TY - JOUR
T1 - Pathways between socioeconomic status and modifiable risk factors among African American smokers
AU - Kendzor, Darla E.
AU - Businelle, Michael S.
AU - Mazas, Carlos A.
AU - Cofta-Woerpel, Ludmila M.
AU - Reitzel, Lorraine R.
AU - Vidrine, Jennifer Irvin
AU - Li, Yisheng
AU - Costello, Tracy J.
AU - Cinciripini, Paul M.
AU - Ahluwalia, Jasjit S.
AU - Wetter, David W.
N1 - Funding Information:
Acknowledgments This research was supported by grants R01-CA094826, R01-CA125413, and R25T-CA57730 awarded by the National Cancer Institute, and grants K01-DP001120 and K01-DP000086 awarded by the National Center for Chronic Disease Prevention and Health Promotion.
PY - 2009/12
Y1 - 2009/12
N2 - 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.
AB - 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.
KW - African American
KW - Alcohol
KW - Obesity
KW - Physical activity
KW - Smoking
KW - Socioeconomic status
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U2 - 10.1007/s10865-009-9226-3
DO - 10.1007/s10865-009-9226-3
M3 - Article
C2 - 19757014
AN - SCOPUS:71449099558
SN - 0160-7715
VL - 32
SP - 545
EP - 557
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 6
ER -