Depression, Smoking, and Ego-Centric Social Network Characteristics in Ohio Appalachian Women

Rural Mental Health
Jeffrey LamMary Ellen Wewers

Abstract

Depression is a serious, costly, and debilitating disorder that is understudied in rural women. Studies show that depression is associated with low social integration and support, but few studies investigate the relationship between depression and social network characteristics. This study examined the associations among women from three Ohio Appalachian counties enrolled in a health study, which aimed to collect information for a future social network smoking cessation intervention. An address-based sampling method was used to randomly select and recruit 404 women. A cross-sectional survey and interview were used to collect information about demographic, psychosocial, behavioral factors, and ego-centric social network characteristics, which are variables derived from an individual (ego) and her first degree contacts (alters). The CES-D scale assessed depressive symptoms. A multivariable logistic regression analysis described the association between these factors and participants with depression (defined as CES-D≥16). Higher network density, or greater number of relationships among alters divided by the total amount of alters, reduced the risk for depression (OR = 0.84, 95% confidence interval [CI] 0.73-0.95). Additionally, wom...Continue Reading

Citations

Mar 8, 2019·BMC Public Health·Seong-Jun KimSung-In Jang
Apr 29, 2021·American Journal of Health Promotion : AJHP·Jessica R ThompsonJessica G Burke

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