Annals of Behavioral Medicine

, Volume 51, Issue 4, pp 477–488 | Cite as

Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk: the HCHS/SOL Sociocultural Ancillary Study

  • Jessica L. McCurley
  • Frank Penedo
  • Scott C. Roesch
  • Carmen R. Isasi
  • Mercedes Carnethon
  • Daniela Sotres-Alvarez
  • Neil Schneiderman
  • Patricia Gonzalez
  • Diana A. Chirinos
  • Alvaro Camacho
  • Yanping Teng
  • Linda C. Gallo
Original Article

Abstract

Background

U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), a group of co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is associated with higher risk for MetSyn in Hispanics/Latinos, and psychosocial factors may play a role in this relationship.

Purpose

This cross-sectional study examined psychosocial factors in the association of SES and MetSyn components in 4,996 Hispanic/Latino adults from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study.

Methods

MetSyn components were measured at the baseline examination. Participants completed interviews to determine psychosocial risks (e.g., depression) and resources (e.g., social support) within 9 months of baseline (< 4 months in 72.6% of participants). Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used to identify latent constructs and examine associations.

Results

Participant mean age was 41.7 years (SE = 0.4) and 62.7% were female. CFA identified single latent factors for SES and psychosocial indicators, and three factors for MetSyn [blood pressure, lipids, metabolic factors]. SEMs showed that lower SES was related to MetSyn factors indirectly through higher psychosocial risk/lower resources (Y-Bχ2 (df = 420) = 4412.90, p < .05, RMSEA = .042, SRMR = .051). A statistically significant effect consistent with mediation was found from lower SES to higher metabolic risk (glucose/waist circumference) via psychosocial risk/resource variables (Mackinnon’s 95% asymmetric CI = −0.13 to −0.02).

Conclusions

SES is related to metabolic variables indirectly through psychosocial factors in U.S. Hispanics/Latinos of diverse ancestries.

Keywords

Cardiovascular Hispanic Latino Metabolic syndrome Psychosocial Socioeconomic status 

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Copyright information

© The Society of Behavioral Medicine 2017

Authors and Affiliations

  • Jessica L. McCurley
    • 1
  • Frank Penedo
    • 2
  • Scott C. Roesch
    • 3
  • Carmen R. Isasi
    • 4
  • Mercedes Carnethon
    • 5
  • Daniela Sotres-Alvarez
    • 6
  • Neil Schneiderman
    • 7
  • Patricia Gonzalez
    • 8
  • Diana A. Chirinos
    • 7
  • Alvaro Camacho
    • 9
  • Yanping Teng
    • 10
  • Linda C. Gallo
    • 3
    • 11
  1. 1.San Diego Joint Doctoral Program in Clinical PsychologySan Diego State University/University of CaliforniaSan DiegoUSA
  2. 2.Department of Medical Social SciencesNorthwestern UniversityChicagoUSA
  3. 3.Department of PsychologySan Diego State UniversitySan DiegoUSA
  4. 4.Deptartment of Epidemiology and Population HealthAlbert Einstein College of MedicineBronxUSA
  5. 5.Department of Preventive Medicine, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  6. 6.Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public HealthUniversity of North CarolinaChapel HillUSA
  7. 7.Department of PsychologyUniversity of MiamiCoral GablesUSA
  8. 8.Graduate School of Public HealthSan Diego State UniversitySan DiegoUSA
  9. 9.Departments of Psychiatry and Family Medicine and Public HealthUniversity of CaliforniaSan DiegoUSA
  10. 10.Department of Biostatistics, Gillings School of Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  11. 11.South Bay Latino Research CenterChula VistaUSA

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