Journal of Child and Family Studies

, Volume 25, Issue 9, pp 2797–2807 | Cite as

Predicting Behavioral Health Outcomes Among Low-Income Families: Testing a Socioecological Model of Family Resilience Determinants

Original Paper

Abstract

Over the past decade, the concept of family resilience among impoverished families has increased as a main focus area for family scholars. Similarly, individual, family, and community-level factors that promote family resilience and their impact on behavioral health outcomes have particularly received increased amounts of attention. To date, however, few empirical studies have simultaneously validated the socioecological determinants of family resilience within multi-dimensional conceptual frameworks. In the current study, we test such a model using a cross-sectional design among 380 women and men with an average age of 35 experiencing poverty as a chronic stressor, the majority of whom are ethnic minorities. Individual, family and community determinants of family resilience are examined for their differential effect on outcomes of physical and mental health, as well as risks for substance abuse. Results from structural equation modeling provide support for the model. Findings suggest that community-level determinants impact health through indirect pathways. In this case, community factors predict family and individual-level determinants, and individual factors then directly predict health. Similarly, the relationship between family-level determinants and health was indirect through individual-level factors. Although, a strong positive relationship was found between individual-level determinants and health, the relationship between individual-level factors and substance abuse was also found to be indirect through health. Methodological limitations and implications for family life education, clinical interventions, policy, and future research that are socioecologically-informed are discussed.

Keywords

Low-income families Mental health Resiliency Structural equation modeling Substance abuse 

References

  1. Anonymous. (2014). A deeper look at the social support index: A multidimensional assessment. The American Journal of Family Therapy, 42, 243–256.CrossRefGoogle Scholar
  2. Bentler, P. (2006). EQS structural equations program manual. Encino, CA: Multivariate Software.Google Scholar
  3. Benzies, K., & Mychasiuk, R. (2009). Fostering family resiliency: A review of the key protective factors. Child and Family Social Work, 14, 103–114.CrossRefGoogle Scholar
  4. Bhana, A., & Bachoo, S. (2011). The determinants of family resilience among families in low- and middle-income contexts: A systematic literature review. South African Journal of Psychology, 41, 131–139.CrossRefGoogle Scholar
  5. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.Google Scholar
  6. Conger, R. D., Conger, K. J., Elder, G. H, Jr., Lorenz, F. O., Simons, R. L., & Whitbeck, L. B. (1992). A family process model of economic hardship and adjustement of early adolescent boys. Child Development, 63, 526–541.CrossRefPubMedGoogle Scholar
  7. Conger, R. D., Conger, K. J., & Martin, M. J. (2010). Socioeconomic status, family processes, and individual development. Journal of Marriage and Family, 72, 685–704. doi:10.1111/j.1741-3737.2010.00725.x.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Corcoran, M., Danziger, S. K., & Tolman, R. (2004). Long term employment of African-American and White welfare recipients and the role of persistent health and mental health problems. Women and Health, 39, 21–40. doi:10.1300/J013v39n04_02.CrossRefPubMedGoogle Scholar
  9. Danziger, S. K., Corcoran, M., Danziger, S. H., Helflin, C., Kalil, A., Levine, J., et al. (1999). Barriers to the employment of welfare recipients. Ann Arbor, MI: University of Michigan.Google Scholar
  10. Derogatis, L. R. (1993). Brief Symptom Inventory (BSI) administration, scoring, and procedures manual (4th ed.). Minneapolis, MN: National Computer Systems.Google Scholar
  11. HUD. (2011). Financial Literacy Resources Retrieved August 9, 2011, from http://www.hud.gov/offices/hsg/mfh/nnw/consortia/consortiafinancialliteracy.cfm.
  12. Hungelmann, J., Kenkel-Rossi, E., Klassen, L., & Stottenwerk, R. (1989). JAREL spiritual well-being scale. Milaukee, WI: Marquette University College of Nursing.Google Scholar
  13. Joshi, P., Hardy, E., & Hawkins, S. (2009). The role of religiosity in the lives of the low-income population: A comprehensive review of the evidence. Washington, D.C.: U.S. Department of Health and Human Services.Google Scholar
  14. Keene, D., & Geronimus, A. (2011). Community-based support among African American public housing residents. Journal of Urban Health, 88(1), 41–53. doi:10.1007/s11524-010-9511-z.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York, NY: Guilford press.Google Scholar
  16. Landau, J. (2010). Communities that care for families: The LINC model for enhancing individual, family, and community resilience. American Journal of Orthopsychiatry, 80(4), 516–524. doi:10.1111/j.1939-0025.2010.01054.x.CrossRefPubMedGoogle Scholar
  17. McCubbin, H. I., Thompson, A. I., & McCubbin, M. A. (1996). Family assessment: Resiliency, coping, and adaptation. Inventories for research and practice (3rd ed.). Madison, WI: University of Wisconsin Publishers.Google Scholar
  18. Mujahid, M., Diez Roux, A., Morenoff, J., & Raghunathan, T. (2007). Assessing the measurement properties of neighborhood scales: From psychometrics to ecometrics. American Journal of Epidemiology, 165, 858–867.CrossRefPubMedGoogle Scholar
  19. National Housing Law Project. (2002). False hope: A critical assessment of the HOPE VI public housing redevelopment program. San Francisco: National Housing Law Project.Google Scholar
  20. Olson, D. H. (1986). Circumplex model VII: Validation studies and FACES-III. Family Process, 25(3), 337–351.CrossRefPubMedGoogle Scholar
  21. Parkerson, G. R., Broadhead, W. E., & Tse, C. J. (1990). The Duke health profile: A 17-item measure of health and dysfunction. Medical Care, 28, 1056–1072.CrossRefPubMedGoogle Scholar
  22. Phinney, J. S. (1992). The multigroup ethnic identity measure. Journal of Adolescent Research, 7, 156–176. doi:10.1177/074355489272003.CrossRefGoogle Scholar
  23. Reed, P. G. (1986). Religiousness among terminally ill and healthy adults. Research in Nursing & Health, 9, 35–42.CrossRefGoogle Scholar
  24. Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.Google Scholar
  25. Seccombe, K. (2002). ‘Beating the odds’ versus ‘changing the odds’: Poverty, resilience, and family policy. Journal of Marriage and Family, 64, 384–394.CrossRefGoogle Scholar
  26. Simning, A., van Wijngaarden, E., & Conwell, Y. (2011). Anxiety, mood, and substance use disorders in United States African-American public housing residents. Social Psychiatry and Psychiatric Epidemiology, 46, 983–992. doi:10.1007/s00127-010-0267-2.CrossRefPubMedGoogle Scholar
  27. Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A., & Higgins, R. L. (1996). Development and validation of the State Hope Scale. Journal of Personality and Social Psychology, 70, 321–335.CrossRefPubMedGoogle Scholar
  28. Stansfeld, S. A., Head, J., & Marmot, M. G. (1998). Explaining social class differences in depression and well-being. Social Psychiatry and Psychiatric Epidemiology, 33, 1.CrossRefPubMedGoogle Scholar
  29. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon.Google Scholar
  30. Taylor, R. D. (2015). Kin social undermining, adjustment and family relations among low-income African American mothers and adolescents: Moderating effects of kin social support. Journal of Child and Family Studies, 24, 1271–1284.CrossRefGoogle Scholar
  31. Ungar, M. (2011). The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry, 81, 1–17.CrossRefPubMedGoogle Scholar
  32. Walsh, F. (2003). Family resilience: A framework for clinical practice. Family Process, 42, 1–18. doi:10.1111/j.1545-5300.2003.00001.x.CrossRefPubMedGoogle Scholar
  33. Wenzel, S. L. (1993). Gender, ethnic group, and homelessness as predictors of locus of control among job training participants. The Journal of Social Psychology, 133, 495–505.CrossRefPubMedGoogle Scholar
  34. Wiggers, J., Radvan, D., Clover, K., Hazell, T., Alexander, J., & Considine, R. (2001). Public housing, public health: Health needs of public housing tenants. Australian and New Zealand Journal of Public Health, 25, 111–114.CrossRefPubMedGoogle Scholar
  35. World Health Organization ASSIST Working Group. (2002). The alcohol, smoking and substance abuse involvement screening test (ASSIST): Development, reliability and feasibility. Addiction, 97, 1183.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Consumer and Family Studies/DieteticsSan Francisco State UniversitySan FranciscoUSA
  2. 2.Loma Linda UniversityLoma LindaUSA

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