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Hostility and quality of life among Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study |
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| Authors: | Ashley E. Moncrieft Maria M. Llabre Linda C. Gallo Jianwen Cai Franklyn Gonzalez II Patricia Gonzalez |
| Affiliation: | 1. Department of Psychology, University of Miami, Coral Gables, FL, USA;2. Department of Psychology, San Diego State University, San Diego, CA, USA;3. Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA |
| Abstract: | Objective: The purpose of this study was to determine if hostility is associated with physical and mental health-related quality of life (QoL) in US. Hispanics/Latinos after accounting for depression and anxiety. Methods: Analyses included 5313 adults (62% women, 18–75 years) who completed the ancillary sociocultural assessment of the Hispanic Community Health Study/Study of Latinos. Participants completed the Center for Epidemiological Studies Depression Scale, Spielberger Trait Anxiety Scale, Spielberger Trait Anger Scale, Cook–Medley Hostility cynicism subscale and Short Form Health Survey. In a structural regression model, associations of hostility with mental and physical QoL were examined. Results: In a model adjusting for age, sex, disease burden, income, education and years in the US., hostility was related to worse mental QoL, and was marginally associated with worse physical QoL. However, when adjusting for the influence of depression and anxiety, greater hostility was associated with better mental QoL, and was not associated with physical QoL. Conclusions: Results indicate observed associations between hostility and QoL are confounded by symptoms of anxiety and depression, and suggest hostility is independently associated with better mental QoL in this population. Findings also highlight the importance of differentiating shared and unique associations of specific emotions with health outcomes. |
| Keywords: | hostility anger negative affect quality of life hispanic/Latino |