Dataset Information

Is the link between socioeconomic status and resilience mediated by reserve-building activities: mediation analysis of web-based cross-sectional data from chronic medical illness patient panels.

ABSTRACT:

Objectives

The purpose of this study is to test the hypothesis that the link between socioeconomic status (SES) and resilience is mediated by reserve-building activities.

Design

Cross-sectional observational study. Structural equation modelling (SEM) was used to test the mediation hypothesis.

Setting

Web-based survey.

Participants

Participants with a chronic medical condition were recruited from Rare Patient Voice.

Primary and secondary outcome measures

DeltaQuest Reserve-Building Measure; demographic variables to capture SES; Centers for Disease Control Healthy Days Core Module; Self-Administered Comorbidity Questionnaire. Resilience was operationalised using residual modelling.

Results

The study sample included 442 patients (mean age 49, 85% female). SES was modelled as a bifactor model composed of general SES and specific factors for personal finance and parent's education. A series of simple mediation models predicting resilience led to the selection of three reserve-building activities for subsequent SEM-based mediation models: Active in the World, Outdoor and Exercise. The full SEM model supported the hypothesis that the relationships from both general SES and personal finance to resilience were mediated by engaging in the three reserve-building activities. In addition, the number of comorbidities partially mediated the relationship between personal finance and reserve-building. Those with more comorbidities generally had lower levels of resilience.

Conclusions

This study provides suggestive evidence that reserve-building activities may be one pathway by which SES is associated with resilience: people of higher SES are more likely to engage in reserve-building activities that are intellectually stimulating, involve Outdoor pursuits and include physical Exercise. These reserve-building activities are not costly to pursue. These findings may empower patients to introduce more such reserve-building activities into their lives.

SUBMITTER: Schwartz CE

PROVIDER: S-EPMC6549651 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Is the link between socioeconomic status and resilience mediated by reserve-building activities: mediation analysis of web-based cross-sectional data from chronic medical illness patient panels.

Schwartz Carolyn Emily CE Zhang Jie J Stucky Brian Dale BD Michael Wesley W Rapkin Bruce David BD

BMJ open 20190601 5

<h4>Objectives</h4>The purpose of this study is to test the hypothesis that the link between socioeconomic status (SES) and resilience is mediated by reserve-building activities.<h4>Design</h4>Cross-sectional observational study. Structural equation modelling (SEM) was used to test the mediation hypothesis.<h4>Setting</h4>Web-based survey.<h4>Participants</h4>Participants with a chronic medical condition were recruited from Rare Patient Voice.<h4>Primary and secondary outcome measures</h4>DeltaQ ...[more]

PMID: 31154302

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Dataset Information

Is the link between socioeconomic status and resilience mediated by reserve-building activities: mediation analysis of web-based cross-sectional data from chronic medical illness patient panels.

Objectives

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusions

Publications

Is the link between socioeconomic status and resilience mediated by reserve-building activities: mediation analysis of web-based cross-sectional data from chronic medical illness patient panels.

Similar Datasets

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