Int J Prev Med. 2014 Mar;5(3):269-79.
Separate and Combined Effects of Anxiety, Depression and Problem Drinking on Subjective Health among Black, Hispanic and Non-Hispanic White Men.
International journal of preventive medicine
Shervin Assari
Affiliations
Affiliations
- Center for Research on Ethnicity, Culture and Health, University of Michigan School of Public Health, Ann Arbor, Michigan, USA ; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
PMID: 24829710
PMCID: PMC4018635
Abstract
BACKGROUND: The current study examined race and ethnic differences in the separate and combined (additive) effects of anxiety, depression and problem drinking on the baseline and trajectory of subjective health among adult men in the United States.
METHODS: This longitudinal study used data from the Fragile Families and Child Well-being Study. We included 4,655 men, composed of 2,407 Blacks, 1,354 Hispanic Whites and 894 non-Hispanic Whites. The dependent variable was subjective health, measured four times (i.e., baseline, year 1, year 3 and year 5). Latent growth curve modeling was used for data analysis. When controlling for socio-economics, we tested separate effects of anxiety and depression. Then we tested combined effects of anxiety, depression and problem drinking.
RESULTS: Among all race and ethnic groups, anxiety and problem drinking were associated with baseline and trajectory of subjective health. Combined (additive) effects of anxiety and depression, however, varied based on race and ethnicity. Among Blacks, depression and anxiety were associated with a worse trajectory of subjective health. Among non-Hispanic Whites, anxiety was associated with a better baseline and worse trajectory of subjective health, while depression was associated with worse baseline subjective health. Among Hispanic Whites, anxiety was associated with a worse trajectory of subjective health, while depression was not associated with subjective health.
CONCLUSIONS: Although separate effects of anxiety and problem drinking were similar among race and ethnic groups, race and ethnicity seemed to modify the combined effects of different mental health problems. These results warrant further exploration of these complex links.
Keywords: Anxiety disorder; Hispanic Whites; blacks; depressive disorder; non-hispanic Whites; problem alcohol use; subjective health
References
- J Head Trauma Rehabil. 2005 Nov-Dec;20(6):488-500 - PubMed
- Arch Womens Ment Health. 2003 Nov;6(4):239-43 - PubMed
- J Clin Psychiatry. 2003 Dec;64(12):1476-82 - PubMed
- Am J Drug Alcohol Abuse. 2004 May;30(2):473-87 - PubMed
- Health Rep. 2009 Mar;20(1):29-35 - PubMed
- Alcohol Clin Exp Res. 2009 Feb;33(2):240-6 - PubMed
- J Abnorm Psychol. 2006 May;115(2):276-87 - PubMed
- Health Qual Life Outcomes. 2006 Aug 13;4:49 - PubMed
- J Stud Alcohol Drugs. 2009 Sep;70(5):704-13 - PubMed
- Psychiatry Res. 2012 Apr 30;196(2-3):214-9 - PubMed
- Health Qual Life Outcomes. 2006 Feb 21;4:10 - PubMed
- Diabetes Care. 2005 Nov;28(11):2637-43 - PubMed
- Am J Geriatr Psychiatry. 2008 Mar;16(3):201-8 - PubMed
- Nurs Res. 2008 Jul-Aug;57(4):283-92 - PubMed
- Prev Sci. 2000 Dec;1(4):173-81 - PubMed
- J Psychosom Res. 2010 Jul;69(1):69-79 - PubMed
- Anxiety. 1996;2(5):226-33 - PubMed
- Am J Psychiatry. 2005 Jun;162(6):1171-8 - PubMed
- Soc Psychiatry Psychiatr Epidemiol. 2005 Jun;40(6):432-8 - PubMed
- J Card Fail. 2011 Sep;17(9):755-63 - PubMed
- J Epidemiol Community Health. 2001 Sep;55(9):648-52 - PubMed
- Qual Life Res. 2003;12 Suppl 1:81-9 - PubMed
- Patient Prefer Adherence. 2011;5:471-4 - PubMed
- J Epidemiol Community Health. 2012 Jul;66(7):593-8 - PubMed
- Addiction. 2006 Sep;101(9):1265-76 - PubMed
- Prev Chronic Dis. 2012;9:E86 - PubMed
- J Aging Health. 2008 Mar;20(2):143-58 - PubMed
- Qual Life Res. 1999 May;8(3):255-61 - PubMed
- Int J Prev Med. 2013 Feb;4(2):208-17 - PubMed
- J Stud Alcohol. 2004 Mar;65(2):241-9 - PubMed
- Compr Psychiatry. 2010 Mar-Apr;51(2):165-70 - PubMed
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