Psychosocial factors related to Cardiovascular Disease Risk in Young African American Women: a systematic review.
Psychosocial factors related to Cardiovascular Disease Risk in Young African American Women: a systematic review.
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DOI：
10.1080/13557858.2021.1990218
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发表时间：
2022-11
影响因子：
3.1
通讯作者：
Cortes, Yamnia I.
中科院分区：
文献类型：
--
作者：
Harris, Latesha K.;Berry, Diane C.;Cortes, Yamnia I.
非裔美国妇女面临多种不利的心理社会因素，包括种族主义，歧视，贫困，邻里压力，焦虑和抑郁。这些心理社会因素对成年早期女性心血管疾病（CVD）风险的影响有限。这篇综述旨在总结和综合最近的文献，心理社会因素相关的心血管疾病的风险在年轻的非洲裔美国妇女。我们对PubMed、阿帕PsycINFO和CINAHL中的文献进行了全面检索。我们系统地回顾了研究心理社会因素（例如，种族主义、歧视、邻里压力、焦虑）和CVD风险因素（例如，体重指数[BMI]、血压、糖尿病）。符合条件的研究测量至少一个心理社会因素，心血管疾病的风险因素，并包括年轻的成年非洲裔美国妇女（19-24岁）或报告的性别分层分析。我们确定了9项符合纳入标准的研究：6项横断面研究和3项纵向研究。其中，8项研究报告说，心理社会因素（即，感知压力、种族歧视、内在种族主义、抑郁症）与较高的BMI和血压有关。大多数研究是在大学生中进行的，或者样本量较小（<200）。6项研究的质量被评为优秀;其余的为良好和一般。本综述的结果表明，暴露于不良心理社会因素可能与非洲裔美国妇女成年早期（19-24岁）心血管疾病风险增加有关。然而，更大的前瞻性分析是必要的，以检查这些协会。
African American women are exposed to multiple adverse psychosocial factors, including racism, discrimination, poverty, neighborhood stress, anxiety, and depression. The impact of these psychosocial factors on cardiovascular disease (CVD) risk in women during early adulthood is limited. This review aims to summarize and synthesize the recent literature on psychosocial factors related to CVD risk in young African American women. We conducted a comprehensive search of the literature in PubMed, APA PsycINFO, and CINAHL. We systematically reviewed the literature for studies examining associations between psychosocial factors (e.g., racism, discrimination, neighborhood stress, anxiety) and CVD risk factors (e.g., body mass index [BMI], blood pressure, diabetes) in African American women age 19–24 years. Eligible studies measured at least one psychosocial factor, a CVD risk factor, and included young adult African American women (age 19–24) or reported sex-stratified analyses. We identified nine studies that met our inclusion criteria: six cross-sectional and three longitudinal studies. Of these, eight studies reported that psychosocial factors (i.e., perceived stress, racial discrimination, internalized racism, depression) are related to higher BMI and blood pressure. The majority of studies were conducted among college students or had a small sample size (<200). The quality of six studies was rated as excellent; the remainder were good and fair. Findings from this review suggest that exposure to adverse psychosocial factors may be related to increased CVD risk in early adulthood (age 19–24) in African American women. However, larger prospective analyses are necessary to examine these associations.
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