Psychological resilience, resilient coping, and health behaviors among adults in Puerto Rico after multiple adverse events.

Autor:	Sampson L; Program in Public Health, Stony Brook University, Stony Brook, NY, USA.; Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Kim AH; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA., O'Neill HJ; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Tamez M; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Falcon LM; Department of Sociology, College of Fine Arts, Humanities, & Social Sciences, University of Massachusetts Lowell, Lowell, MA, USA., Tucker KL; Department of Biomedical and Nutritional Sciences, Zuckerberg College of Health Sciences, and Center for Population Health, University of Massachusetts Lowell, Lowell, MA, USA., Acosta-Pérez E; Center for Evaluation and Sociomedical Research,Graduate School of Public Health and The Hispanic Alliance of Clinical and Translational Research, Chancellor Office University of Puerto Rico - Medical Sciences Campus, San Juan, Puerto Rico, USA., Rodriguez Orengo JF; Department of Biochemistry, University of Puerto Rico - Medical Sciences Campus, San Juan, Puerto Rico, USA.; FDI Clinical Research,San Juan, Puerto Rico, USA., Kubzansky LD; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA., Koenen KC; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.; Psychiatric and Neurodevelopmental Genetics Unit, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA., Mattei J; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2024 Aug 30; Vol. 46, pp. 102874. Date of Electronic Publication: 2024 Aug 30 (Print Publication: 2024).
DOI:	10.1016/j.pmedr.2024.102874
Abstrakt:	Objective : Residents of Puerto Rico have recently experienced multiple adverse events, including hurricanes, earthquakes, and political unrest. Such adversity is associated with worse mental and physical health. Psychological resilience and effective coping may mitigate these relations by fostering positive health behaviors, like consuming a high-quality diet and being physically active. However, empirical evidence for these relationships is limited. Methods : We assessed psychological resilience, resilient coping, and health behaviors among two groups of adults in Puerto Rico, before and during the pandemic, in 2019-2023 (total N = 1,342). Resilience and resilient coping were assessed using the Brief Resilience Scale and Brief Resilient Coping Scale. Diet quality was defined by the Alternate Healthy Eating Index from a food frequency questionnaire. We collected data on sleep, physical activity, alcohol intake, and tobacco use using validated questionnaires. Results : Adjusting for confounders, higher resilience z-scores were associated with being in the highest category of diet quality [OR: 1.25, 95 % CI: 1.04, 1.50]; getting 7-8 h of sleep per night [OR: 1.15, 95 % CI: 1.02,1.30]; and reporting moderate or heavy physical activity (vs. light or sedentary) [OR: 1.17, 95 % CI: 1.02,1.34]. The same patterns were observed for higher resilient coping z-scores, and for categorical measures of resilience and resilient coping. These relationships were stronger among participants interviewed during (vs. before) the COVID-19 pandemic, suggesting that resilience and resilient coping may be particularly relevant during an ongoing stressor. Conclusion : Identifying supportive strategies to cultivate resilience and effective coping mechanisms may contribute to healthier behaviors, particularly in a vulnerable population. Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dr. Koenen has been a paid consultant in the past three years for the US Department of Justice and Covington and Burling, LLP. She receives royalties from Guilford Press and Oxford University Press. Dr. Kubzansky receives royalties from Oxford University Press. The other authors have no competing interests to disclose. (© 2024 The Author(s).)
Databáze:	MEDLINE
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