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: 8811022
• 负责人: Jasmine Abrams
• 金额: $ 2.33万
• 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 2015-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8811022
• 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)：黑人女性受心血管疾病(CVD)的影响不成比例。虽然压力已被确定为心血管疾病风险的关键贡献者，但研究尚未确定压力通过什么具体机制影响黑人女性的心血管疾病风险，黑人女性是一个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影响黑人中与心血管疾病风险相关的健康行为和健康结果。然而，只有有限的研究专门在黑人女性中考察了这些结构及其关联。拟议的研究将通过使用创新的方法(即，通过心率和生物数据对健康的客观衡量)来评估文化上突出的强者的内化的影响，从而解决文献中的重要空白。 黑人女性(SBW)图式和情绪调节在心血管反应/恢复和心血管疾病风险之间的关系。评估的结构将包括：SBW图式的内化，情绪调节能力，对急性应激的反应和恢复，以及心血管疾病风险。血液样本将从119名黑人女性中采集，她们还将完成问卷调查和心算任务。假设：1)急性应激反应对心血管疾病风险的影响将通过SBW图式的内化来调节，2)急性应激的恢复对心血管疾病风险的影响将通过SBW图式的内化来调节，3)对急性应激的反应和恢复与SBW图式的内化对心血管疾病风险的交互作用将通过情绪调节来调节。回归分析将被用来检验这些假设。这些结果将为未来的研究提供信息，并最终制定具有文化针对性的预防战略，以降低黑人妇女患心血管疾病的风险。