Browsing by Subject "alcohol consumption"
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Item Lifestyle Factors and Depressive Symptoms Among Permanent Supportive Housing Residents(2020-05) Holmes, Esther J.; Walters, Scott T.Background: Depression is prevalent among low-income populations. Many lifestyle factors may influence depressive symptoms, including vegetable and fruit intake, physical activity, tobacco use, alcohol use, social support, and satisfaction with leisure activities. However, the influence of lifestyle factors on depressive symptoms among permanent supportive housing (PSH) residents is unclear. In addition, it is unclear if PSH residents with depressive symptoms are interested in working on lifestyle factors. Methods: A longitudinal analysis was conducted among 420 PSH residents participating in a technology-assisted health coaching program. Three timepoints were included, corresponding with the screening/baseline, six-month, and twelve-month assessment visits. The independent variables were total vegetable and fruit intake, physical activity, tobacco use, alcohol use, social support, and satisfaction with leisure activities. The dependent variable was depressive symptoms, measured by the 9-item Patient Health Questionnaire (PHQ-9). Covariates were race, sex, age, and visit. In addition, social support was examined as a potential effect modifier. Participants' interest in working on health areas was evaluated as well. Results: Moderate alcohol consumption predicted lower depressive symptoms compared with heavy alcohol consumption (b=-1.54, p=0.01). Additionally, the difference in depressive symptoms between non-consumers and heavy consumers of alcohol approached statistical significance with non-consumers of alcohol having less depressive symptoms than heavy consumers of alcohol (b = -.76, p = .07). High compared with low satisfaction with leisure activities (b=-0.83, p<0.0001) and high compared with low social support (b=-1.86, p<.0001) predicted lower depressive symptoms. Tobacco use was a marginally statistically significant predictor of depressive symptoms (b=0.92, p=0.05). Total vegetable and fruit intake and physical activity were not statistically significant predictors of depressive symptoms. Social support was not a statistically significant modifier of the effect of lifestyle factors on depressive symptoms. Participants with moderate, moderately severe, and severe depressive symptoms were most interested in working on diet, exercise, and substance use and least interested in working on social support and recreation/leisure activities. Conclusions: Alcohol use, tobacco use, social support, and satisfaction with leisure activities may influence depressive symptoms among PSH residents. However, participants may not be interested in working on social support and satisfaction with leisure activities. An ecological approach may be necessary to influence social support and satisfaction with leisure activities among PSH residents. Lifestyle interventions designed to reduce depressive symptoms among PSH residents should aim to increase PSH residents' social support and satisfaction with leisure activities.Item The Dose Dependent Effect of Alcohol Consumption on Cardiovascular Disease and Its Risk Facotrs-A Systematic Review(2007-12-01) Bhamidimarri, Kalyan Ram; Karan SinghBhamidimarri, Kalyan R; The Dose Dependent Effect of Alcohol Consumption on Cardiovascular Disease and Its Risk Factors-A Systematic Review. Master of Public Health (Biostatistics), December 2007, 41 pp; 2 tables, 3 illustrations, bibliography, 60 titles. Effects of alcohol on cardiovascular health are varied and conflicting. Moderate alcohol drinking has been shown to reduce the incidence of cardiovascular disease by having a direct influence on vascular and haemostatic factors or indirectly by influencing atherosclerosis, cholesterol and insulin resistance. Studies about effects of alcohol on cardiovascular diseases and its risk factors published through 1995 to 2007 were searched in different databases and those meeting eligibility criteria were analyzed. Thirty one studies were reviewed and data analyzed to verify dose dependent effects of alcohol. Although several factors account for different effects of alcohol, moderate consumption of alcohol amounting to less than one drink or 14 grams per day is protective for cardiovascular disease possibly due to its impact on the risk factors. Randomized controlled studies which can be done in this regard might clearly suggest a dose dependent effect of alcohol on cardiovascular and overall survival.Item The Effects of Media Exposure on Alcohol Consumption Patters within the African American Population(2005-05-01) Miller, Vanessa G.; Lykens, Kristine; Quinn, James; Cipher, DaishaMiller, Vanessa G., The Effects of Media Exposure on Alcohol Consumption Patterns within the African American Population. Doctor of Public Health (Health Management and Policy), May 2005, 206 pp., 62 tables, 8 illustrations, references, 77 titles. Objectives- The study examined the role of media exposure on alcohol consumption patterns in the African American population. In studying the role of media exposure, the study also examined the role of ethnicity, mood/affect, socio-demographic factors and religion on alcohol consumption patterns in this population. Methods- Secondary analysis of the General Social Survey (GSS), 1972-2002 cumulative data file was used to provide quantitative estimates of the relationship between media exposure, ethnicity, mood/affect, socio-demographic factors, and religiosity as predictors of alcohol consumption. Path analysis was used to determine the direct and indirect effects of these concepts on alcohol consumption patterns. Results- Watching television and reading the newspaper were significant predictors of alcohol use. Watching television had a positive effect on alcohol use; but only in the absence of religiosity. When religiosity was present, as indicated by religious affiliation and attendance at religious services, watching television had a significant negative effect on alcohol use. Reading the newspaper had a negative effect on alcohol use; but this effect was not very significant. Watching TV also had a significant positive effect on alcohol abuse. Reading the newspaper had an effect on alcohol abuse but this effect was not significant. IN the presence of religiosity, neither watching TV nor reading the newspaper had a significant effect on alcohol abuse. The effects of religiosity could also be seen on the relationships between alcohol consumption and socializing patterns, age, sex, ethnicity, and income. The year of the GSS survey had a significant positive effect of television viewing and a significant negative effect on reading the newspaper. Race did not have a significant effect on alcohol use or abuse. Conclusion- This research has significant policy implications, as it indicates that exposure to media, thus exposure to advertising, had an effect on alcohol consumption. Religiosity appeared to act as a protective mechanism against the adverse effects of media exposure, as they relate to alcohol consumption. This research provides support for the implementation of more faith-based initiatives to combat substance abuse (especially alcohol abuse). It also sets the foundation for additional research on the effects of advertising on alcohol consumption, looking at the media revolution of the 21st century.Item Using Generalized Estimating Equations to Analyze Alcohol Consumption and Job Displacement among Older Workers(2010-05-01) Patel, Nita; Bae, SejongThe objectives of this dissertation were to compare differences in alcohol consumption among the older workers (aged 51 to 61 years) who have experienced job displacement compared to those who remain continuously employed. Generalized estimating equations were used to model this relationship using longitudinal data from the Health and Retirement Study from 1992 to 2006. Approximately 39% of respondents had died during the study period. We analyzed four models. One model excluded data for deceased respondents. Another model retained data for deceased respondents. For the remaining two models, data was imputed using multiple imputation by chained equations. Data was imputed for only the predictors in one imputation, imputed for both the dependent variable and the predictors in the second imputation. All models were weighted and adjusted for key sociodemographic variables. The results of this study show that being continuously employed, compared to experiencing job displacement, has a protective effect on the onset of alcohol consumption. Older workers who were not displaced were less likely to report consuming alcohol compared to those who had been displaced. This finding remained statistical significant even after adjusting for key sociodemographic variables. Complete case analysis and observed sample models provided biased estimates (i.e. wider confidence intervals, smaller p values) compared to the two multiple imputation models. Our findings have important public health implications. Older workers are likely to have varied participation in the labor market. They are likely to be more experienced and hold senior or management positions, thereby earning higher wages. They may be at a higher risk of layoff during uncertain economic times, such as a recession. The effects of alcohol consumption among older individuals have been shown to be negative and particularly harmful, especially in terms of ethanol toxicity. Additional studies are needed to examine the health effects of late onset of drinking among older Americans.