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Race, Depression, and Financial Distress in a Nationally Representative Sample of American Adults

1,2,3,4
1
Department of Family Medicine, Charles R. Drew University of Medicine and Sciences, Los Angeles, CA 90095, USA
2
Department of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI 48109-2029, USA
3
Center for Research on Ethnicity, Culture and Health (CRECH), School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA
4
Department of Psychology, University of California Los Angeles, Los Angeles, CA 90095, USA
Brain Sci. 2019, 9(2), 29; https://doi.org/10.3390/brainsci9020029
Received: 30 December 2018 / Revised: 27 January 2019 / Accepted: 27 January 2019 / Published: 30 January 2019
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PDF [303 KB, uploaded 31 January 2019]

Abstract

Background: Although depression and financial distress are correlated, this association may differ for demographic groups, particularly based on race. Aim: Using a national sample of American adults, this study tested whether the association between Major Depressive Episode (MDE) and financial distress differs between African Americans and Whites. Methods: The National Survey of American Life (NSAL), 2003, enrolled 3570 African American and 891 Non-Hispanic White American adults. Demographic data (age and gender), socioeconomic position (SEP; i.e., education, employment, marital status, and income), financial distress, and 12-month MDE were measured. Logistic regression was used for data analysis. Results: In the pooled sample, 12-month MDE was associated with higher odds of financial distress, above and beyond objective SEP measures. We found MDE by race interaction on financial distress, suggesting stronger association between MDE and financial distress among African Americans, compared to Whites. Conclusions: The link between MDE and financial distress depends on race. The financial needs of African Americans with depression should be addressed. Depression screening is also needed for African Americans with financial distress. View Full-Text
Keywords: depression; mood sisorders; African Americans; Blacks; ethnic groups; ethnicity; race; financial distress; financial hardship; financial insecurity; class; Socioeconomic Status (SES) depression; mood sisorders; African Americans; Blacks; ethnic groups; ethnicity; race; financial distress; financial hardship; financial insecurity; class; Socioeconomic Status (SES)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Assari, S. Race, Depression, and Financial Distress in a Nationally Representative Sample of American Adults. Brain Sci. 2019, 9, 29.

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