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Journal article
Does Employment-Related Resilience Affect the Relationship between Childhood Adversity, Community Violence, and Depression?
Journal of urban health, v 94(2), pp 233-243
Apr 2017
PMID: 28108873
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Depression is a barrier to employment among low-income caregivers receiving Temporary Assistance for Needy Families (TANF), and adverse childhood experiences (ACEs) and exposure to community violence (ECV) are often associated with depression. Using baseline data of 103 TANF caregivers of young children of the Building Wealth and Health Network Randomized Controlled Trial Pilot, this study investigated associations of two forms of employment-related resilience-self-efficacy and employment hope-with exposure to adversity/violence and depression, measured by the Center for Epidemiologic Studies Depression (CES-D) short form. Using contingency table analysis and regression analysis, we identified associations between ACEs and depression [OR = 1.70 (1.25-2.32), p = 0.0008] and having high levels of ECV with a 6.9-fold increased risk for depression when compared with those without ECV [OR = 6.86 (1.43-33.01), p = 0.02]. While self-efficacy and employment hope were significantly associated with depression, neither resilience factor impacted the association of ACE level and depression, whereas self-efficacy and employment hope modestly reduced the associations between ECV and depression, 13 and 16%, respectively. Results suggest that self-efficacy and employment hope may not have an impact on the strong associations between adversity, violence, and depression.
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Details
- Title
- Does Employment-Related Resilience Affect the Relationship between Childhood Adversity, Community Violence, and Depression?
- Creators
- Seth L Welles - Drexel UniversityFalguni Patel - Drexel UniversityMariana Chilton - Drexel University
- Publication Details
- Journal of urban health, v 94(2), pp 233-243
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics; Health Management and Policy
- Web of Science ID
- WOS:000399661500009
- Scopus ID
- 2-s2.0-85009882063
- Other Identifier
- 991019168232404721
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Public, Environmental & Occupational Health