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Language Preference and its Moderating Role in Coping with Stress: The Hispanic Community Health Study/Study of
Morgan Gianola1, Maria M Llabre1, Linda C Gallo2
1University of Miami, Department of Psychology.
Summary
Stress impacts cardiometabolic diseases. Language preference influences this link, with Spanish speakers showing a stronger stress-COPD connection, while English speakers had more stress-related alcohol use.
Area of Science:
- Public Health
- Sociology
- Epidemiology
Background:
- Stress is a known risk factor for cardiometabolic diseases like coronary heart disease and diabetes.
- Language influences emotional regulation and stress appraisal, potentially explaining ethnic differences in stress-disease links.
Purpose of the Study:
- To investigate the association between language preference (Spanish vs. English) and health consequences of stress in Hispanic/Latino adults.
- To examine how stress relates to risk factors and chronic conditions, considering language as a moderator.
Main Methods:
- Utilized data from 5154 Hispanic/Latino adults in the Sociocultural Ancillary Study of the Hispanic Community Health Study/Study of Latinos.
- Calculated a composite stress variable using factor analysis of chronic stress, perceived stress, and adverse childhood experiences.
- Employed regression analyses controlling for sociodemographic factors, accounting for complex survey design with sampling weights.
Main Results:
- Higher composite stress scores correlated with increased risk factors (alcohol use, smoking, BMI, depressive symptoms) and prevalence of coronary heart disease, diabetes, and COPD.
- The association between stress and COPD was significantly stronger in Spanish-preferring adults compared to English-preferring adults.
- English-preferring individuals showed a stronger link between stress and alcohol consumption.
Conclusions:
- Language preference modifies the relationship between stress and specific health outcomes, including COPD and alcohol use, among Hispanic/Latino adults.
- Findings contribute to understanding the Hispanic health paradox and the role of cultural factors in health disparities.
- Results can inform targeted interventions to address health disparities in Hispanic/Latino populations.
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