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Sociocultural Stressors and Asthma among Adults in the Hispanic Community Health Study / Study of Latinos (HCHS/SOL).

TitleSociocultural Stressors and Asthma among Adults in the Hispanic Community Health Study / Study of Latinos (HCHS/SOL).
Publication TypePublication
Year2024
AuthorsHan Y-Y, Chen W, Forno E, Perreira KM, Oren E, Daviglus M, Garcia-Bedoya O, Kaplan R, Isasi CR, Celedón JC
JournalAnn Am Thorac Soc
Date Published2024 Nov 26
ISSN2325-6621
Abstract

BACKGROUND: Hispanic/Latino adults commonly experience high psychosocial stress yet little is known about the pathways linking sociocultural stressors and asthma in this population.

OBJECTIVE: Whether and how sociocultural stressors are associated with asthma in Hispanic/Latino adults.

METHODS: Cross-sectional study of 4,759 adults aged 18 to 74 years who participated in the Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos. All participants completed a sociocultural assessment including acculturative stress, perceived ethnic discrimination, neighborhood problems, neighborhood social cohesion, and a cumulative measure of all sociocultural stressors. Weighted multivariable logistic regression accounting for sampling design was used for the analysis of sociocultural stressors and current asthma or current asthma symptoms. A mediation analysis was conducted to estimate the contributions of depressive symptoms and anxiety to the cumulative sociocultural stressors-asthma association.

RESULTS: Acculturative stress and neighborhood problems were associated with 1.4 to 2.1-times higher odds of current asthma or current asthma symptoms, and perceived ethnic discrimination was associated with 1.4-times higher odds of current asthma symptoms. Neighborhood social cohesion was associated with 0.6-times lower odds of asthma. Cumulative sociocultural stressors were associated with 1.6-times higher odds of current asthma symptoms (OR for < median vs ≥ median value=1.60 [95% CI=1.29, 1.99). Depressive symptoms and anxiety explained 26% and 22%, respectively, of the association between cumulative sociocultural stressors and asthma symptoms.

CONCLUSIONS: Among Hispanic/Latino adults, sociocultural stressors were associated with current asthma or asthma symptoms. Depressive symptoms and anxiety partly mediated this association. Clinicians caring for Hispanic/Latino adults with asthma should be aware of potential stressors and comorbidities such as depression and anxiety.

DOI10.1513/AnnalsATS.202407-705OC
Alternate JournalAnn Am Thorac Soc
PubMed ID39589272
MS#: 
1369
Manuscript Lead/Corresponding Author Affiliation: 
Affiliated Investigator - Not at HCHS/SOL site
ECI: 
Manuscript Affiliation: 
Field Center: Bronx (Einstein College of Medicine)
Manuscript Status: 
Published