Social determinants of mental health in asthma: an exploratory study
IntroductionAsthma and mental health problems co-occur at high rates. In context of a holistic approach to health, considering the extent to which social determinants relate to mental health in people with asthma helps identify health inequity and inform population-level preventative strategies. The...
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Frontiers Media S.A.
2025-02-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/falgy.2024.1464948/full |
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| author | Sarah A. Hiles Sarah A. Hiles Hayley Lewthwaite Hayley Lewthwaite Vanessa L. Clark Vanessa L. Clark Anne E. Vertigan Anne E. Vertigan Anne E. Vertigan Amber Smith Amber Smith Vanessa M. McDonald Vanessa M. McDonald Vanessa M. McDonald |
| author_facet | Sarah A. Hiles Sarah A. Hiles Hayley Lewthwaite Hayley Lewthwaite Vanessa L. Clark Vanessa L. Clark Anne E. Vertigan Anne E. Vertigan Anne E. Vertigan Amber Smith Amber Smith Vanessa M. McDonald Vanessa M. McDonald Vanessa M. McDonald |
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| description | IntroductionAsthma and mental health problems co-occur at high rates. In context of a holistic approach to health, considering the extent to which social determinants relate to mental health in people with asthma helps identify health inequity and inform population-level preventative strategies. The aim of the current exploratory study was to examine how social determinants are associated with depression, anxiety and resilience in people with mild-moderate and severe asthma.MethodsA cross-sectional study of 144 adults (aged ≥18 years) with a diagnosis of asthma was conducted. Participants were classified as having mild-moderate asthma or severe asthma based on international guidelines. As part of a multidimensional assessment, participants self-reported age, sex, ethnicity, country of birth, living arrangements, employment, and postcode. They also completed validated self-report questionnaires for depression and anxiety [Hospital Anxiety and Depression Scale (HADS)], and resilience [Resilience Scale (RS-25)]. Bayesian regression analyses were conducted to examine the extent to which social determinants were associated with depression, anxiety and resilience.Results74 participants had mild-moderate asthma and 70 participants had severe asthma. Participants were on average 60 years old (SD = 14), 72% were female, 94% were Caucasian, 94% were Australian-born, 26% lived alone, 42% were working full- or part-time, and 83% lived in a major city of Australia. Anxiety and depression were relatively common (35% anxiety; 16% depression using HADS threshold of scores ≥8). Few social determinants were associated with depression, anxiety and/or resilience. Older age was associated with greater resilience. Females had higher levels of anxiety compared to males. Compared to participants currently working full- or part-time, those who were not working or studying due to their health had worse depressive symptoms and those who were not working for other reasons such as retirement had greater resilience.DiscussionAs in the general population, age, sex and employment/student status were associated with components of mental health in people with asthma. Although limited by the small sample size and sociodemographic homogeneity, the findings of this exploratory study contribute to the large body of work fostering a holistic approach to health and striving for health equity in people with asthma, particularly those who experience mental health problems. |
| format | Article |
| id | doaj-art-871b5b6df0314a7793de4732f21db414 |
| institution | Kabale University |
| issn | 2673-6101 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Allergy |
| spelling | doaj-art-871b5b6df0314a7793de4732f21db4142025-02-05T07:32:48ZengFrontiers Media S.A.Frontiers in Allergy2673-61012025-02-01510.3389/falgy.2024.14649481464948Social determinants of mental health in asthma: an exploratory studySarah A. Hiles0Sarah A. Hiles1Hayley Lewthwaite2Hayley Lewthwaite3Vanessa L. Clark4Vanessa L. Clark5Anne E. Vertigan6Anne E. Vertigan7Anne E. Vertigan8Amber Smith9Amber Smith10Vanessa M. McDonald11Vanessa M. McDonald12Vanessa M. McDonald13School of Psychological Sciences, University of Newcastle, Callaghan, NSW, AustraliaAsthma and Breathing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, AustraliaAsthma and Breathing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, AustraliaCentre for Research Excellence in Treatable Traits, College of Health, Medicine, and Wellbeing, University of Newcastle, New Lambton Heights, NSW, AustraliaAsthma and Breathing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, AustraliaCentre for Research Excellence in Treatable Traits, College of Health, Medicine, and Wellbeing, University of Newcastle, New Lambton Heights, NSW, AustraliaAsthma and Breathing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, AustraliaCentre for Research Excellence in Treatable Traits, College of Health, Medicine, and Wellbeing, University of Newcastle, New Lambton Heights, NSW, AustraliaSpeech Pathology Department, John Hunter Hospital, New Lambton Heights, NSW, AustraliaAsthma and Breathing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, AustraliaCentre for Research Excellence in Treatable Traits, College of Health, Medicine, and Wellbeing, University of Newcastle, New Lambton Heights, NSW, AustraliaAsthma and Breathing Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, AustraliaCentre for Research Excellence in Treatable Traits, College of Health, Medicine, and Wellbeing, University of Newcastle, New Lambton Heights, NSW, AustraliaDepartment of Respiratory and Sleep Medicine, John Hunter Hospital, New Lambton Heights, NSW, AustraliaIntroductionAsthma and mental health problems co-occur at high rates. In context of a holistic approach to health, considering the extent to which social determinants relate to mental health in people with asthma helps identify health inequity and inform population-level preventative strategies. The aim of the current exploratory study was to examine how social determinants are associated with depression, anxiety and resilience in people with mild-moderate and severe asthma.MethodsA cross-sectional study of 144 adults (aged ≥18 years) with a diagnosis of asthma was conducted. Participants were classified as having mild-moderate asthma or severe asthma based on international guidelines. As part of a multidimensional assessment, participants self-reported age, sex, ethnicity, country of birth, living arrangements, employment, and postcode. They also completed validated self-report questionnaires for depression and anxiety [Hospital Anxiety and Depression Scale (HADS)], and resilience [Resilience Scale (RS-25)]. Bayesian regression analyses were conducted to examine the extent to which social determinants were associated with depression, anxiety and resilience.Results74 participants had mild-moderate asthma and 70 participants had severe asthma. Participants were on average 60 years old (SD = 14), 72% were female, 94% were Caucasian, 94% were Australian-born, 26% lived alone, 42% were working full- or part-time, and 83% lived in a major city of Australia. Anxiety and depression were relatively common (35% anxiety; 16% depression using HADS threshold of scores ≥8). Few social determinants were associated with depression, anxiety and/or resilience. Older age was associated with greater resilience. Females had higher levels of anxiety compared to males. Compared to participants currently working full- or part-time, those who were not working or studying due to their health had worse depressive symptoms and those who were not working for other reasons such as retirement had greater resilience.DiscussionAs in the general population, age, sex and employment/student status were associated with components of mental health in people with asthma. Although limited by the small sample size and sociodemographic homogeneity, the findings of this exploratory study contribute to the large body of work fostering a holistic approach to health and striving for health equity in people with asthma, particularly those who experience mental health problems.https://www.frontiersin.org/articles/10.3389/falgy.2024.1464948/fullasthmaanxietydepressionresiliencesocial determinantssex |
| spellingShingle | Sarah A. Hiles Sarah A. Hiles Hayley Lewthwaite Hayley Lewthwaite Vanessa L. Clark Vanessa L. Clark Anne E. Vertigan Anne E. Vertigan Anne E. Vertigan Amber Smith Amber Smith Vanessa M. McDonald Vanessa M. McDonald Vanessa M. McDonald Social determinants of mental health in asthma: an exploratory study Frontiers in Allergy asthma anxiety depression resilience social determinants sex |
| title | Social determinants of mental health in asthma: an exploratory study |
| title_full | Social determinants of mental health in asthma: an exploratory study |
| title_fullStr | Social determinants of mental health in asthma: an exploratory study |
| title_full_unstemmed | Social determinants of mental health in asthma: an exploratory study |
| title_short | Social determinants of mental health in asthma: an exploratory study |
| title_sort | social determinants of mental health in asthma an exploratory study |
| topic | asthma anxiety depression resilience social determinants sex |
| url | https://www.frontiersin.org/articles/10.3389/falgy.2024.1464948/full |
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