Observational studyBMJ open2019
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.
Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic status and health behavior in children and adolescents: a systematic literature review.Frontiers in public health · 2023Pooled it
- Socioeconomic disparities in treatment and survival of oesophageal and gastric cancer in the Netherlands: a nationwide population-based study.The Lancet regional health. Europe · 2026Article
- Cognitive reserve in non-affective first-episode psychosis: contributions of polygenic scores, early clinical features, and environment.Psychological medicine · 2026Article
- A nationwide study exploring the factors associated with psychological resilience during the COVID-19 pandemic in Singapore.Frontiers in public health · 2025Article
- A descriptive survey of patient experiences and access to specialty medicines with alternative funding programs.Journal of managed care & specialty pharmacy · 2024Article
- Reserve-building as a buffer for depression among individuals living with disability: a longitudinal study of current activities related to brain health.Frontiers in psychology · 2024Article
- Life-Satisfaction, Engagement, Mindfulness, Flourishing, and Social Support: Do they Predict Depression, Suicide Ideation, and History of Suicide Attempt in Late Life?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Article
- Food insecurity among New York City taxi and for-hire vehicle drivers.Work (Reading, Mass.) · 2023Article
- Adult attachment, stress-coping, and resilience in first-generation immigrants in the United States.The British journal of occupational therapy · 2022Article
- Drivers of caregiver impact in Duchenne muscular dystrophy: a cohort study.Journal of patient-reported outcomes · 2022Article
- Change in self-reported health: A signal for early intervention in a medicare population.Healthcare (Amsterdam, Netherlands) · 2022Article
- Characterizing the quality-of-life impact of Duchenne muscular dystrophy on caregivers: a case-control investigation.Journal of patient-reported outcomes · 2021Article
- Living Space and Job Prospects and Their Relationship with Subjective Well-Being during COVID-19 Confinement in Spain: The Mediator Role of Resilience.International journal of environmental research and public health · 2021Article
- Moving toward better health: exercise practice is associated with improved outcomes after spine surgery in people with degenerative lumbar conditions.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Brain PET amyloid and neurodegeneration biomarkers in the context of the 2018 NIA-AA research framework: an individual approach exploring clinical-biomarker mismatches and sociodemographic parameters.European journal of nuclear medicine and molecular imaging · 2020Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study is to test the hypothesis that the link between socioeconomic status (SES) and resilience is mediated by reserve-building activities.
designCross-sectional observational study. Structural equation modelling (SEM) was used to test the mediation hypothesis.
settingWeb-based survey.
participantsParticipants 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.
resultsThe 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.
conclusionsThis 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.
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