Psychosociocultural Determinants of Cardiovascular Disease Risk among Black Women

黑人女性心血管疾病风险的心理社会文化决定因素

• 批准号: 8649999
• 负责人: Jasmine Abrams
• 金额: $ 3.28万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-20 至 2015-09-19
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8649999
• 关键词: Acute; Address; Affect; Age; Arithmetic; Attitude; Behavior; Behavioral; Belief; Biological; Blood Pressure; Blood specimen; C-reactive protein; Cardiovascular Diseases; Cardiovascular system; Caring; Cause of Death; Characteristics; Cholesterol; Chronic; Data; Dedications; Development; Disease; Economics; Emotional; Emotions; Epidemic; Family history of; Feeling; Foundations; Gender; Health; Health behavior; Heart Rate; Inflammation; Knowledge; Literature; Measures; Mediating; Methodology; Modeling; Outcome; Peripheral Nervous System; Physiological; Prevention; Prevention program; Prevention strategy; Psyche structure; Psychological Factors; Questionnaires; Race; Recovery; Recurrence; Regression Analysis; Research; Research Personnel; Risk; Role; Sampling; Self Care; Self Efficacy; Smoking Status; Social Welfare; Specificity; Stereotyping; Stress; Sympathetic Nervous System; Symptoms; Testing; Woman; acute stress; advanced disease; base; cardiovascular disorder risk; coping; emotion regulation; expectation; experience; heart rate variability; help-seeking behavior; high risk; innovation; men; positive emotional state; psychologic; psychological distress; public health relevance; resilience; response

DESCRIPTION (provided by applicant): Black women are disproportionately affected by cardiovascular disease (CVD). While stress has been identified as a key contributor to CVD risk, research has not identified the specific mechanisms through which stress influences CVD risk among Black women, a group disproportionately affected by this disease. Culture and emotion regulation have been shown to impact health behaviors and health outcomes associated with CVD risk among Blacks. However, limited research has examined these constructs and their associations exclusively among Black women. The proposed study will address important gaps in the literature by using innovative methodology (i.e., objective measures of health via heart rate and biological data) to assess the impact of internalization of the culturally salient Strong Black Woman (SBW) schema and emotion regulation on the relation between cardiovascular reactivity/recovery and CVD risk. Constructs evaluated will include: internalization of the SBW schema, emotion regulation abilities, reactivity to and recovery from acute stress, and CVD risk. Blood samples will be collected from a sample of 119 Black women, who will also complete questionnaires and a mental arithmetic task. Hypotheses are: 1) the effect of reactivity to acute stress on CVD risk will be moderated by internalization of the SBW schema, 2) the effect of recovery from acute stress on CVD risk will be moderated by internalization of the SBW schema, and 3) the interactive effect of reactivity to and recovery from acute stress and internalization of the SBW schema on CVD risk will be mediated by emotion regulation. Regression analyses will be utilized to test these hypotheses. Results will inform future research and ultimately the development of culturally specific prevention strategies to decrease CVD risk in Black women.

描述（由申请人提供）：黑人妇女不成比例地受到心血管疾病（CVD）的影响。虽然压力已被确定为心血管疾病风险的关键因素，但研究尚未确定压力影响黑人妇女心血管疾病风险的具体机制，黑人妇女是受这种疾病影响不成比例的群体。文化和情绪调节已被证明会影响与黑人CVD风险相关的健康行为和健康结果。然而，有限的研究已经审查了这些结构及其协会只在黑人妇女。拟议的研究将通过使用创新方法（即，通过心率和生物学数据进行客观的健康测量），以评估文化上突出的 黑人妇女（SBW）图式和情绪调节对心血管反应性/恢复和CVD风险之间的关系。 评价的结构将包括：SBW图式的内化、情绪调节能力、对急性应激的反应和从急性应激中恢复以及CVD风险。 将从119名黑人妇女的样本中收集血液样本，她们还将完成问卷调查和心算任务。假设是：1）急性应激反应性对CVD风险的影响将通过SBW图式的内化来调节，2）急性应激恢复对CVD风险的影响将通过SBW图式的内化来调节，3）急性应激反应性和急性应激恢复与SBW图式内化对CVD风险的交互作用将通过情绪调节来介导。将使用回归分析来检验这些假设。研究结果将为未来的研究提供信息，并最终制定针对特定文化的预防策略，以降低黑人妇女的心血管疾病风险。