Cumulative Psychosocial Stress and Ideal Cardiovascular Health in Older Women

Circulation
Melissa S Burroughs PeñaMichelle A Albert

Abstract

Research implicates acute and chronic stressors in racial/ethnic health disparities, but the joint impact of multiple stressors on racial/ethnic disparities in cardiovascular health is unknown. In 25 062 women (24 053 white; 256 Hispanic; 440 black; 313 Asian) articipating in the Women's Health Study follow-up cohort, we examined the relationship between cumulative psychosocial stress (CPS) and ideal cardiovascular health (ICH), as defined by the American Heart Association's 2020 strategic Impact Goals. This health metric includes smoking, body mass index, physical activity, diet, blood pressure, total cholesterol, and glucose, with higher levels indicating more ICH and less cardiovascular risk (score range, 0-7). We created a CPS score that summarized acute stressors (eg, negative life events) and chronic stressors (eg, work, work-family spillover, financial, discrimination, relationship, and neighborhood) and traumatic life event stress reported on a stress questionnaire administered in 2012 to 2013 (score range, 16-385, with higher scores indicating higher levels of stress). White women had the lowest mean CPS scores (white: 161.7±50.4; Hispanic: 171.2±51.7; black: 172.5±54.9; Asian: 170.8±50.6; Poverall<0.01). Mean CPS scor...Continue Reading

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Citations

Mar 27, 2019·Circulation. Cardiovascular Quality and Outcomes·Michelle A Albert
May 16, 2020·Circulation. Cardiovascular Quality and Outcomes·Gmerice HammondKaren E Joynt Maddox
Aug 9, 2020·Circulation. Cardiovascular Imaging·Judith L MeadowsRobert Soufer
Apr 8, 2021·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Ruijia ChenDavid R Williams
Jul 14, 2021·Women's Health·Jolaade KalinowskiTanya Spruill
Jul 30, 2021·Journal of the American College of Emergency Physicians Open·Rebecca E CashAshish R Panchal
Dec 11, 2021·Journal of the American Heart Association·Rienna G RussoStella S Yi

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