東華大學圖書館 |

Hypertension and Heart Disease in Later Life : = The Role of Depression, Subjective Age, and Preventative Health Behaviors.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Hypertension and Heart Disease in Later Life :/
其他題名:	The Role of Depression, Subjective Age, and Preventative Health Behaviors.
作者:	Beaulieu, Celeste C.
面頁冊數:	1 online resource (174 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
Contained By:	Dissertations Abstracts International84-12B.
標題:	Mental health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30421463click for full text (PQDT)
ISBN:	9798379613754

Hypertension and Heart Disease in Later Life : = The Role of Depression, Subjective Age, and Preventative Health Behaviors.
Beaulieu, Celeste C.

Hypertension and Heart Disease in Later Life :The Role of Depression, Subjective Age, and Preventative Health Behaviors. - 1 online resource (174 pages)

Source: Dissertations Abstracts International, Volume: 84-12, Section: B.

Thesis (Ph.D.)--University of Massachusetts Boston, 2023.

Includes bibliographical references

Subjective age and depressive symptoms are different indicators of mental health that have implications for physical health. Subjective age has multiple meanings and is measured in a variety of ways. This dissertation investigated subjective age as the age an individual feels. The relationship between subjective age and health behaviors is not fully understood, and thus, requires more scholarly research. This dissertation uses the Health and Retirement Study to investigate the relationships between subjective age and depressive symptoms, the health behaviors of physical activity and diet, and cardiovascular health outcomes. The dissertation is composed of three studies. Study 1 explores the relationships between subjective age and physical health and diet, and the moderating effect of chronological age. Results indicate that feeling younger is related to exercising more frequently, and to engaging in a healthier diet, supporting my hypotheses. There is no moderating effect of chronological age; this hypothesis is not supported. Study 2 investigates the relationship between depressive symptoms, physical activity, diet, and hypertension. Depressive symptoms and physical activity are observed in 2012, diet in 2013, and hypertension in 2014. Two measures of diet are used, the Mediterranean Diet Score (MedDiet) and the Mediterranean-DASH Diet Intervention for Neurocognitive Delay (MIND diet). In terms of hypertension, while direct and indirect (mediating) effects are found for physical activity, only direct effects are found for the MedDiet. These results partially support my hypotheses. The MIND diet is not statistically related to hypertension; thus, my hypothesis about this relationship is not supported. Further, older adults with more depressive symptoms engage in less physical activity, have a less healthy diet, and are more likely to have hypertension at the following wave. This supports my hypothesis. Study 3 analyzes the relationship between depressive symptoms, hypertension and heart disease. Depressive symptoms and hypertension are observed in 2014 and heart disease is observed in 2016. Further, this study investigates the moderating roles of gender and race-ethnic status. Direct relationships are found for all key variables, but no indirect effect was found. These results partially supported my hypotheses. Gender did not moderate any of the relationships; this hypothesis was not supported. Race-ethnic status moderates all relationships. Hispanic older adults are more likely to develop hypertension and heart disease when they report more depressive symptoms, compared to non-Hispanic White older adults. Both non-Hispanic Black and Hispanic respondents are more likely to develop heart disease if they have hypertension than are non-Hispanic White respondents. These results provide partial support for my hypotheses. Results from these three studies add to the current scholarly literature by highlighting the importance of mental health and health behaviors for cardiovascular health outcomes among older adults in the United States. Public health programs should focus on improving mental health education and resources, especially for historically marginalized communities.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379613754Subjects--Topical Terms:

534751
Mental health.
Subjects--Index Terms:

DepressionIndex Terms--Genre/Form:

542853
Electronic books.

Hypertension and Heart Disease in Later Life : = The Role of Depression, Subjective Age, and Preventative Health Behaviors.
LDR:04668nmm a2200409K 4500 001 2362866
005 20231109093749.5
006 m o d
007 cr mn ---uuuuu
008 241011s2023 xx obm 000 0 eng d
020 $a 9798379613754
035 $a (MiAaPQ)AAI30421463
035 $a AAI30421463
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Beaulieu, Celeste C. $3 3703608
245 1 0 $a Hypertension and Heart Disease in Later Life : $b The Role of Depression, Subjective Age, and Preventative Health Behaviors.
264 0 $c 2023
300 $a 1 online resource (174 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
500 $a Advisor: Burr, Jeffrey A.
502 $a Thesis (Ph.D.)--University of Massachusetts Boston, 2023.
504 $a Includes bibliographical references
520 $a Subjective age and depressive symptoms are different indicators of mental health that have implications for physical health. Subjective age has multiple meanings and is measured in a variety of ways. This dissertation investigated subjective age as the age an individual feels. The relationship between subjective age and health behaviors is not fully understood, and thus, requires more scholarly research. This dissertation uses the Health and Retirement Study to investigate the relationships between subjective age and depressive symptoms, the health behaviors of physical activity and diet, and cardiovascular health outcomes. The dissertation is composed of three studies. Study 1 explores the relationships between subjective age and physical health and diet, and the moderating effect of chronological age. Results indicate that feeling younger is related to exercising more frequently, and to engaging in a healthier diet, supporting my hypotheses. There is no moderating effect of chronological age; this hypothesis is not supported. Study 2 investigates the relationship between depressive symptoms, physical activity, diet, and hypertension. Depressive symptoms and physical activity are observed in 2012, diet in 2013, and hypertension in 2014. Two measures of diet are used, the Mediterranean Diet Score (MedDiet) and the Mediterranean-DASH Diet Intervention for Neurocognitive Delay (MIND diet). In terms of hypertension, while direct and indirect (mediating) effects are found for physical activity, only direct effects are found for the MedDiet. These results partially support my hypotheses. The MIND diet is not statistically related to hypertension; thus, my hypothesis about this relationship is not supported. Further, older adults with more depressive symptoms engage in less physical activity, have a less healthy diet, and are more likely to have hypertension at the following wave. This supports my hypothesis. Study 3 analyzes the relationship between depressive symptoms, hypertension and heart disease. Depressive symptoms and hypertension are observed in 2014 and heart disease is observed in 2016. Further, this study investigates the moderating roles of gender and race-ethnic status. Direct relationships are found for all key variables, but no indirect effect was found. These results partially supported my hypotheses. Gender did not moderate any of the relationships; this hypothesis was not supported. Race-ethnic status moderates all relationships. Hispanic older adults are more likely to develop hypertension and heart disease when they report more depressive symptoms, compared to non-Hispanic White older adults. Both non-Hispanic Black and Hispanic respondents are more likely to develop heart disease if they have hypertension than are non-Hispanic White respondents. These results provide partial support for my hypotheses. Results from these three studies add to the current scholarly literature by highlighting the importance of mental health and health behaviors for cardiovascular health outcomes among older adults in the United States. Public health programs should focus on improving mental health education and resources, especially for historically marginalized communities.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Mental health. $3 534751
650 4 $a Aging. $3 543123
650 4 $a Health sciences. $3 3168359
653 $a Depression
653 $a Diet
653 $a Heart disease
653 $a Hypertension
653 $a Physical activity
653 $a Subjective age
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0347
690 $a 0493
690 $a 0566
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a University of Massachusetts Boston. $b Gerontology (PhD)). $3 3179488
773 0 $t Dissertations Abstracts International $g 84-12B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30421463 $z click for full text (PQDT)