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Goal-Striving Stress and Incident Cardiovascular Disease in Blacks: The Jackson Heart Study
Journal article   Open access

Goal-Striving Stress and Incident Cardiovascular Disease in Blacks: The Jackson Heart Study

LáShauntá M Glover, Loretta R Cain-Shields, Tanya M Spruill, Emily C O'Brien, Sharrelle Barber, Laura Loehr and Mario Sims
Journal of the American Heart Association, v 9(9), pp e015707-e015707
05 May 2020
DOI: https://doi.org/10.1161/JAHA.119.015707
PMID: 32342735
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1161/jaha.119.015707View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open
url
https://doi.org/10.1161/JAHA.119.015707View
Published, Version of Record (VoR) Open

Abstract

Adult African Americans Aged Aged, 80 and over Cardiovascular Diseases - diagnosis Cardiovascular Diseases - ethnology Female Goals Health Status Heart Disease Risk Factors Humans Incidence Male Middle Aged Mississippi - epidemiology Prognosis Prospective Studies Race Factors Risk Assessment Sex Factors Social Determinants of Health Socioeconomic Factors Stress, Psychological - diagnosis Stress, Psychological - ethnology Stress, Psychological - psychology Time Factors Young Adult
Background Goal-striving stress (GSS), the stress from striving for goals, is associated with poor health. Less is known about its association with cardiovascular disease (CVD). Methods and Results We used data from the JHS (Jackson Heart Study), a study of CVD among blacks (21-95 years old) from 2000 to 2015. Participants free of CVD at baseline (2000-2004) were included in this analysis (n=4648). GSS was examined in categories (low, moderate, high) and in SD units. Incident CVD was defined as fatal or nonfatal stroke, coronary heart disease (CHD), and/or heart failure. We used Cox proportional hazards regression to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of incident CVD by levels of GSS, adjusting for demographics, socioeconomic status, health behaviors, risk factors, and perceived stress. The distribution of GSS categories was as follows: 40.77% low, 33.97% moderate, and 25.26% high. Over an average of 12 years, there were 140 incident stroke events, 164 CHD events, and 194 heart failure events. After full adjustment, high (versus low) GSS was associated with a lower risk of stroke (HR, 0.38; 95% CI, 0.17-0.83) and a higher risk of CHD (HR, 1.91; 95% CI, 1.10-3.33) among women. A 1-standard deviation unit increase in GSS was associated with a 31% increased risk of CHD (HR, 1.31; 95% CI, 1.10-1.56) among women. Conclusions Higher GSS may be a risk factor for developing CHD among women; however, it appears to be protective of stroke among women. These analyses should be replicated in other samples of black individuals.

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5 Record Views
15 citations in Web of Science
13 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#10 Reduced Inequalities

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
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