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- All Subjects: Asian American youth
- Creators: Luecken, Linda J.
Description
Socioeconomic status (SES) is linked with poorer health outcomes across the range of SES. The Reserve Capacity Model (RCM) proposes that low SES fuels repeated and/or chronic exposure to elevated levels of stress, producing deleterious emotional, psychological, social, and physiological changes that result in development of disease over time. The RCM further asserts that a relative lack of social and psychological resources, including efficacy and social support, among low SES individuals accounts for their greater vulnerability to the effects of stress. Although the links between stress, reserve capacity, and health outcomes are framed in the RCM as an ongoing process that produces disease, the majority of investigations testing the model have not examined its utility in explaining 1) coping with daily stressors or 2) symptom flares among individuals managing a chronic illness. This study investigated the effects of SES, reflected in income level, on the: 1) levels of daily financial events and financial worry; 2) relations between daily financial worry and symptoms of pain and fatigue; and 3) extent to which daily coping efficacy and social support mediated the daily financial worry-symptom relation across 21 daily diary reports collected from 220 individuals with fibromyalgia (FM). Simple correlations showed that income was inversely related to frequency of financial events and level of financial worry across 21 days. Results from multilevel models indicated that daily increases in financial worry were unrelated to pain regardless of income level, but were related to increased fatigue among individuals with lower relative to higher income. Daily efficacy and support mediated the relations between financial worry and pain and fatigue, but the extent of mediation did not differ based on high versus low income level. Taken together, the findings suggest that individuals of low versus high income encounter more frequent financial stress and experience greater daily fatigue exacerbation related to that stress, in line with the RCM. Over time, the greater exposure and reactivity to financial strain may account for the inverse relation between income and disability among those with chronic pain.
ContributorsMoore, Shannon Victoria (Author) / Davis, Mary C. (Thesis advisor) / Luecken, Linda J. (Committee member) / Suk, Hye Won (Committee member) / Arizona State University (Publisher)
Created2017
Description
Asian American (AA) adolescents and young adults are at risk for poor psychological adjustment and diminished health. Parental involvement and intergenerational gap in acculturation (IGA) have been independently associated with intergenerational acculturative conflict, a common stressor in the AA population. However, few studies have tested how the influence of parental involvement on intergenerational acculturative conflict/family cohesion and subsequent psychological adjustment may vary depending on IGA; and even fewer studies have investigated how such models apply to AA general health. The goals of the present study were, therefore, to identify pathways linking these acculturative family processes to AA young adult general health in a large sample of Filipino and Southeast Asian (SEA) families. Analyses utilized data from the Children of Immigrants Longitudinal Study (CILS; Portes & Rumbaut, 2001), a national longitudinal study of children from immigrant families. Results suggested that although Filipino and SEA families may differ in the acculturative processes that contribute to intergenerational acculturative conflict and family cohesion, depressive symptoms are an important mechanism through which these family outcomes in adolescence influence young adult general health outcomes in both Filipino and SEA families. This investigation serves to inform future programs aimed at providing targeted interventions for AAs at risk for long-term psychological disorders and physical health problems.
ContributorsTanaka, Rika (Author) / Luecken, Linda J. (Thesis advisor) / Gonzales, Nancy (Committee member) / Doane Sampey, Leah (Committee member) / Tein, Jenn-Yun (Committee member) / Arizona State University (Publisher)
Created2015