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Discrimination, chronic stress, and cardiovascular health among African American men and women in the Jackson Heart Study: A cross-sectional study

Author

Listed:
  • Johnson, Amber J.
  • Sims, Mario
  • Okundolor, Chelsea
  • James, Sherman A.
  • Kirby, Katharine A.

Abstract

Optimal cardiovascular health (CVH) reduces cardiovascular disease risk. However, further research should clarify the role of psychosocial factors on CVH among African Americans. The current cross-sectional study sought to examine the relationship between discrimination, chronic stress, and CVH among African Americans in the Jackson Heart Study (n = 4737). The associations between discrimination (i.e., daily, lifetime, and discrimination burden), chronic stress, and achieving ideal CVH and CVH indicators (e.g., smoking, diet, blood pressure) were investigated using multinomial logistic regression analysis. Multivariable linear regression models also examined associations between discrimination, chronic stress, and CVH scores.

Suggested Citation

  • Johnson, Amber J. & Sims, Mario & Okundolor, Chelsea & James, Sherman A. & Kirby, Katharine A., 2025. "Discrimination, chronic stress, and cardiovascular health among African American men and women in the Jackson Heart Study: A cross-sectional study," Social Science & Medicine, Elsevier, vol. 383(C).
  • Handle: RePEc:eee:socmed:v:383:y:2025:i:c:s0277953625007919
    DOI: 10.1016/j.socscimed.2025.118460
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    References listed on IDEAS

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    1. Geronimus, A.T. & Hicken, M. & Keene, D. & Bound, J., 2006. ""Weathering" and age patterns of allostatic load scores among blacks and whites in the United States," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 826-833.
    2. Krieger, N. & Sidney, S., 1996. "Racial discrimination and blood pressure: The CARDIA study of young black and white adults," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1370-1378.
    3. Jackson, J.S. & Knight, K.M. & Rafferty, J.A., 2010. "Race and unhealthy behaviors: Chronic stress, the HPA Axis, and physical and mental health disparities over the life course," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 933-939.
    4. Sims, M. & Diez-Roux, A.V. & Dudley, A. & Gebreab, S. & Wyatt, S.B. & Bruce, M.A. & James, S.A. & Robinson, J.C. & Williams, D.R. & Taylor, H.A., 2012. "Perceived discrimination and hypertension among African Americans in the Jackson Heart Study," American Journal of Public Health, American Public Health Association, vol. 102(S2), pages 258-265.
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