Cargando…

Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex

This study examines race and sex differences in the latent structure of 10 psychosocial measures and the association of identified factors with self-reported history of coronary heart disease (CHD). Participants were 4,128 older adults from the Chicago Health and Aging Project. Exploratory factor an...

Descripción completa

Detalles Bibliográficos
Autores principales: Clark, Cari Jo, Henderson, Kimberly M., de Leon, Carlos F. Mendes, Guo, Hongfei, Lunos, Scott, Evans, Denis A., Everson-Rose, Susan A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Research Foundation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270306/
https://www.ncbi.nlm.nih.gov/pubmed/22347196
http://dx.doi.org/10.3389/fpsyt.2012.00005
_version_ 1782222557515087872
author Clark, Cari Jo
Henderson, Kimberly M.
de Leon, Carlos F. Mendes
Guo, Hongfei
Lunos, Scott
Evans, Denis A.
Everson-Rose, Susan A.
author_facet Clark, Cari Jo
Henderson, Kimberly M.
de Leon, Carlos F. Mendes
Guo, Hongfei
Lunos, Scott
Evans, Denis A.
Everson-Rose, Susan A.
author_sort Clark, Cari Jo
collection PubMed
description This study examines race and sex differences in the latent structure of 10 psychosocial measures and the association of identified factors with self-reported history of coronary heart disease (CHD). Participants were 4,128 older adults from the Chicago Health and Aging Project. Exploratory factor analysis (EFA) with oblique geomin rotation was used to identify latent factors among the psychosocial measures. Multi-group comparisons of the EFA model were conducted using exploratory structural equation modeling to test for measurement invariance across race and sex subgroups. A factor-based scale score was created for invariant factor(s). Logistic regression was used to test the relationship between the factor score(s) and CHD adjusting for relevant confounders. Effect modification of the relationship by race–sex subgroup was tested. A two-factor model fit the data well (comparative fit index = 0.986; Tucker–Lewis index = 0.969; root mean square error of approximation = 0.039). Depressive symptoms, neuroticism, perceived stress, and low life satisfaction loaded on Factor I. Social engagement, spirituality, social networks, and extraversion loaded on Factor II. Only Factor I, re-named distress, showed measurement invariance across subgroups. Distress was associated with a 37% increased odds of self-reported CHD (odds ratio: 1.37; 95% confidence intervals: 1.25, 1.50; p-value < 0.0001). This effect did not differ by race or sex (interaction p-value = 0.43). This study identified two underlying latent constructs among a large range of psychosocial variables; only one, distress, was validly measured across race–sex subgroups. This construct was robustly related to prevalent CHD, highlighting the potential importance of latent constructs as predictors of cardiovascular disease.
format Online
Article
Text
id pubmed-3270306
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Frontiers Research Foundation
record_format MEDLINE/PubMed
spelling pubmed-32703062012-02-15 Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex Clark, Cari Jo Henderson, Kimberly M. de Leon, Carlos F. Mendes Guo, Hongfei Lunos, Scott Evans, Denis A. Everson-Rose, Susan A. Front Psychiatry Psychiatry This study examines race and sex differences in the latent structure of 10 psychosocial measures and the association of identified factors with self-reported history of coronary heart disease (CHD). Participants were 4,128 older adults from the Chicago Health and Aging Project. Exploratory factor analysis (EFA) with oblique geomin rotation was used to identify latent factors among the psychosocial measures. Multi-group comparisons of the EFA model were conducted using exploratory structural equation modeling to test for measurement invariance across race and sex subgroups. A factor-based scale score was created for invariant factor(s). Logistic regression was used to test the relationship between the factor score(s) and CHD adjusting for relevant confounders. Effect modification of the relationship by race–sex subgroup was tested. A two-factor model fit the data well (comparative fit index = 0.986; Tucker–Lewis index = 0.969; root mean square error of approximation = 0.039). Depressive symptoms, neuroticism, perceived stress, and low life satisfaction loaded on Factor I. Social engagement, spirituality, social networks, and extraversion loaded on Factor II. Only Factor I, re-named distress, showed measurement invariance across subgroups. Distress was associated with a 37% increased odds of self-reported CHD (odds ratio: 1.37; 95% confidence intervals: 1.25, 1.50; p-value < 0.0001). This effect did not differ by race or sex (interaction p-value = 0.43). This study identified two underlying latent constructs among a large range of psychosocial variables; only one, distress, was validly measured across race–sex subgroups. This construct was robustly related to prevalent CHD, highlighting the potential importance of latent constructs as predictors of cardiovascular disease. Frontiers Research Foundation 2012-02-02 /pmc/articles/PMC3270306/ /pubmed/22347196 http://dx.doi.org/10.3389/fpsyt.2012.00005 Text en Copyright © 2012 Clark, Henderson, de Leon, Guo, Lunos, Evans and Everson-Rose. http://www.frontiersin.org/licenseagreement This is an open-access article distributed under the terms of the Creative Commons Attribution Non Commercial License, which permits non-commercial use, distribution, and reproduction in other forums, provided the original authors and source are credited.
spellingShingle Psychiatry
Clark, Cari Jo
Henderson, Kimberly M.
de Leon, Carlos F. Mendes
Guo, Hongfei
Lunos, Scott
Evans, Denis A.
Everson-Rose, Susan A.
Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex
title Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex
title_full Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex
title_fullStr Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex
title_full_unstemmed Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex
title_short Latent Constructs in Psychosocial Factors Associated with Cardiovascular Disease: An Examination by Race and Sex
title_sort latent constructs in psychosocial factors associated with cardiovascular disease: an examination by race and sex
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270306/
https://www.ncbi.nlm.nih.gov/pubmed/22347196
http://dx.doi.org/10.3389/fpsyt.2012.00005
work_keys_str_mv AT clarkcarijo latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex
AT hendersonkimberlym latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex
AT deleoncarlosfmendes latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex
AT guohongfei latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex
AT lunosscott latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex
AT evansdenisa latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex
AT eversonrosesusana latentconstructsinpsychosocialfactorsassociatedwithcardiovasculardiseaseanexaminationbyraceandsex