ArticleInternational journal of epidemiologic research2020
Investigation of the Predictors of Self-rated Health of Economically Disadvantaged African American Men and Women: Evidence for Sponge Hypothesis.
Article in International journal of epidemiologic research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Gender Differences in Quit Rates in a Tobacco Cessation Program: In Search of Demographic, Socioeconomic, Health, or Behavioral Explanatory Mechanisms.Journal of biomedical and life sciences · 2025Article
- Self-rated health among older adults in India: Gender specific findings from National Sample Survey.PloS one · 2023Article
- Social Determinants of Mental, Physical, and Oral Health of Middle-Aged and Older African Americans in South Los Angeles.International journal of environmental research and public health · 2022Article
- Diminished Health Returns of Educational Attainment Among Immigrant Adults in the United States.Frontiers in psychiatry · 2020Article
- Obesity and Polypharmacy among African American Older Adults: Gender as the Moderator and Multimorbidity as the Mediator.International journal of environmental research and public health · 2019Article
- Depression Fully Mediates the Effect of Multimorbidity on Self-Rated Health for Economically Disadvantaged African American Men but Not Women.International journal of environmental research and public health · 2019Article
- Associations between Polypharmacy, Self-Rated Health, and Depression in African American Older Adults; Mediators and Moderators.International journal of environmental research and public health · 2019Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND AND
aimsAccording to the sponge hypothesis, compared to men's self-rated health (SRH), women's SRH is more likely to reflect conditions other than chronic medical conditions (CMCs) such as psychiatric disorders (PDs). As a result, poor SRH is a weaker predictive factor for mortality risk for women than men. Most of this literature, however, is done in samples that are predominantly middleclass White. To test the sponge hypothesis among economically disadvantaged African Americans (AAs), this study compared low-income AA men and women for the effects of the number of PDs and CMCs on SRH. MATERIALS AND
methodsThis cross-sectional study recruited a non-random sample (n = 150) of economically disadvantaged AA adults with PD(s). Structured face-to-face interviews were used to collect data. SRH was measured using a single-item measure. PDs and CMCs were also self-reported. We applied linear regression models to test the interactions between SRH and the number of PDs and CMC as well as gender.
resultsThe number of PDs and CMCs were associated with SRH in the pooled sample of low-income AA adults with PD(s). However, we found a significant interaction between the number of PDs and gender. This interaction suggested a stronger association between PDs and SRH for AA women than AA men. Gender did not alter the association between the number of CMCs and SRH.
conclusionThe number of PDs is a determinant of SRH for low-income AA women but not AA men, supporting the sponge hypothesis.
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