Patricia Drentea

Over the limit: the association among health, race and debt.

This research responds to the call for more research on the conceptualization and measurement of socio-economic status that moves beyond merely considering education, occupation and income variables. Credit card usage and credit card debt is a growing phenomenon in developed countries. Using data from a 1997 representative sample of more than 900 adults in Ohio, we explored how credit card debt and stress regarding debt is associated with health. We found that both credit card debt and stress regarding debt are associated with health. In addition, health behaviors and risks explain part of this association.

Retirement and Mental Health

Objectives: This research examines whether retirement is associated with mental health and how one’s daily pursuits mediate this association. It tests two perspectives from the sociology of work and the sociology of mental health. Methods:Using data from two surveys, the 1995 Aging, Status, and Sense of Control and the 1987-1988 National Survey of Families and Households, regression analysis was used to examine retirement, activities, and well-being. Results:In support of the view that work is alienating and retirement liberating, retirees experienced less anxiety and distress and higher positive affect. Retirees’ lower anxiety and distress were explained by activity characteristics. In support of the viewthatwork is empowering and retirement demoralizing, retirement is associated with lower sense of control in both data sets, in part because of the daily pursuits. Retirement was not associated with depressive symptomatology. Discussion:Suggestions for creating opportunities that enhance well-being are discussed.

Rural-Urban Differences in General and Health-Related Internet Use

Literature has shown that people living in rural areas are less likely to have access to the Internet for demographic and technological reasons; however, less information is available regarding rural—urban differences in online health-information seeking. Data from the National Cancer Institute’s nationally representative 2005 Health Information National Trends Survey (N = 5,586) are used to examine these relationships. Logistic regression results show that those in rural areas use the Internet less than those who live in urban areas. Among individuals who have used the Internet, those in rural areas are less likely to use the Internet for health purposes. The persistence of a digital divide between rural and urban residents in online health searching is attributable to factors such as educational level, income, and diffusion of broadband. The article discusses the impact of these differences.

Neither a borrower nor a lender be: the relative importance of debt and SES for mental health among older adults.

Objective:This study examines the impact of indebtedness on depressive symptomatology, anxiety, and anger. Method: We use data from a two-wave panel study of adults in Miami-Dade County. The analytic sample consists of 1,463 mostly older respondents with valid data on all study measures, including education, income, occupational status, wealth, and debt. Results: We find that indebtedness is common and is associated with more symptoms of depression, anxiety, and anger. It is weakly associated with other aspects of socioeconomic status (SES), and thus not redundant with them. In fact, in this sample, debtor status is more consistently associated with mental health than any other single traditional indicator of SES, its effect does not vary across income or other aspects of SES, and fears of never paying off debt account for its negative impact on mental health. Discussion: These findings affirm health scholars’ calls for more complete measures of SES.

The Separate Spheres of Online Health: Gender, Parenting, and Online Health Information Searching in the Information Age

The objective of this article is to explore how parental status, gender, and their interaction influence a variety of aspects of searching for online health information. Drawing on nationally representative survey data, the results show that in a number of ways parenting and gender have separate but significant influences on the following: online searching behavior, whether the information is used, and feelings about the information obtained. The authors found that although female parents are more likely than male parents to put the health information they have found online into use, parenting and sex have more independent than combined effects. This is particularly the case regarding whether respondents search for information for themselves or others, their feelings about the information found, and the process of finding online health information.

Benefits of Equitable Relationships: The Impact of Sense of Fairness, Household Division of Labor, and Decision Making Power on Perceived Social Support

We examine the impact of equity in intimate relationships on perceived social support among married and cohabiting individuals. We found performing an inequitable portion of the housework or feeling ones portion of the housework is unfair corresponds with lower perceived social support for both individuals in advantaged and disadvantaged positions of power. The highest level of social support results when partners contribute equally to household decisions. In contrast to earlier studies, women do not perceive inequitable household responsibilities as more fair than do men. We argue perceived social support is based in part on the structural conditions of marital arrangements. Five percent of the participants identified as Black, 89% as White, and 6% as members of other racial groups. The average participant had just over a high school education, with a median family income of

Caregiving Outside of the Home: The Effects of Race on Depression

42,427.

THE ASSOCIATION AMONG GENDER, COMPUTER USE AND ONLINE HEALTH SEARCHING, AND MENTAL HEALTH

Objective . This research examines the conditions that determine whether Blacks experience lower or higher levels of depression while caregiving outside of the home, as compared to Whites. Some prior literature has found that African Americans report a lesser caregiver burden despite an increased likelihood that they will acquire this role, and decreased resources to do so. Others have found that African Americans experience the same caregiver burden and distress as Whites. Given these mixed findings, we use the stress process model to examine whether African American caregivers experience lower or higher levels of depression when they provide care outside of the home. Design . A sample of care workers who provide care to others outside of the home was drawn from the 1992–4 National Survey of Families and Households. The final sample included 275 (11%) Blacks, and 2,218 (89%) Whites (not of Hispanic origin). The primary statistical method for predicting differences in caregivers’ depressive symptomatology was OLS regression analysis with progressive adjustment. Results . We examined sociodemographics, family structure, resources, and stressors and found that African Americans, those with lower socioeconomic status, the unmarried, spending more weeks caregiving, having a physical impairment, and surprisingly receiving more help from parents are associated with higher depressive symptomatology. Stronger religious beliefs decreased depressive symptomatology for Blacks. The race effect was, in part, explained by family structure, amount of caregiving, and impairment of care worker. Conclusion . Contrary to prior literature, we found that Blacks are more depressed than White caregivers in large part because of lower socioeconomic status and greater stressors, and higher levels of physical impairment. Yet, strength in religious belief has a stress-buffering effect for African Americans. We suggest that policies that attempt to eliminate racial disparities in socioeconomic status and health could benefit these caregivers.

Economic hardship of minority and non‐minority cancer survivors 1 year after diagnosis: Another long‐term effect of cancer?

Research investigating the impacts of computer and Internet use is increasing; however, few sociologists explore how this use may impact on mental health outcomes. The authors use data from the 2004 General Social Survey to examine the relationship among gender, computer and Internet use for health purposes and mental health. Their findings are mixed in that computer and Internet use are both positively and negatively related to mental health. They find evidence that there may be a selection bias occurring in which those with the greatest well-being problems are the ones searching online for health information. When computer and the Internet use variables were included in the models, the effect of gender on likelihood of experiencing poor mental health was attenuated, which suggests that particular types of Internet use may mediate gender disparities in mental health.

The effects of caregiver emotional stress on the depressive symptomatology of the care recipient

Current literature suggests that racial/ethnic minority survivors may be more likely than whites to experience economic hardship after a cancer diagnosis; however, little is known about such hardship.