Abstract:
OBJECTIVES:Depressive symptoms are prevalent and cause adverse outcomes in heart failure. Previous studies have linked depressive symptoms with socioeconomic status. However, little is known about the mechanisms underlying this relationship. This study aimed to evaluate the association between socioeconomic status and depressive symptoms, and to examine whether access to healthcare, health literacy and social support mediated this relationship in patients with heart failure. METHODS:Cross-sectional design was used to study 321 patients with heart failure recruited from a general hospital. Demographics, clinical data, depressive symptoms, socioeconomic status (i.e., education, employment, income, and subjective social status), access to healthcare, health literacy, and social support were collected by patient interview, medical record review or questionnaires. A series of logistic regressions and linear regressions were conducted to examine mediation. RESULTS:The mean age of patients with heart failure was 63.6±10.6years. Fifty-eight patients (18%) had depressive symptoms. Lower subjective social status (OR=1.321, p=0.012) and lower health literacy (OR=1.065, p<0.001) were separately associated with depressive symptoms. When subjective social status and health literacy were entered simultaneously, the relationship between subjective social status and depressive symptoms became non-significant (OR=1.208, p=0.113), demonstrating mediation. Additionally, lower social support was associated with depressive symptoms (OR=1.062, p=0.007). CONCLUSIONS:In patients with heart failure, health literacy mediated the relationship between subjective social status and depressive symptoms. Lower social support was associated with depressive symptoms. Interventions should take these factors into account.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Zou H,Chen Y,Fang W,Zhang Y,Fan Xdoi
10.1016/j.jpsychores.2016.10.006subject
Has Abstractpub_date
2016-12-01 00:00:00pages
33-39eissn
0022-3999issn
1879-1360pii
S0022-3999(16)30433-0journal_volume
91pub_type
杂志文章abstract::We investigated two groups of men with regard to vasectomy acceptance, and subsequent erectile dysfunction. Group I was a group of 45 men chosen at random from 254 vasectomized patients. Group II was a group of 18 men who, out of 180 patients treated for erectile dysfunction, attributed their dysfunction to previous v...
journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
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更新日期:2016-04-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:2015-11-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
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pub_type: 杂志文章
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更新日期:2021-01-02 00:00:00
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pub_type: 杂志文章
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