Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course.
Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course.
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DOI：
10.2105/ajph.2008.143446
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发表时间：
2010-05
影响因子：
12.7
通讯作者：
Rafferty JA
中科院分区：
文献类型：
--
作者：
Jackson JS;Knight KM;Rafferty JA
我们试图确定不健康的行为是否在观察到的生理和心理健康的种族差异中发挥压力缓冲作用。我们对前两波美国人改变生活调查的数据进行了按种族的逻辑回归，以确定不健康行为是否对主要压力源和慢性健康状况之间的关系以及主要压力源和满足之间的关系具有缓冲作用。重度抑郁症的标准。在白人中，不健康的行为加强了压力源和满足主要抑郁标准之间的关系。然而，在黑人中，压力源和满足主要抑郁标准之间的关系在那些没有从事不健康行为的人中比那些有不健康行为的人更强。在这两个种族群体中，压力源和慢性健康状况之间存在正相关。在黑人中，不健康行为的数量与慢性病的数量之间存在额外的正相关。那些生活在长期压力环境中的人通常通过从事可能具有保护心理健康作用的不健康行为来科普压力源。然而，这种不健康的行为可能与消极的环境条件联合收割机结合，最终导致社会群体之间发病率和死亡率的差异。
We sought to determine whether unhealthy behaviors play a stress-buffering role in observed racial disparities in physical and mental health. We conducted logistic regressions by race on data from the first 2 waves of the Americans’ Changing Lives Survey to determine whether unhealthy behaviors had buffering effects on the relationship between major stressors and chronic health conditions, and on the relationship between major stressors and meeting the criteria for major depression. Among Whites, unhealthy behaviors strengthened the relationship between stressors and meeting major-depression criteria. Among Blacks, however, the relationship between stressors and meeting major-depression criteria was stronger among those who had not engaged in unhealthy behaviors than among those who had. Among both race groups there was a positive association between stressors and chronic health conditions. Among Blacks there was an additional positive association between number of unhealthy behaviors and number of chronic conditions. Those who live in chronically stressful environments often cope with stressors by engaging in unhealthy behaviors that may have protective mental-health effects. However, such unhealthy behaviors can combine with negative environmental conditions to eventually contribute to morbidity and mortality disparities among social groups.