Exploring the Social Determinants of Mental Health by Race and Ethnicity in Army Wives

Dados Bibliográficos

ID2072873
AutoresJessica Dodge (0000-0003-0487-4664, Health Services Research & Development, autor correspondente), Kathrine Sullivan (0000-0002-5269-7351, New York University), Edward Miech, Edward J Miech (0000-0002-7187-1570, Regenstrief Institute), Adriane Clomax, Adriane J Clomax (0000-0003-1676-4462, Center for Innovation), Lyndon Riviere, Lyndon A Riviere (0000-0002-5322-0627, Walter Reed Army Institute of Research), Carl Castro (0000-0002-2767-4967, Center for Innovation)
Ano2024
Volume11
Fascículo2
Páginas669-684
Data de publicação2024-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Racial and Ethnic Health Disparities (JOURNAL)
Identificadores do periódicoISSN: 2196-8837 • E-ISSN: 2197-3792
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s40615-023-01551-3
PMID36952121
OpenAlexW4360600630
IdiomaEN
Citações recebidas1
Referências citadas65

Objective To explore the social determinants of mental health (SDoMH) by race/ethnicity in a sample with equal access to healthcare. Using an adaptation of the World Health Organization's SDoMH Framework, this secondary analysis examines the socio-economic factors that make up the SDoMH by race/ethnicity. Method This paper employed configurational comparative methods (CCMs) to analyze various racial/ethnic subsets from quantitative survey data from (N = 327) active-duty Army wives. Data was collected in 2012 by Walter Reed Army Institute of Research. Results Initial exploratory analysis revealed the highest-scoring factors for each racial/ethnic subgroup: non-Hispanic Black: employment and a history of adverse childhood events (ACEs); Hispanic: living off post and a recent childbirth; junior enlisted non-Hispanic White: high work-family conflict and ACEs; non-Hispanic other race: high work-family conflict and not having a military history. Final analysis showed four models consistently explained clinically significant depression symptoms and four models consistently explained the absence of clinical depression symptoms, providing a solution for each racial/ethnic minority group (non-Hispanic Black, Hispanic, junior enlisted non-Hispanic White, and non-Hispanic other). Discussion These findings highlight that Army wives are not a monolithic group, despite their collective exposure to military-specific stressors. These findings also highlight the potential for applying configurational approaches to gain new insights into mental health outcomes for social science and clinical researchers

Ethnic group · Health equity · Mental health · Psychiatry · Public health · Race (biology · Race and health · Sociology · Employment and Welfare Studies · Gender Studies · Medicine · Migration and Labor Dynamics · Migration, Health and Trauma · Psychology · Gerontology