Racial Discrimination, Religious Coping, and Cardiovascular Disease Risk Among African American Women and Men

被引：1

作者：

Ashe, Jason ^{[1
]}

Bentley-Edwards, Keisha ^{[2
,3
,4
]}

Skipper, Antonius ^{[5
]}

Cuevas, Adolfo ^{[6
,7
]}

Vieytes, Christian Maino ^{[1
]}

Bah, Kristie ^{[8
]}

Evans, Michele K. ^{[1
]}

Zonderman, Alan B. ^{[1
]}

Waldstein, Shari R. ^{[8
,9
]}

机构：

[1] NIA, Lab Epidemiol & Populat Sci, Baltimore, MD 20892 USA

[2] Duke Univ, Duke Global Hlth Inst, Durham, NC USA

[3] Duke Univ, Duke Canc Inst, Durham, NC USA

[4] Duke Univ, Samuel DuBois Cook Ctr Social Equ, Durham, NC USA

[5] Georgia State Univ, Gerontol Inst, Atlanta, GA USA

[6] NYU, Sch Global Publ Hlth, Dept Social & Behav Sci, New York, NY USA

[7] NYU, Ctr Antiracism Social Justice & Publ Hlth, Sch Global Publ Hlth, New York, NY USA

[8] Univ Maryland, Dept Psychol, Baltimore, MD USA

[9] Univ Maryland, Sch Med, Div Gerontol Geriatr & Palliat Med, Baltimore, MD USA

来源：

JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES | 2024年

关键词：

Racial discrimination; Religious coping; Cardiovascular disease risk; African Americans; SOCIAL SUPPORT; BLOOD-PRESSURE; CARIBBEAN BLACKS; RACIAL/ETHNIC DISCRIMINATION; PERCEIVED DISCRIMINATION; SUBJECTIVE RELIGIOSITY; PSYCHOLOGICAL DISTRESS; SOCIOECONOMIC-STATUS; HEALTH BEHAVIORS; UNITED-STATES;

D O I：

10.1007/s40615-024-02113-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

ObjectiveThis cross-sectional study examined whether religious coping buffered the associations between racial discrimination and several modifiable cardiovascular disease (CVD) risk factors-systolic and diastolic blood pressure (BP), glycated hemoglobin (HbA1c), body mass index (BMI), and cholesterol-in a sample of African American women and men.MethodsParticipant data were taken from the Healthy Aging in Neighborhoods of Diversity Across the Life Span study (N = 815; 55.2% women; 30-64 years old). Racial discrimination and religious coping were self-reported. CVD risk factors were clinically assessed.ResultsIn sex-stratified hierarchical regression analyses adjusted for age, socioeconomic status, and medication use, findings revealed several significant interactive associations and opposite effects by sex. Among men who experienced racial discrimination, religious coping was negatively related to systolic BP and HbA1c. However, in men reporting no prior discrimination, religious coping was positively related to most risk factors. Among women who had experienced racial discrimination, greater religious coping was associated with higher HbA1c and BMI. The lowest levels of CVD risk were observed among women who seldom used religious coping but experienced discrimination.ConclusionReligious coping might mitigate the effects of racial discrimination on CVD risk for African American men but not women. Additional work is needed to understand whether reinforcing these coping strategies only benefits those who have experienced discrimination. It is also possible that religion may not buffer the effects of other psychosocial stressors linked with elevated CVD risk.

引用

页数：17