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Erschienen in: International Journal of Behavioral Medicine 4/2013

01.12.2013

Fatalism and Cardio-Metabolic Dysfunction in Mexican–American Women

verfasst von: Karla Espinosa de los Monteros, Linda C. Gallo

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 4/2013

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Abstract

Background

Mexican-American women are disproportionately vulnerable to cardio-metabolic dysfunction and related health conditions such as cardiovascular disease and diabetes. Research shows that low socioeconomic status contributes to this populations excess vulnerability to cardio-metabolic dysfunction, but little is known about the contribution of cultural factors to these associations.

Purpose

The current study explored the association between fatalism and cardio-metabolic dysfunction in a randomly selected community cohort of middle-aged Mexican–American women and examined whether fatalism could be conceptualized as a pathway linking socioeconomic status to cardio-metabolic dysfunction in this population.

Method

Participants included 300 women (ages 40–65), recruited from San Diego communities located near the Mexican border, who completed a self-administered survey battery and underwent a fasting clinical exam between the years 2006 and 2009.

Results

Linear regression analyses and mediation analyses utilizing bootstrapping procedures were performed to test study hypotheses. After controlling for age, menopausal status, and acculturation level, fatalism was associated with cardio-metabolic dysfunction. Although slightly attenuated, this relationship persisted after accounting for socioeconomic status. In addition, individuals of low socioeconomic status displayed more fatalistic beliefs and higher cardio-metabolic dysfunction after accounting for relevant covariates. Finally, the indirect effect of socioeconomic status on cardio-metabolic dysfunction via fatalism reached statistical significance.

Conclusions

Fatalism may be an important independent risk factor for cardio-metabolic dysfunction in Mexican–American women as well as a mechanism linking socioeconomic status to cardio-metabolic health.
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Metadaten
Titel
Fatalism and Cardio-Metabolic Dysfunction in Mexican–American Women
verfasst von
Karla Espinosa de los Monteros
Linda C. Gallo
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 4/2013
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-012-9256-z

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