Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 6/2015

01-12-2015 | Original Article

Family Environment and the Metabolic Syndrome: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS)

Authors: Frank J. Penedo, Ph.D., Carrie E. Brintz, M.S., Maria M. LLabre, Ph.D., William Arguelles, Ph.D., Carmen R. Isasi, M.D., Ph.D., Elva M. Arredondo, Ph.D., Elena L. Navas-Nacher, Ph.D., Krista M. Perreira, Ph.D., Hector M. González, Ph.D., Carlos J. Rodriguez, M.D., M.P.H., Martha Daviglus, Ph.D., Neil Schneiderman, Ph.D., Linda C. Gallo, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 6/2015

Login to get access

Abstract

Background

Metabolic syndrome (MetS) is a risk factor for cardiovascular disease. Very limited work has evaluated associations of sociocultural processes with prevalence of the MetS.

Purpose

The purpose of the present study was to evaluate associations between family environment (cohesion/conflict) and the MetS, in a multi-site sample of US Hispanics/Latinos.

Methods

A total of 3278 participants from the Hispanic Community Health Study/Study of Latinos underwent a clinical exam and completed psychosocial measures including family environment (cohesion and conflict) as part of the Sociocultural Ancillary Study.

Results

The association between family environment and the MetS was moderated by sex. Among all women, higher family conflict was associated with MetS prevalence. Results by ancestry group showed that only among Cuban women, higher conflict was associated with the MetS, whereas only among Dominican men, greater cohesion was associated with the MetS.

Conclusions

The family context may be a sociocultural protective or risk factor among Hispanics/Latinos in terms of MetS risk, but these associations may vary by sex and Hispanic background.
Literature
1.
Rodriguez CJ, Allison M, Daviglus ML, et al. On behalf of the American Heart Association Council on Epidemiology and Prevention, Council on Clinical Cardiology, and Council on Cardiovascular and Stroke Nursing. Status of cardiovascular disease and stroke in Hispanics/Latinos in the United States. Circulation. 2014; 130: 1-33.CrossRef
2.
Grundy SM. Metabolic syndrome: a multiplex cardiovascular risk factor. J Clin Endocr Metab. 2007; 92: 399-404.CrossRefPubMed
3.
Gami AS, Witt BJ, Howard DE, et al. Metabolic syndrome and risk of incident cardiovascular events and death: A systematic review and meta-analysis of longitudinal studies. J Am Coll Cardiol. 2007; 49(4): 403-414.CrossRefPubMed
4.
Haffner SM. Relationship of metabolic risk factors and development of cardiovascular disease and diabetes. Obesity (Silver Spring). 2006; 14(Suppl3): 121S-127S.CrossRefPubMed
5.
Ervin RB. Prevalence of metabolic syndrome among adults 20 years of age and over, by sex, age, race and ethnicity, and body mass index: United States, 2003–2006. Natl Health Stat Report. 2009; 13: 1-7.PubMed
6.
Matthews KA, Raikkonen K, Gallo LC, et al. Association between socioeconomic status and metabolic syndrome in women: testing the reserve capacity model. Health Psychol. 2006; 27: 576-583.CrossRef
7.
Räikkönen K, Matthews KA, Kuller LH. Depressive symptoms and stressful life events predict metabolic syndrome among middle-aged women. Diabetes Care. 2007; 30(4): 872-877.CrossRefPubMed
8.
Everson-Rose SA, Lewis TT. Psychosocial factors and cardiovascular diseases. Annu Rev of Publ Health. 2005; 26: 469-500.CrossRef
9.
10.
Steptoe A, Kivimäki M. Stress and cardiovascular disease: An update on current knowledge. Annu Rev Public Health. 2013; 34: 337-54.CrossRefPubMed
11.
Butnoriene J, Bunevicius A, Norkus A, et al. Depression but not anxiety is associated with metabolic syndrome in primary care based community sample. Psychoneuroendocrinology. 2014; 40: 269-76.CrossRefPubMed
12.
Pan A, Keum N, Okereke OI, et al. Bidirectional association between depression and metabolic syndrome: A systematic review and meta-analysis of epidemiological studies. Diabetes Care. 2012; 35(5): 1171-1180.PubMedCentralCrossRefPubMed
13.
Cohen S, Pressman SD. Positive affect and health. Curr Dir in Psychol Sci. 2006; 15: 122.CrossRef
14.
Kubzansky LD, Sparrow D, Vokonas P, et al. Is the glass half empty or half full? a prospective study of optimism and coronary heart disease in the normative aging study. Psychosom Med. 2001; 63(6): 910-916.CrossRefPubMed
15.
16.
Whittaker KS, Krantz DS, Rutledge T, et al. Combining psychosocial data to improve prediction of cardiovascular disease risk factors and events: The National Heart, Lung, and Blood Institute–sponsored Women’s Ischemia Syndrome Evaluation study. Psychosom Med. 2012; 74(3): 263-70.PubMedCentralCrossRefPubMed
17.
Gustafsson PE, Hammarström A. Socioeconomic disadvantage in adolescent women and metabolic syndrome in mid-adulthood: An examination of pathways of embodiment in the Northern Swedish Cohort. Soc Sci Med. 2012; 74: 1630-1638.CrossRefPubMed
18.
Miller GE, Lachman ME, Chen E, et al. Pathways to resilience: maternal nurturance as a buffer against the effects of childhood poverty on metabolic syndrome at midlife. Psychol Sci. 2011; 22(12): 1591-9.PubMedCentralCrossRefPubMed
19.
Whisman MA, Uebelacker LA, Settles TD. Marital distress and the metabolic syndrome: Linking social functioning with physical health. J Fam Psychol. 2010; 24(3): 367-70.CrossRefPubMed
20.
Perez GK, Cruess D. The impact of familism on physical and mental health among Hispanics in the U.S. Health Psychol Rev. 2011;1–33.
21.
22.
Gallo LC, Penedo FJ, Espinosa de los Monteros K, et al. Resiliency in the face of disadvantage: do Hispanic cultural characteristics protect health outcomes? J Pers. 2009; 77(6): 1707-1746.CrossRefPubMed
23.
24.
Hovey JD, Magana C. Acculturative stress, anxiety, and depression among Mexican farmworkers in the midwest United States. J Immigr Health. 2000; 2: 119-131.CrossRefPubMed
25.
Rodriguez N, Mira CB, Paez ND, et al. Exploring the complexities of familism and acculturation: central constructs for people of Mexican origin. Am J Community Psychol. 2007; 39: 61-77.CrossRefPubMed
26.
Diez-Roux AV, Detrano R, Jackson DR Jr, et al. Acculturation and socioeconomic position as predictors of coronary calcification in a multiethnic sample. Circulation. 2005; 112(11): 1557-1565.CrossRefPubMed
27.
Koya DL, Egede LE. Association between length of residence and cardiovascular disease risk factors among an ethnically diverse group of United States immigrants. J Gen Intern Med. 2007; 22: 841-846.PubMedCentralCrossRefPubMed
28.
Bird HR, Canino GJ, Davies M, et al. Prevalence and correlates of antisocial behaviors among three ethnic groups. J Abnorm Child Psych. 2001; 29: 465-478.CrossRef
29.
Page RL. Positive pregnany outcomes in Mexican immigrants: What can we learn? J Obstet Gynecol Neonatal Nurs. 2004; 33(6): 783-790.CrossRefPubMed
30.
Losada A et al. Cross-cultural study comparing the association of familism with burden and depressive symptoms in two samples of Hispanic dementia caregivers. Aging Ment Health. 2006; 10(1): 69-76.CrossRefPubMed
31.
32.
Ashing-Giwa KT, Padilla GV, Bohorquez DE, et al. Understanding the breast cancer experience of Latina women. J Psychosoc Oncol. 2006; 24(3): 19-52.CrossRefPubMed
33.
Mulvaney-Day NE, Alegria M, Sribney W. Social cohesion, social support, and health among Latinos in the United States. Soc Sci Med. 2007; 64(2): 477-495.PubMedCentralCrossRefPubMed
34.
Lehman BJ, Taylor SE, Kiefe CI, et al. Relation of childhood socioeconomic status and family environment to adult metabolic functioning in the CARDIA study. Psychosom Med. 2005; 67(6): 846-854.CrossRefPubMed
35.
Sorlie PD, Avilés-Santa LM, Wassertheil-Smoller S, et al. Design and implementation of the Hispanic community health study/study of Latinos. Ann Epidermiol. 2010; 20(8): 629-641.CrossRef
36.
Grundy SM. Atlas of atherosclerosis and the metabolic syndrome. 5th ed. New York: Spring Science and Business Media; 2011.CrossRef
37.
LaVange LM, Kalsbeek WD, Sorlie PD, et al. Sample design and cohort selection in the Hispanic community health study/study of Latinos. Ann Epidemiol. 2010; 20: 642-649.PubMedCentralCrossRefPubMed
38.
Ellison J, Jandorf L, Duhamel K. Assessment of the Short Acculturation Scale for Hispanics (SASH) among low-income, immigrant Hispanics. J Cancer Educ. 2011; 26(3): 478-83.CrossRefPubMed
39.
Andresen EM, Malmgren JA, Carter WB, et al. Screening for depression in well oder adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression scale). Am J Prev Med. 1994; 10: 77-84.
40.
Cohen S, Memelstein R, Kamarck T, et al. Measuring the functional components of social support. In: Sarason IG, Sarason B, eds. Social support: Theory, research and application. The Hague: Martinus Nijhoff; 1985: 73-94.
41.
Moos RH, Moos BS. Family environment scale. Manual. 3rd ed. Palo Alto: Consulting Psychologists Press; 1994.
42.
Dimitrov DM. Testing for factorial invariance in the context of construct validation. Measurement and Evaluation in Counseling and Development. 2010; 43: 121-149.CrossRef
43.
Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005; 112: 2735-2752.CrossRefPubMed
44.
45.
46.
Schmaltz HN, Southern D, Ghali W, et al. Living alone, patient sex and mortality after acute myocardial infarction. J Gen Intern Med. 2007; 22(5): 572-578.
47.
Coyne JC, Rohrbaugh MJ, Shoham V, et al. Prognostic importance of marital quality for survival of congestive heart failure. Am J Cardiol. 2001; 88(5): 526-529.
48.
Schmied EA, Parada H, Horton LA, Madanat H, Ayala GX. Family support is associated with behavioral strategies for healthy eating among Latinas. Health Educ Behav. 2013; Epub ahead of print.
49.
Rivera FI, Guarnaccia PJ, Mulvaney-Day N, et al. Family cohesion and its relationship to psychological distress among Latino groups. Hisp J behave Sci. 2008; 30(3): 357-378.
50.
Li S, Horner P, Delva J. Social capital and cigarette smoking among Latinos in the United States. Subst Abuse Rehabil. 2012; Supplement 1: 83–92. PMID: 22706166 [PubMed] PMCID: PMC3374601
51.
Estrada-Martinez LM, Padilla MB, Caldwell CH, et al. Examining the influence of family environments on youth violence: A comparison of Mexican, Puerto Rican, Cuban, non-Latino Black, and non-Latino White adolescents. J Youth Adolesc. 2011; 40(8): 1039-1051.CrossRefPubMed
52.
Lehman BJ, Taylor SE, Kiefe CI, et al. Relation of childhood socioeconomic status and family environment to adult metabolic functioning in the CARDIA study. Psychosom Med. 2005; 67(6): 846-854.
53.
Zeller MH, Reiter-Purtill J, Modi AC, et al. Controlled study of critical parent and family factors in the obesigenic environment. Obesity. 2007; 15(1): 126-36.
Metadata
Title
Family Environment and the Metabolic Syndrome: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study (SCAS)
Authors
Frank J. Penedo, Ph.D.
Carrie E. Brintz, M.S.
Maria M. LLabre, Ph.D.
William Arguelles, Ph.D.
Carmen R. Isasi, M.D., Ph.D.
Elva M. Arredondo, Ph.D.
Elena L. Navas-Nacher, Ph.D.
Krista M. Perreira, Ph.D.
Hector M. González, Ph.D.
Carlos J. Rodriguez, M.D., M.P.H.
Martha Daviglus, Ph.D.
Neil Schneiderman, Ph.D.
Linda C. Gallo, Ph.D.
Publication date
01-12-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 6/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9713-4

Other articles of this Issue 6/2015

Annals of Behavioral Medicine 6/2015 Go to the issue

Original Article

Use of Health Behavior Theory in Funded Grant Proposals: Cancer Screening Interventions as a Case Study

Original Article

The Interdependence of Advanced Cancer Patients’ and Their Family Caregivers’ Mental Health, Physical Health, and Self-Efficacy over Time

Original Article

Reliability of Identification of Behavior Change Techniques in Intervention Descriptions

Brief Report

Illness Schema Activation and the Effects of Illness Seasonality on Accessibility of Implicit Illness-Related Information

Original Article

Sexual Minority Stressors, Internalizing Symptoms, and Unhealthy Eating Behaviors in Sexual Minority Youth

Original Article

Cognitive Behavioral Stress Management for Healthy Women at Risk for Breast Cancer: a Novel Application of a Proven Intervention