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Racial Discrimination, Religious Coping, and Cardiovascular Disease Risk Among African American Women and Men.
Ashe, Jason; Bentley-Edwards, Keisha; Skipper, Antonius; Cuevas, Adolfo; Vieytes, Christian Maino; Bah, Kristie; Evans, Michele K; Zonderman, Alan B; Waldstein, Shari R.
Afiliación
  • Ashe J; Laboratory of Epidemiology and Population Sciences, National Institute On Aging, Baltimore, MD, USA. Jasonjashe@gmail.com.
  • Bentley-Edwards K; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Skipper A; Duke Cancer Institute, Duke University, Durham, NC, USA.
  • Cuevas A; Samuel DuBois Cook Center On Social Equity, Duke University, Durham, NC, USA.
  • Vieytes CM; The Gerontology Institute, Georgia State University, Atlanta, GA, USA.
  • Bah K; Department of Social and Behavioral Sciences, New York University School of Global Public Health, New York, NY, USA.
  • Evans MK; Center for Anti-Racism, Social Justice, and Public Health, New York University School of Global Public Health, New York, NY, USA.
  • Zonderman AB; Laboratory of Epidemiology and Population Sciences, National Institute On Aging, Baltimore, MD, USA.
  • Waldstein SR; Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA.
Article en En | MEDLINE | ID: mdl-39160432
ABSTRACT

OBJECTIVE:

This cross-sectional study examined whether religious coping buffered the associations between racial discrimination and several modifiable cardiovascular disease (CVD) risk factors-systolic and diastolic blood pressure (BP), glycated hemoglobin (HbA1c), body mass index (BMI), and cholesterol-in a sample of African American women and men.

METHODS:

Participant data were taken from the Healthy Aging in Neighborhoods of Diversity Across the Life Span study (N = 815; 55.2% women; 30-64 years old). Racial discrimination and religious coping were self-reported. CVD risk factors were clinically assessed.

RESULTS:

In sex-stratified hierarchical regression analyses adjusted for age, socioeconomic status, and medication use, findings revealed several significant interactive associations and opposite effects by sex. Among men who experienced racial discrimination, religious coping was negatively related to systolic BP and HbA1c. However, in men reporting no prior discrimination, religious coping was positively related to most risk factors. Among women who had experienced racial discrimination, greater religious coping was associated with higher HbA1c and BMI. The lowest levels of CVD risk were observed among women who seldom used religious coping but experienced discrimination.

CONCLUSION:

Religious coping might mitigate the effects of racial discrimination on CVD risk for African American men but not women. Additional work is needed to understand whether reinforcing these coping strategies only benefits those who have experienced discrimination. It is also possible that religion may not buffer the effects of other psychosocial stressors linked with elevated CVD risk.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Racial Ethn Health Disparities Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Racial Ethn Health Disparities Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza