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Abstract

Poverty is associated with negative health outcomes, including depression. Little is known about the specific elements of poverty that contribute to depression, particularly among African American women at risk for type 2 diabetes. This study examined the relationships of economic and social resources to depression among African American women at high risk for the development of type 2 diabetes (N = 181) using the Conservation of Resources theory as a conceptual framework. Women were assessed at 3 time points in conjunction with a dietary change intervention. At baseline, 40% of women reported clinically significant depression, and 43.3% were below the poverty line. Depressed women reported fewer economic assets and greater economic distress than nondepressed peers. Multivariate logistic regression analyses indicated that nonwork status, lack of home ownership, low appraisal of one’s economic situation, low self-esteem, and increased life events were significantly associated with depression at baseline. Longitudinal multivariate logistic regression models indicated that income, home ownership, future economic appraisal, life events, and self-esteem predicted depression trajectories at Time 3. These results speak to the multifaceted sources of stress in the lives of poor African American women. Interventions that address the economic and social factors associated with depression are needed.
This research was funded in part by Grant RO1 DK 48143 from She National Institute of Diabetes and Digestive and Kidney Diseases and the office of Research on Minority Health, and 5 T32 HL07456-18 from the Heart, Lung, and Blood Institute of the National Institutes of Health. Portions of this article are based on data presented to the 22nd Annual Scientific Sessions of the Society of Behavioral Medicine, Seattle, WA, March 2001.
We gratefully acknowledge Stevan Hobfoll, Ph.D. for reviewing a previous draft of this article; Hope Krebiil, R.N. and Adjoa Robinson, M.S.W. for their contributions to this project; and Deborah Page-Adams and Edward Seanlon for their contributions to the research summary on home ownership.

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