Journal article
Does stress from incarceration of family and friends contribute to signs of early vascular ageing in African American women?
Journal of epidemiology and community health (1979)
09 Aug 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Early vascular ageing (EVA) contributes to elevated risk of cardiovascular disease (CVD), which disproportionately affects African American women. Incarceration, an event disproportionately impacting African Americans, may be a stressor contributing to EVA in African American women. Further, the subjective perspective, commonly referred to as appraisal, of incarceration may also be important for health. We hypothesised that having family and/or friends incarcerated and appraising the incarceration as upsetting would be associated with indices of EVA.BACKGROUNDEarly vascular ageing (EVA) contributes to elevated risk of cardiovascular disease (CVD), which disproportionately affects African American women. Incarceration, an event disproportionately impacting African Americans, may be a stressor contributing to EVA in African American women. Further, the subjective perspective, commonly referred to as appraisal, of incarceration may also be important for health. We hypothesised that having family and/or friends incarcerated and appraising the incarceration as upsetting would be associated with indices of EVA.In a community-based cohort of African American women aged 30-46 living in Atlanta, Georgia (n=391), participants were asked, at baseline, about family and/or friend incarceration and to appraise how upsetting the incarceration was. Multivariable linear regression examined associations between: (1) family and/or friend incarceration and indices of EVA (pulse wave velocity, augmentation index, central systolic blood pressure (SBP) and pulse pressure amplification) and (2) appraisal of incarceration and EVA indices.METHODSIn a community-based cohort of African American women aged 30-46 living in Atlanta, Georgia (n=391), participants were asked, at baseline, about family and/or friend incarceration and to appraise how upsetting the incarceration was. Multivariable linear regression examined associations between: (1) family and/or friend incarceration and indices of EVA (pulse wave velocity, augmentation index, central systolic blood pressure (SBP) and pulse pressure amplification) and (2) appraisal of incarceration and EVA indices.45% of participants (n=174) reported having a loved one incarcerated, and 59% (n=102) reported the incarceration as upsetting. Having a loved one incarcerated was associated with a higher central SBP (b=4.30; 95% CI 1.61, 6.99) and augmentation index (b=2.29; 95% CI 0.26, 4.33). Appraisal of incarceration was only associated with central SBP.RESULTS45% of participants (n=174) reported having a loved one incarcerated, and 59% (n=102) reported the incarceration as upsetting. Having a loved one incarcerated was associated with a higher central SBP (b=4.30; 95% CI 1.61, 6.99) and augmentation index (b=2.29; 95% CI 0.26, 4.33). Appraisal of incarceration was only associated with central SBP.Family or friend incarceration was highly prevalent in this cohort of African American women and associated with indices of EVA. Mass incarceration of others may affect the physical health of African American women which may contribute to CVD disparities.CONCLUSIONSFamily or friend incarceration was highly prevalent in this cohort of African American women and associated with indices of EVA. Mass incarceration of others may affect the physical health of African American women which may contribute to CVD disparities.
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Details
- Title
- Does stress from incarceration of family and friends contribute to signs of early vascular ageing in African American women?
- Creators
- Nicole D Fields - Emory UniversityZachary T Martin - Emory UniversityLori S Hoggard - North Carolina State UniversityChristy L Erving - The University of Texas at AustinShivika Udaipuria - Emory UniversityKennedy M Blevins - University of California, IrvineJordan E Parker - University of California, Los AngelesJaylah Goodson - Emory UniversityRaphiel J Murden - Emory UniversityRenee H Moore - Drexel UniversityRachel Parker - Emory UniversityLaKeia Culler - Emory UniversityBianca Booker - Emory UniversityEmma Barinas-MitchellArshed Quyyumi - Emory UniversityViola Vaccarino - Emory UniversityTené T Lewis - Emory University
- Publication Details
- Journal of epidemiology and community health (1979)
- Publisher
- BMJ
- Number of pages
- 7
- Grant note
- National Heart, Lung, and Blood Institute (NHLBI): R01HL130471 NHLBI: R01HL158141, K24HL163696, T32HL130025 Eunice Kennedy Shriver National Institute of Child Health and Human Development: P2CHD042849
The Mechanisms Underlying the Impact of Stress and Emotions (MUSE) on African American Women's Health Study was funded by grant R01HL130471 from the National Heart, Lung, and Blood Institute (NHLBI). TTL is supported by grants R01HL158141 and K24HL163696 from NHLBI. NDF is supported by grant T32HL130025 from NHLBI. CLE is partially supported by grant P2CHD042849 awarded to the Population Research Center at the University of Texas at Austin from 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:001288627600001
- Scopus ID
- 2-s2.0-85204229485
- Other Identifier
- 991021897362304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health