Determinants of mental health and self-rated health: A model of socioeconomic status, neighborhood safety, and physical activity

O.L. Meyer, L. Castro-Schilo and S. Aguilar-Gaxiola

American Journal of Public Health, 2014, vol. 104, issue 9, 1734-1741

Abstract: Objectives. We investigated the underlying mechanisms of the influence of socioeconomic status (SES) on mental health and self-rated health (SRH), and evaluated how these relationships might vary by race/ethnicity, age, and gender. Methods. We analyzed data of 44 921 adults who responded to the 2009 California Health Interview Survey. We used a path analysis to test effects of SES, neighborhood safety, and physical activity on mental health and SRH. Results. Low SES was associated with greater neighborhood safety concerns, which were negatively associated with physical activity, which was then negatively related to mental health and SRH. This model was similar across different racial/ethnic and gender groups, but mean levels in the constructs differed across groups. Conclusions. SES plays an important role in SRH and mental health, and this effect is further nuanced by race/ethnicity and gender. Identifying the psychological (neighborhood safety) and behavioral (physical activity) factors that influence mental health and SRH is critical for tailoring interventions and designing programs that can improve overall health.

Keywords: age; ancestry group; article; demography; ethnic group; ethnology; exercise; female; health status; health survey; human; male; mental health; middle aged; safety; self report; sex difference; socioeconomics; statistics, Age Factors; Continental Population Groups; Ethnic Groups; Exercise; Female; Health Status; Health Surveys; Humans; Male; Mental Health; Middle Aged; Residence Characteristics; Safety; Self Report; Sex Factors; Socioeconomic Factors (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (31)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302003_3

DOI: 10.2105/AJPH.2014.302003

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