Journal article
Central Hemodynamics in Black Women: Examining the Role of Superwoman Schema Endorsement
Journal of the American Heart Association, v 13(18), e033587
16 Aug 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Black women bear a disproportionate burden of cardiovascular diseases, potentially due to altered central hemodynamics. Racism and sexism often lead to Black women taking on numerous caretaking roles and overall increases their use of the Strong Black Woman (ie, Superwoman) mindset, which may have negative health consequences. We hypothesized that endorsing the Superwoman role and its Obligation to Help Others dimension would be associated with a deleterious central hemodynamics profile in Black women.BACKGROUNDBlack women bear a disproportionate burden of cardiovascular diseases, potentially due to altered central hemodynamics. Racism and sexism often lead to Black women taking on numerous caretaking roles and overall increases their use of the Strong Black Woman (ie, Superwoman) mindset, which may have negative health consequences. We hypothesized that endorsing the Superwoman role and its Obligation to Help Others dimension would be associated with a deleterious central hemodynamics profile in Black women.Using cross-sectional data, we examined central systolic blood pressure (mm Hg; n=408), augmentation index (percentage, adjusted for height and heart rate; n=408), and pulse wave velocity (m/s; n=368) in Black women aged 30 to 46 years. The Giscombe Superwoman Schema (SWS) questionnaire assessed endorsement of Overall SWS (range, 0-105) and SWS-Obligation to Help Others (range, 0-3). Multiple linear regression modeled associations between Overall SWS (10-unit increments) and SWS-Obligation to Help Others (1-unit increments) and central hemodynamics while adjusting for pertinent sociodemographic, clinical, and psychosocial factors. In fully adjusted models, central systolic blood pressure was significantly associated with Overall SWS (β=0.83 [95% CI, 0.19-1.47]) and SWS-Obligation to Help Others (β=2.03 [95% CI, 0.39-3.67]). Augmentation index was associated with Overall SWS (β=0.66 [95% CI, 0.02-1.30]) and SWS-Obligation to Help Others (β=2.21 [95% CI, 0.58-3.84]). Significant associations were not observed between pulse wave velocity and SWS.METHODS AND RESULTSUsing cross-sectional data, we examined central systolic blood pressure (mm Hg; n=408), augmentation index (percentage, adjusted for height and heart rate; n=408), and pulse wave velocity (m/s; n=368) in Black women aged 30 to 46 years. The Giscombe Superwoman Schema (SWS) questionnaire assessed endorsement of Overall SWS (range, 0-105) and SWS-Obligation to Help Others (range, 0-3). Multiple linear regression modeled associations between Overall SWS (10-unit increments) and SWS-Obligation to Help Others (1-unit increments) and central hemodynamics while adjusting for pertinent sociodemographic, clinical, and psychosocial factors. In fully adjusted models, central systolic blood pressure was significantly associated with Overall SWS (β=0.83 [95% CI, 0.19-1.47]) and SWS-Obligation to Help Others (β=2.03 [95% CI, 0.39-3.67]). Augmentation index was associated with Overall SWS (β=0.66 [95% CI, 0.02-1.30]) and SWS-Obligation to Help Others (β=2.21 [95% CI, 0.58-3.84]). Significant associations were not observed between pulse wave velocity and SWS.Greater endorsement of the Superwoman role and prioritizing caregiving over self-care were associated with higher central systolic blood pressure and augmentation index, which may contribute to adverse cardiovascular health among Black women.CONCLUSIONSGreater endorsement of the Superwoman role and prioritizing caregiving over self-care were associated with higher central systolic blood pressure and augmentation index, which may contribute to adverse cardiovascular health among Black women.
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Details
- Title
- Central Hemodynamics in Black Women: Examining the Role of Superwoman Schema Endorsement
- Creators
- Zachary T Martin - Emory UniversityNicole D Fields - Emory UniversityChristy L Erving - The University of Texas at AustinShivika Udaipuria - Emory UniversityReneé H Moore - Drexel UniversityKennedy M Blevins - University of California, IrvineRaphiel J Murden - Emory UniversityBianca Booker - Emory UniversityLaKeia Culler - Emory UniversitySeegar Swanson - Emory UniversityJaylah Goodson - Emory UniversityEmma Barinas-MitchellArshed A Quyyumi - Emory UniversityViola Vaccarino - Emory UniversityTené T Lewis - Emory University
- Publication Details
- Journal of the American Heart Association, v 13(18), e033587
- Publisher
- WILEY
- Number of pages
- 11
- Grant note
- National Institutes of Health: R01 HL130471, R01 HL158141, T32 HL130025
The MUSE study is funded by National Institutes of Health Grants R01 HL130471 and R01 HL158141 to TTL. Dr Lewis received additional funding from K24 HL163696. Drs Martin and Fields are supported by National Institutes of Health T32 HL130025 to Dr Vaccarino. Dr Erving is partially supported by P2CHD042849 awarded to the Population Research Center at the University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001314672800022
- Scopus ID
- 2-s2.0-85204190039
- Other Identifier
- 991021898991104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems