Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study
Abstract Background Racial disparities in cardiovascular disease (CVD) have been attributed in part to negative psychosocial factors. Prior studies have demonstrated associations between individual psychosocial factors and CVD risk factors, but little is known about their cumulative effects. Methods...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08573-0 |
| _version_ | 1828464697630785536 |
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| author | Mario Sims Lá Shauntá M. Glover Samson Y. Gebreab Tanya M. Spruill |
| author_facet | Mario Sims Lá Shauntá M. Glover Samson Y. Gebreab Tanya M. Spruill |
| author_sort | Mario Sims |
| collection | DOAJ |
| description | Abstract Background Racial disparities in cardiovascular disease (CVD) have been attributed in part to negative psychosocial factors. Prior studies have demonstrated associations between individual psychosocial factors and CVD risk factors, but little is known about their cumulative effects. Methods Using the Jackson Heart Study, we examined the cross-sectional associations of cumulative psychosocial factors with CVD risk factors among 5306 African Americans. We utilized multivariable Poisson regression to estimate sex-stratified prevalence ratios (PR 95% confidence interval-CI) of obesity, hypertension and diabetes prevalence and hypertension and diabetes control with negative affect (cynicism, anger-in, anger-out, depressive symptoms and cumulative negative affect) and stress (global stress, weekly stress, major life events-MLEs and cumulative stress), adjusting for demographics, socioeconomic status, and behaviors. Results After full adjustment, high (vs. low) cumulative negative affect was associated with prevalent obesity among men (PR 1.36 95% CI 1.16–1.60), while high (vs. low) cumulative stress was similarly associated with obesity among men and women (PR 1.24 95% CI 1.01–1.52 and PR 1.13 95% CI 1.03–1.23, respectively). Psychosocial factors were more strongly associated with prevalent hypertension and diabetes among men than women. For example, men who reported high cynicism had a 12% increased prevalence of hypertension (PR 1.12, 95% CI 1.03–1.23). Psychosocial factors were more strongly associated with lower hypertension and diabetes control for women than men. Women who reported high (vs. low) cynicism had a 38% lower prevalence of hypertension control (PR 0.62, 95% CI 0.46–0.84). Conclusions Cumulative psychosocial factors were associated with CVD risk factors and disease management among African Americans. The joint accumulation of psychosocial factors was more associated with risk factors for men than women. |
| first_indexed | 2024-12-11T03:18:53Z |
| format | Article |
| id | doaj.art-004cde3e974545a6b05cb72f4aba1726 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T03:18:53Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-004cde3e974545a6b05cb72f4aba17262022-12-22T01:22:41ZengBMCBMC Public Health1471-24582020-04-0120111110.1186/s12889-020-08573-0Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart StudyMario Sims0Lá Shauntá M. Glover1Samson Y. Gebreab2Tanya M. Spruill3Department of Medicine, University of Mississippi Medical CenterDepartment of Epidemiology, University of North Carolina at Chapel HillNational Institutes of HealthDepartment of Population Health, NYU School of MedicineAbstract Background Racial disparities in cardiovascular disease (CVD) have been attributed in part to negative psychosocial factors. Prior studies have demonstrated associations between individual psychosocial factors and CVD risk factors, but little is known about their cumulative effects. Methods Using the Jackson Heart Study, we examined the cross-sectional associations of cumulative psychosocial factors with CVD risk factors among 5306 African Americans. We utilized multivariable Poisson regression to estimate sex-stratified prevalence ratios (PR 95% confidence interval-CI) of obesity, hypertension and diabetes prevalence and hypertension and diabetes control with negative affect (cynicism, anger-in, anger-out, depressive symptoms and cumulative negative affect) and stress (global stress, weekly stress, major life events-MLEs and cumulative stress), adjusting for demographics, socioeconomic status, and behaviors. Results After full adjustment, high (vs. low) cumulative negative affect was associated with prevalent obesity among men (PR 1.36 95% CI 1.16–1.60), while high (vs. low) cumulative stress was similarly associated with obesity among men and women (PR 1.24 95% CI 1.01–1.52 and PR 1.13 95% CI 1.03–1.23, respectively). Psychosocial factors were more strongly associated with prevalent hypertension and diabetes among men than women. For example, men who reported high cynicism had a 12% increased prevalence of hypertension (PR 1.12, 95% CI 1.03–1.23). Psychosocial factors were more strongly associated with lower hypertension and diabetes control for women than men. Women who reported high (vs. low) cynicism had a 38% lower prevalence of hypertension control (PR 0.62, 95% CI 0.46–0.84). Conclusions Cumulative psychosocial factors were associated with CVD risk factors and disease management among African Americans. The joint accumulation of psychosocial factors was more associated with risk factors for men than women.http://link.springer.com/article/10.1186/s12889-020-08573-0Psychosocial factorsObesityHypertensionDiabetesAfrican AmericansJackson Heart Study |
| spellingShingle | Mario Sims Lá Shauntá M. Glover Samson Y. Gebreab Tanya M. Spruill Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study BMC Public Health Psychosocial factors Obesity Hypertension Diabetes African Americans Jackson Heart Study |
| title | Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study |
| title_full | Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study |
| title_fullStr | Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study |
| title_full_unstemmed | Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study |
| title_short | Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study |
| title_sort | cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among african americans in the jackson heart study |
| topic | Psychosocial factors Obesity Hypertension Diabetes African Americans Jackson Heart Study |
| url | http://link.springer.com/article/10.1186/s12889-020-08573-0 |
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