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What Predicts a Mayoral Official's Opinion about the Role of Stress in Health Disparities?
Journal article   Open access   Peer reviewed

What Predicts a Mayoral Official's Opinion about the Role of Stress in Health Disparities?

Adolfo G Cuevas, Sarah Levine and Jonathan Purtle
Journal of racial and ethnic health disparities, v 7(1), pp 109-116
Feb 2020
DOI: https://doi.org/10.1007/s40615-019-00639-z
PMID: 31686369
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc7047710View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Attitude to Health Female Health Status Disparities Humans Local Government Male Middle Aged Minority Groups - psychology Minority Groups - statistics & numerical data Poverty - psychology Poverty - statistics & numerical data Professional Competence - statistics & numerical data Stress, Psychological - psychology United States
High stress is a public health issue in the United States (US), that disproportionately affects socially-marginalized group members, including racial and ethnic minorities and those of low socioeconomic status. While city governments have the potential to reduce stress exposure and health disparities through municipal policies, very little is known about factors that are associated with mayor officials' beliefs about stress as a determinant of disparities. This information is important because it can inform the design of interventions to educate city policymakers about evidence related to stress and health disparities. Using data from a 2016 survey of 230 mayor officials (101 mayors, 129 senior staff), multivariable logistic regression was used to determine the extent to which respondents' individual characteristics (e.g., ideology, highest level of education) and the characteristics of their city's population (e.g., percentage of residents non-white) were associated with their identification of stress as a factor that has a "very strong effect" on health disparities. Forty-four percent of respondents identified stress as having a very strong effect on health disparities. In the fully adjusted model, every percentage point increase in the proportion of a respondent's city population that was non-White increased the odds of identifying stress as having a very strong effect on health disparities by 2% [adjusted odds ratio (aOR) = 1.02; 95% CI = 1.00,1.04]. Interventions are needed to increase city policymakers' knowledge about the role of stress in the production of health disparities, which could, in turn, help cultivate political will for city policies that reduce disparities.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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