressors-asthma association.
Results: Acculturative stress and neighborhood problems were associated with 1.4 to 2.1-times higher odds of current asthma or current asthma symptoms, and perceived ethnic discrimination was associated with 1.4-times higher odds of current asthma symptoms. Neighborhood social cohesion was associated with 0.6-times lower odds of asthma. Cumulative sociocultural stressors were associated with 1.6-times higher odds of current asthma symptoms (OR for < median vs ≥ median value=1.60 [95% CI=1.29, 1.99). Depressive symptoms and anxiety explained 26% and 22%, respectively, of the association between cumulative sociocultural stressors and asthma symptoms.
Conclusions: Among Hispanic/Latino adults, sociocultural stressors were associated with current asthma or asthma symptoms. Depressive symptoms and anxiety partly mediated this association. Clinicians caring for Hispanic/Latino adults with asthma should be aware of potential stressors and comorbidities such as depression and anxiety.
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