ArticleInquiry : a journal of medical care organization, provision and financing
Cumulative Social Determinants of Health Are Associated With Anxiety: A Weighted Quantile Sum Analysis.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Social determinants of health (SDoH) are key contributors to mental health disparities; however, the cumulative impact of multiple SDoH and the relative contribution of individual domains to anxiety remain unclear. Data were drawn from 3 NHANES cycles (2007-2012), including 11 547 adults aged ≥20 years. Anxiety was defined based on self-reported days of feeling worried, tense, or anxious during the past 30 days (≥7 days vs 0-6 days). Eight SDoH indicators were categorized according to the 5 domains of Healthy People 2030. Survey-weighted logistic regression estimated the associations between each SDoH and anxiety after adjustment for demographic, behavioral, and health covariates. A Weighted Quantile Sum (WQS) regression was further applied to assess the cumulative effect and the relative contribution of each SDoH factor. In fully adjusted models, unemployment (OR = 1.44, 95% CI: 1.17-1.76,
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