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- Title
Early Life Disadvantage and the Risk of Depressive Symptoms among Young Black Women.
- Authors
Martin, Chantel L.; Ghastine, Lea; Wegienka, Ganesa; Wise, Lauren A.; Baird, Donna D.; Vines, Anissa I.
- Abstract
Overview: We examined the association between early-life socioeconomic disadvantage and depressive symptoms in adulthood and assessed whether social factors in adulthood modify the association. Methods: The 11-item Center for Epidemiologic Studies-Depression Scale (CES-D) assessed adult depressive symptoms among 1612 Black women and other participants with a uterus (hereafter participants) in the Study of Environment, Lifestyle and Fibroids. Baseline self-reported childhood factors (i.e., parents in the household, mother's educational attainment, food insecurity, neighborhood safety, childhood income, and quiet bedroom for sleep) were included in a latent class analysis to derive an early life disadvantage construct. Multivariable log-binomial models estimated the association between early life disadvantage and adult depressive symptoms. Potential effect modifiers included adult educational attainment, social support, and financial difficulty. Results: Participants classified as having high early life disadvantage had 1.34 times (95% CI: 1.20, 1.49) the risk of high depressive symptoms than those in the low early life disadvantage class after adjusting for age, first born status, and childhood health. Adult educational attainment and social support modified the association. Conclusion: Early life disadvantage increased the risk of depressive symptoms in adulthood. Participants with at least some college education and with high social support had greater risk than those with less than college education and low social support, respectively. Thus, the mental health of Black women and other participants with a uterus exposed to early life disadvantage do not necessarily benefit from higher education or from social support.
- Subjects
MENTAL depression risk factors; RISK assessment; SELF-evaluation; SOCIAL determinants of health; WOMEN; CENTER for Epidemiologic Studies Depression Scale; INCOME; BODY mass index; RESEARCH funding; SOCIOECONOMIC factors; MOTHERS; FOOD security; MULTIVARIATE analysis; DESCRIPTIVE statistics; FINANCIAL stress; LATENT structure analysis; PSYCHOLOGY of Black people; SOCIAL support; SOCIODEMOGRAPHIC factors; HEALTH outcome assessment; DATA analysis software; CONFIDENCE intervals; MENTAL depression; EDUCATIONAL attainment; NEIGHBORHOOD characteristics; ADULTS
- Publication
Journal of Racial & Ethnic Health Disparities, 2024, Vol 11, Issue 3, p1819
- ISSN
2197-3792
- Publication type
Article
- DOI
10.1007/s40615-023-01654-x