title: Financial strain and self-rated health among Black adults.
abstract: OBJECTIVE
  To explore associations between financial strain and self-rated health among 1341 black adults.
  
  
  METHODS
  Associations were investigated using a covariate-adjusted linear regression model. Mediation (via stress and/or depressive symptoms) was explored in additional models using a nonparametric bootstrapping procedure.
  
  
  RESULTS
  Higher financial strain was associated with poorer self-rated health (p < .001). Stress and depressive symptoms were each significant mediators of this relation in both single and multiple mediator models (p values < .05).
  
  
  CONCLUSIONS
  Financial strain may contribute to poorer health among black adults, partially via greater stress and depressive symptoms. Potential theoretical, intervention, and policy implications are discussed. Future studies with longitudinal designs are needed to confirm these results.
authors.affiliation: Department of Clinical Psychology, University of Houston, Houston, TX, USA.
authors.forename: Elaine J
authors.initials: EJ
authors.lastname: Savoy
authors.affiliation: Department of Educational Psychology, College of Education, University of Houston, Houston, TX, USA. Lrreitzel@uh.edu.
authors.forename: Lorraine R
authors.initials: LR
authors.lastname: Reitzel
authors.affiliation: Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Nga
authors.initials: N
authors.lastname: Nguyen
authors.affiliation: Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health, USA.
authors.forename: Pragati S
authors.initials: PS
authors.lastname: Advani
authors.affiliation: Department of Educational Psychology, College of Education, University of Houston, Houston, TX, USA.
authors.forename: Felicia D
authors.initials: FD
authors.lastname: Fisher
authors.affiliation: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Wetter
authors.affiliation: Department of Psychology, Portland State University, Portland, OR, USA.
authors.forename: Adolfo G
authors.initials: AG
authors.lastname: Cuevas
authors.affiliation: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Lorna H
authors.initials: LH
authors.lastname: McNeill
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D016001:Confidence Intervals; D003863:Depression / Q000503:physiopathology; D059026:Diagnostic Self Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D016014:Linear Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D057566:Self Report; D012923:Social Class; D013315:Stress, Psychological; D011795:Surveys and Questionnaires