This study extends the family stress model by examining the influence of economic pressure on health and weight management behaviors mediated by depressive symptoms and spousal support among 506 African American married couples. The actor–partner interdependence model accounted for the interdependent nature of relationships. Findings support the family stress model; yet pathways differed slightly for husbands and wives. Economic pressure directly influenced depressive symptoms and spousal support. Spousal support was a buffer against poor health and weight management behaviors for husbands, while depressive symptoms exacerbated poor health and weight management behaviors for wives. These mechanisms have implications for practitioners who promote African American couples’ well-being.
BagleySPAngelRDilworth-AndersonP. (1995) Panel V: Adaptive health behaviors among ethnic minorities. Health Psychology14: 632–640.
3.
BaronRMKennyDA (1986) The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology51: 1173–1182.
4.
BenazonNRCoyneJC (2000) Living with a depressed spouse. Journal of Family Psychology14: 71–79.
5.
BeverlyEAMillerCKWrayLA (2008) Spousal support and food-related behavior change in middle-aged and older adults living with type 2 diabetes. Health Education & Behavior35: 707–720.
6.
BrowneMWCudeckR (1993) Alternative ways of assessing model fit. In: BollenKALongJS (eds) Testing Structural Equation Models. Newbury Park, CA: SAGE, pp. 136–162.
7.
BryantCMTaylorRJLincolnKD. (2008) Marital satisfaction among African Americans and Black Caribbeans: Findings from the National Survey of American Life. Family Relations57: 239–253.
8.
BryantCMWickramaKASCutronaC (2006) A Study of African American Marriage and Health. Unpublished raw data.
9.
CarminesEMcIverJ (1981) Analyzing models with unobserved variables: Analysis of covariance structures. In: BohrnstedtGWBorgattaEF (eds) Social Measure: Current Issues. Beverly Hills, CA: SAGE, pp. 65–115.
10.
CarrDSpringerKW (2010) Advances in families and health research in the 21st century. Journal of Marriage and Family72: 743–761.
11.
CongerRDElderGHJr (1994) Families in Troubled Times. New York: Aldine De Gruyter.
12.
CongerRDElderGHJrLorenzFO. (1990) Linking economic hardship to marital quality and instability. Journal of Marriage and Family52: 643–656.
13.
CongerRDRueterMAElderGHJr (1999) Couple resilience to economic pressure. Journal of Personality and Social Psychology76: 54–71.
14.
CongerRDWallaceLESunY. (2002) Economic pressure in African American families: A replication and extension of the family stress model. Developmental Psychology38: 179–193.
15.
CoolsJSchotteDEMcNallyRJ (1992) Emotional arousal and overeating in restrained eaters. Journal of Abnormal Psychology101: 348–351.
16.
CutronaCERussellDWAbrahamWT. (2003) Neighborhood context and financial strain as predictors of marital interaction and marital quality in African American couples. Personal Relationships10: 389–409.
17.
DeNavas-WaltCProctorBDSmithJC (2011) Income, poverty, and health insurance coverage in the United States: 2010. US Census Bureau, Current Population Reports P60-239, September, Washington, DC: US Government Printing Office.
18.
DentonMWaltersV (1999) Gender differences in structural and behavioral determinants of health: An analysis of the social production of health. Social Science & Medicine48: 1221–1235.
19.
EisenhauerE (2001) In poor health: Supermarket redlining and urban nutrition. GeoJournal53: 125–133.
20.
FarleyRAllenWR (1987) The Color Line and the Quality of Life in America. New York: Oxford University Press.
21.
FowersBJ (1991) His and her marriage: A multivariate study of gender and marital satisfaction. Sex Roles24: 209–221.
22.
FritzMSMacKinnonDP (2007) Required sample size to detect the mediated effect. Psychological Science18: 233–239.
23.
GallantM (2003) The influence of social support on chronic illness self-management: A review and directions for research. Health Education and Behavior30: 170–195.
24.
GreeneCPCramerJM (2011) Beyond Mere Sustenance: Food as Communication/ Communication as Food. New York: Peter Lang International Academic Publishers.
25.
GrzywaczJGGanongL (2009) Issues in families and health research. Family Relations58: 373–378.
26.
GudmunsonCGBeutlerIFIsraelsenCL. (2007) Linking financial strain to marital instability: Examining the roles of emotional distress and marital interaction. Journal of Family and Economic Issues28: 357–376.
27.
HallSSAdamsRA (2011) Cognitive coping strategies of newlyweds adjusting to marriage. Marriage & Family Review47: 311–325.
28.
HamburgMEFinkenauerCSchuengelC (2014) Food for love: The role of food offering in empathic emotion regulation. Frontiers in Psychology5: Article 32.
29.
HayesAF (2009) Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs76: 408–420.
30.
HenrySLRookKSStephensMAP. (2013) Spousal undermining of older diabetic patients’ disease management. Journal of Health Psychology18: 1550–1561.
31.
HollandASRoismanGI (2008) Big five personality traits and relationship quality: Self-reported, observational, and physiological evidence. Journal of Social and Personal Relationships25: 811–829.
32.
HustonTLChorostAF (1994) Behavioral buffers on the effect of negativity on marital satisfaction: A longitudinal study. Personal Relationships1: 223–239.
33.
JenkinsSHornerSD (2005) Barriers that influence eating behaviors in adolescents. Journal of Pediatric Nursing20: 258–267.
34.
KasselJStroudLParonisC (2003) Smoking, stress, and negative affect: Correlation, causation, and context across stages of smoking. Psychological Bulletin129: 270–304.
35.
KennyDAKashyDACookWL (2006) Dyadic Data Analysis. New York: Guilford Press.
36.
KidwellKMNelsonTDVan DykT (2013) Parenting stress and child physical health among a low-income sample: The moderating role of child anxiety. Journal of Health Psychology. Epub ahead of print 11December. DOI: 10.1177/1359105313512352.
37.
KonttinenHMannistoSSarlio-LahteenkorvaS. (2010) Emotional eating, depressive symptoms and self-reported food consumption: A population-based study. Appetite54: 473–479.
38.
KopelmanPG (2000) Obesity as a medical problem. Nature404: 635–643.
39.
LewisMARookKS (1999) Social control in personal relationships: Impact on health behaviors and psychological distress. Health Psychology18: 63–71.
40.
LincolnKDChaeDH (2010) Stress, marital satisfaction, and psychological distress among African Americans. Journal of Family Issues31: 1081–1105.
41.
LorantVCrouxCWeichS. (2007) Depres-sion and socio-economic risk factors: 7-year longitudinal population study. British Journal of Psychology190: 293–298.
42.
MachtM (2008) How emotions affect eating: A five-way model. Appetite50: 1–11.
43.
MachtMSimonsG (2000) Emotions and eating in everyday life. Appetite35: 65–71.
44.
MachtMHauptCEllgringH (2005) The perceived function of eating is changed during examination stress: A field study. Eating Behaviors6: 109–112.
45.
McNultyJKKarneyBR (2002) Expectancy confirmation in appraisals of marital interactions. Personality and Social Psychology Bulletin28: 764–775.
46.
MarmotMG (1989) General approaches to migrant studies: The relation between disease, social class and ethnic origin. In: CruickshankJKBeeversDG (eds) Ethnic Factors in Health and Disease. London: Butterworth, pp. 12–17.
47.
MurraySLHolmesJGGriffinDW (1996) The benefits of positive illusions: Idealization and the construction of satisfaction in close relationships. Journal of Personality and Social Psychology70: 79–98.
48.
O’NealCWWickramaKASBryantCM (2014) Control over work, positive self, and health among African American husbands and wives. Journal of Family Issues35: 384–410.
49.
OuwensMAvan StrienTvan LeeuweJF (2009) Possible pathways between depression, emotional and external eating: A structural equation model. Appetite53: 245–248.
50.
PopkinBMDuffeyKGordon-LarsenP (2005) Environmental influences on food choice, physical activity and energy balance. Physiology and Behavior86: 603–613.
51.
RadloffLS (1977) The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement1: 385–401.
52.
SchaferRBSchaferEDunbarM. (1999) Marital food interaction and dietary behavior. Social Science & Medicine48: 787–796.
53.
ShawBAAgahiNKrauseN (2012) Are changes in financial strain associated with changes in alcohol use and smoking among older adults. Journal of Studies on Alcohol and Drugs73: 917–925.
54.
ShumakerSAHillDR (1991) Gender differences in social support and physical health. Health Psychology10: 102–111.
55.
SteptoeABrydonLKunz-EbrechtS (2005) Changes in financial strain over three years, ambulatory blood pressure, and cortisol responses to awakening. Psychosomatic Medicine67: 281–287.
56.
SwamiVFrederickDAAavikT. (2010) The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: Results of the International Body Project I. Personality and Social Psychology Bulletin36: 309–325.
57.
TorresSJNowsonCA (2007) Relationship between stress, eating behavior, and obesity. Nutrition23: 887–894.
58.
UmbersonDCrosnoeRReczekC (2010) Social relationships and health behavior across the life course. Annual Review of Sociology36: 139–157.
59.
VinokurADPriceRHCaplanRD (1996) Hard times and hurtful partners: How financial strain affects depression and relationship satisfaction of unemployed persons and their spouses. Journal of Personality and Social Psychology71: 166–179.
60.
WaltersS (2001) Sex differences in weight perception and nutritional behavior in adults with cystic fibrosis. Journal of Human Nutrition Dietetics14: 83–91.
61.
WhiteLParhamT (1990) Psychology of Blacks: An African American Perspective. Englewood Cliffs, NJ: Prentice Hall.
62.
WickramaKASCongerRDLorenzFO (1995) Work, marriage lifestyle, and changes in men’s physical health. Journal of Behavioral Medicine18: 97–111.
63.
WickramaKASLorenzFOWallaceLE. (2001) Family influence on physical health during the middle years: The case of onset of hypertension. Journal of Marriage and Family63: 527–539.
64.
ZhangCRexrodeKMvan DamRM. (2008) Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality. Circulation117: 1658–1667.
65.
ZhaoXLynchJGChenQ (2010) Reconsidering Baron and Kenny: Myths and truths about mediation. Journal of Consumer Research37: 197–206.
