Social Determinants of Mental, Physical, and Oral Health of Middle-Aged and Older African Americans in South Los Angeles

Edward Adinkrah (), Babak Najand, Arash Rahmani, Najmeh Maharlouei, Tavonia Ekwegh, Sharon Cobb and Hossein Zare
Additional contact information
Edward Adinkrah: Department of Family Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA
Babak Najand: Marginalization-Related Diminished Returns (MDRs) Center, Los Angeles, CA 90059, USA
Arash Rahmani: Marginalization-Related Diminished Returns (MDRs) Center, Los Angeles, CA 90059, USA
Najmeh Maharlouei: Marginalization-Related Diminished Returns (MDRs) Center, Los Angeles, CA 90059, USA
Tavonia Ekwegh: Mervyn M. Dymally School of Nursing, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA
Sharon Cobb: Mervyn M. Dymally School of Nursing, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA
Hossein Zare: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA

IJERPH, 2022, vol. 19, issue 24, 1-14

Abstract: Background. A growing body of research suggests that financial difficulties could weaken the protective effects of socioeconomic status (SES) indicators, including education and income, on the health status of marginalized communities, such as African Americans. Aim. We investigated the separate and joint effects of education, income, and financial difficulties on mental, physical, and oral self-rated health (SRH) outcomes in African American middle-aged and older adults. Methods. This cross-sectional study enrolled 150 middle-aged and older African Americans residing in South Los Angeles. Data on demographic factors (age and gender), socioeconomic characteristics (education, income, and financial difficulties), and self-rated health (mental, physical, and oral health) were collected. Three linear regression models were used to analyze the data. Results. Higher education and income were associated with a lower level of financial strain in a bivariate analysis. However, according to multivariable models, only financial difficulties were associated with poor mental, physical, and oral health. As similar patterns emerged for all three health outcomes, the risk associated with financial difficulties seems robust. Conclusions. According to our multivariable models, financial strain is a more salient social determinant of health within African American communities than education and income in economically constrained urban environments such as South Los Angeles. While education and income lose some protective effects, financial strain continues to deteriorate the health of African American communities across domains.

Keywords: middle-aged and older adults; socioeconomic position; socioeconomic status; financial strain; income (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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