The association between financial strain and mental health: The mediating and moderating roles of sleep problems in the UK household longitudinal study (UKHLS)

Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: 377, P. 245 - 253

Published: Feb. 19, 2025

Financial strain is a well-documented stressor that negatively affects mental health, yet the mechanisms underlying this relationship remain insufficiently understood. This study examines roles of sleep problems as both mediators and moderators, utilizing frameworks stress proliferation amplification outlined in process model. Data from four waves UK Household Longitudinal Study (UKHLS)-Wave 4 (2012-2013), Wave 7 (2015-2016), 10 (2018-2019), 13 (2021-2022)-were used, covering 34,156 individuals 103,589 person-years. Fixed effects regression models were employed to analyze changes within over time. was associated with deteriorating health. Sleep problems-including poor quality, frequent use medication, disturbance, daytime dysfunction, longer latency-were also poorer Importantly, these not only mediated impact financial on health but exacerbated its negative effects. The could eliminate possibility reverse causality, where may influence or worsen problems. These findings highlight importance addressing key driver Interventions aimed at improving simultaneously mitigate harmful strain, offering dual benefits for By reducing promoting healthier sleep, public strategies can bolster resilience populations vulnerable psychological stress.

Language: Английский

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Social Determinants of Health Predict Sleep–Wake Disturbances Among Patients Living With Primary Brain Tumors: A Cross‐Sectional Analysis

Cancer Medicine, Journal Year: 2025, Volume and Issue: 14(4)

Published: Feb. 1, 2025

ABSTRACT Introduction Sleep disturbance (SD) and sleep‐related impairment (SRI) significantly impact the lives of primary brain tumor (PBT) patients. We aimed to describe prevalence SD SRI in this population, determine reliability PROMIS‐SD PROMIS‐SRI instruments, identify predictive factors support development targeted interventions for at‐risk individuals. Methods This cross‐sectional study evaluated PBT patients enrolled a Natural History Study who completed 1‐year follow‐up questionnaires ( N = 229). Demographic, clinical, socioeconomic data were analyzed associated with SRI. Descriptive statistics used report sleep problems, linear regression analysis was conducted factors. The instruments calculated using Cronbach's alpha. Results Fifteen percent participants reported clinically significant 20% SRI, which financial toxicity p < 0.001), being unemployed ≤ 0.02), taking psychotropic medication 0. 002). Good internal consistency demonstrated by (0.923) (0.925) population. Conclusions In study, social such as employment status Psychotropic medications also impacted PTB survivors, but less so than toxicity. Social other may more strongly survivors their previous treatment courses. Implications Cancer Survivors can be multiple factors, including those not related treatment, should considered providers.

Language: Английский

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Associations between Recession hardships and subjective and objective sleep measures in the midlife in the United States study: race and gender differences

Frontiers in Sleep, Journal Year: 2024, Volume and Issue: 3

Published: Oct. 30, 2024

This study investigates the associations of retrospective reports Recession hardships with 10-year changes in subjective and objective indicators sleep, whether these differ by race gender.

Language: Английский

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Financial Hardship and Sleep Quality Among Black American Women With and Without Systemic Lupus Erythematosus

Psychosomatic Medicine, Journal Year: 2024, Volume and Issue: 86(4), P. 315 - 323

Published: Feb. 20, 2024

Objective To compare dimensions of financial hardship and self-reported sleep quality among Black women with versus without systemic lupus erythematosus (SLE). Methods Participants were 402 (50% validated diagnosis SLE) living in Georgia between 2017 2020. SLE recruited from a population-based cohort established Atlanta, to be comparable age the same geographic areas as women. Financial was measured using three different scales: adjustments, setbacks, strain. Sleep assessed continuously Pittsburgh Quality Index (PSQI) scale. Each dimension analyzed separately SLE-stratified multivariable linear regression models adjusted by sociodemographic health status factors. Results Dimensions similarly distributed across two groups. worse with, without, ( p < .001). Among SLE, adjustment positively associated 0.40-unit increase poor (95% CI = 0.12–0.67, .005). When accounting for cognitive depressive symptoms, setbacks strain somewhat attenuated SLE. Overall, no associations hardships observed Conclusions who experience may more at risk than Economic interventions targeting this population help improve their overall life.

Language: Английский

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Comparing patient-reported outcomes and lifestyle factors before and after the COVID-19 pandemic among Black and Hispanic breast cancer survivors in New Jersey

Journal of Cancer Survivorship, Journal Year: 2024, Volume and Issue: unknown

Published: April 1, 2024

The impact of the COVID-19 pandemic restrictions in US since March 2020 on cancer survivorship among Black and Hispanic breast (BC) survivors remains largely unknown. We aimed to evaluate associations with participant characteristics, patient-reported outcomes (PROs), lifestyle factors BC Women's Circle Health Follow-Up Study New Jersey Survivors Study. included 447 (npre = 364 npost 83) 182 102 80) who completed a home interview approximately 24 months post-diagnosis between 2017 2023. onset was defined as 2020. association binary estimated using robust Poisson regression models. recruited after reported higher socioeconomic status fewer comorbidities. women post-pandemic group prevalence clinically significant sleep disturbance (prevalence ratio (PR) 1.43, 95% CI 1.23, 1.68), lower efficiency, functional well-being, compared pre-pandemic group. were less likely report low health-related quality life (vs. high; PR 0.62, 0.45, 0.85) pandemic. Ongoing research is crucial untangle racial ethnic minorities participating research, well PROs factors. This study highlights importance considering all aspects including interpretation findings.

Language: Английский

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Chronic Low Back Pain Causal Risk Factors Identified by Mendelian Randomization: a Cross-Sectional Cohort Analysis

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 24, 2024

Abstract Background Context There are a number of risk factors- from biological, psychological, and social domains- for non-specific chronic low back pain (cLBP). Many cLBP treatments target factors on the assumption that targeted factor is not just associated with but also cause (i.e, causal factor). In most cases this strong assumption, primarily due to possibility confounding variables. False assumptions about relationships between likely contribute generally marginal results treatments. Purpose The objectives study were a) using rigorous control compare associations modifiable identified by Mendelian randomization (MR) studies in population b) estimate association these outcomes. Study Design/Setting Cross sectional analysis longitudinal, online, observational study. Patient Sample 1,376 participants BACKHOME, longitudinal e-Cohort U.S. adults part NIH Back Pain Consortium (BACPAC) Research Program. Outcome Measures Pain, Enjoyment Life, General Activity (PEG) Scale. Methods Five selected based evidence MR studies: sleep disturbance, depression, BMI, alcohol use, smoking status. Confounders ESC-DAG approach, method building directed acyclic graphs criteria. Strong was found age, female sex, education, relationship status, financial strain, anxiety, fear avoidance catastrophizing. These variables used determine adjustment sets primary analysis. Potential confounders weaker sensitivity Results Participants had following characteristics: age 54.9 ± 14.4 years, 67.4% female, 60% never smokers, 29.9% overweight, 39.5% obese, PROMIS disturbance T-score 54.8 8.0, depression 52.6 10.1, Fear-avoidance Beliefs Questionnaire 11.6 5.9, Catastrophizing Scale 4.5 2.6, PEG 4.4 2.2. adjusted models obesity PEG, after adjusting via DAG constructed protocol. effect estimates- expected change outcome every standard deviation increase or decrease exposure (or category shift categorical exposures) largest obesity. Each SD resulted mean 0.77 (95% CI: 0.66, 0.88) point baseline score. Compared normal score slightly higher 0.37 points 0.09, 0.65) overweight participants, 0.8 0.9 those classes I II, 1.39 0.98, 1.80) obese participants. 0.28 0.17, 0.40) score, while each alcoholic drinks per week 0.12 (95%CI: 0.01, 0.23) model. Conclusions Several - obesity- Convergence our findings studies, which have different designs biases, strengthens (1). estimated Future analyses will evaluate data.

Language: Английский

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Recognising the heterogeneity of Indigenous Peoples during the COVID-19 pandemic: a scoping review across Canada, Australia, New Zealand and the USA

BMJ Public Health, Journal Year: 2024, Volume and Issue: 2(2), P. e001341 - e001341

Published: Dec. 1, 2024

The COVID-19 pandemic has had a disproportionate impact on the health of Indigenous Peoples in Canada, Australia, New Zealand and USA, as reflected growing literature. However, are often homogenised, with key differences overlooked, failing to capture complexity issues may lead suboptimal public policy-making. objective this review was assess extent which heterogeneity USA been research. This study took form scoping review. Medline, Embase, CINAHL Web Science were searched for studies investigating outcomes among USA. search dates included January 2019 2024. All citations yielded by subjected title abstract screening, full-text data extraction. We original, peer-reviewed research COVID-19-related or Data extraction conducted an iterative process, reaching consensus between two authors. analysed through combination quantitative descriptive summary qualitative thematic analysis. Of 9795 found initial search, 428 deemed eligible inclusion. these citations: 72.9% compared participants non-Indigenous participants; 10.0% aggregated non-white 17.1% provided findings exclusively. By overlooking that exists researchers policy-makers run risk masking inequities unique needs groups Peoples. inefficient policy recommendations unintentionally perpetuate disparities during crises.

Language: Английский

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