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Modifiable Resources and Resilience in Racially and Ethnically Diverse Older Women: Implications for Health Outcomes and Interventions
Authors
Springfield, SparkleQin, Feifei
Hedlin, Haley
Eaton, Charles B.
Rosal, Milagros C
Taylor, Herman
Staudinger, Ursula M.
Stefanick, Marcia L.
UMass Chan Affiliations
Prevention Research CenterDepartment of Population and Quantitative Health Sciences
Document Type
Journal ArticlePublication Date
2022-06-09Keywords
Women’s Health Initiativeaging
race/ethnicity
resilience
resources
women’s health
Community Health and Preventive Medicine
Geriatrics
Preventive Medicine
Race and Ethnicity
Women's Health
Metadata
Show full item recordAbstract
Introduction: Resilience-which we define as the "ability to bounce back from stress"-can foster successful aging among older, racially and ethnically diverse women. This study investigated the association between psychological resilience in the Women's Health Initiative Extension Study (WHI-ES) and three constructs defined by Staudinger's 2015 model of resilience and aging: (1) perceived stress, (2) non-psychological resources, and (3) psychological resources. We further examined whether the relationship between resilience and key resources differed by race/ethnicity. Methods: We conducted a secondary analysis on 77,395 women aged 62+ (4475 Black or African American; 69,448 non-Hispanic White; 1891 Hispanic/Latina; and 1581 Asian or Pacific Islanders) who enrolled in the WHI-ES, which was conducted in the United States. Participants completed a short version of the Brief Resilience Scale one-time in 2011. Guided by Staudinger's model, we used linear regression analysis to examine the relationships between resilience and resources, adjusting for age, race/ethnicity, and stressful life events. To identify the most significant associations, we applied elastic net regularization to our linear regression models. Findings: On average, women who reported higher resilience were younger, had fewer stressful life events, and reported access to more resources. Black or African American women reported the highest resilience, followed by Hispanic/Latina, non-Hispanic White, and Asian or Pacific Islander women. The most important resilience-related resources were psychological, including control of beliefs, energy, personal growth, mild-to-no forgetfulness, and experiencing a sense of purpose. Race/ethnicity significantly modified the relationship between resilience and energy (overall interaction p = 0.0017). Conclusion: Increasing resilience among older women may require culturally informed stress reduction techniques and resource-building strategies, including empowerment to control the important things in life and exercises to boost energy levels.Source
Springfield S, Qin F, Hedlin H, Eaton CB, Rosal MC, Taylor H, Staudinger UM, Stefanick ML. Modifiable Resources and Resilience in Racially and Ethnically Diverse Older Women: Implications for Health Outcomes and Interventions. Int J Environ Res Public Health. 2022 Jun 9;19(12):7089. doi: 10.3390/ijerph19127089. PMID: 35742334; PMCID: PMC9223074. Link to article on publisher's site
DOI
10.3390/ijerph19127089Permanent Link to this Item
http://hdl.handle.net/20.500.14038/44664PubMed ID
35742334Related Resources
Rights
Copyright © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Distribution License
http://creativecommons.org/licenses/by/4.0/ae974a485f413a2113503eed53cd6c53
10.3390/ijerph19127089
Scopus Count
Except where otherwise noted, this item's license is described as Copyright © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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