Exploring associations between social determinants of health and mental health outcomes in families from socioeconomically and racially and ethnically diverse households

Christopher Prokosch, Angie Fertig, Ayomide R. Ojebuoboh, Amanda C Trofholz, Macaran A Baird, Matthew Young, Junia Nogueira de Brito, Alicia Kunin-Batson, Jerica M Berge

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12 Scopus citations

Abstract

This cross-sectional study investigated the associations between Social Determinants of Health (SDOH) and mental health outcomes of parents and children (n = 1307) from the Latinx, Native American, Somali/Ethiopian, White, Hmong, and African American communities. Logistic regression models were used to estimate the adjusted associations between five parent and child mental health measures and 25 measures of SDOH. False discovery rate q-values were computed to account for multiple comparisons. Families of color reported 5.3–7.8 SDOH barriers while White families reported 1.7 SDOH barriers on average. Adjusted analyses indicated that low family functioning and high perceived discrimination were associated with low resiliency among parents and increased behavioral difficulties among children. Other SDOH that were adversely associated with parent or child mental health included lack of social support, recent stressful life events, and adverse childhood experiences among parents. SDOH in the social and community context were most likely to be associated with mental health problems. Community-engaged evidence-based interventions are needed to improve population mental health.

Original languageEnglish (US)
Article number107150
JournalPreventive medicine
Volume161
DOIs
StatePublished - Aug 2022

Bibliographical note

Funding Information:
Research is supported by grant numbers R01HL126171 and R01HL156994 from the National Heart, Lung, and Blood Institute (PI: Jerica Berge). The training of JN de Brito was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) T32 Minnesota Obesity Prevention Training (MnOPT) program ( T32DK083250 ). This research was additionally funded by the Minnesota Academy of Family Physicians Innovation Grant. Funders had no role in the design, analysis, or writing of this article. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute or the National Institutes of Health or the National Institute of Diabetes and Digestive and Kidney Diseases.

Publisher Copyright:
© 2022 Elsevier Inc.

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