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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Network stressors, personal stressors, and ambulatory blood pressure in African-American women-Does superwoman schema play a role?
Health psychology, v 42(7), pp 485-495
01 Jul 2023
PMID: 37338427
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Life stressors have been linked to cardiovascular risk; however, studies typically focus on stressors that directly impact the individual, that is, personal stressors. Research suggests that women, particularly African-American women, may be more vulnerable to network stressors that involve family members and friends-potentially due to norms around needing to be a "Superwoman." Yet few studies have examined these phenomena.
We examined associations between network, versus personal, stressors, and elevated blood pressure (BP) in N = 392 African-American women aged 30-46. Questionnaire-assessed negative life events were classified into upsetting network or personal stressors. BP was assessed in clinic and via 48-hr ambulatory monitoring. Linear and logistic regression models examined associations between type of stressors and 48-hr daytime and nighttime systolic BP (SBP) and diastolic BP (DBP), and sustained hypertension after adjusting for relevant covariates. Interactions with questionnaire-assessed superwoman schema (SWS) were tested in exploratory analyses.
In age and sociodemographic-adjusted models, network stressors were significantly associated with daytime SBP, β (SE) = 2.01 (0.51), p ≤ .0001, and DBP, β (SE) = 1.59 (0.37), p ≤ .0001, but personal stressors were not (p values > .10). Associations persisted after adjustment for cardiovascular and psychosocial risk factors. Patterns were similar for nighttime BP and sustained hypertension. There were no interactions with SWS.
Network, but not personal, stressors were associated with elevated rates of daytime SBP and DBP, as well as sustained hypertension in African-American women, irrespective of SWS endorsement. Future research is needed to determine whether stress-management interventions focused on network stressors might impact BP in this high-risk population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Details
- Title
- Network stressors, personal stressors, and ambulatory blood pressure in African-American women-Does superwoman schema play a role?
- Creators
- Tené T Lewis - Emory UniversityRachel Parker - Emory UniversityRaphiel Murden - Emory UniversityTelisa Spikes - Emory UniversityChristy Erving - The University of Texas at AustinIzraelle I McKinnon - Emory UniversityMiriam E Van Dyke - Emory UniversityBianca Booker - Emory UniversityArshed Quyummi - Emory University School of MedicineViola Vaccarino - Emory UniversityReneé H Moore - Drexel University
- Publication Details
- Health psychology, v 42(7), pp 485-495
- Grant note
- K24 HL163696 / NHLBI NIH HHS R01 HL130471 / NHLBI NIH HHS T32 HL130025 / NHLBI NIH HHS R01 HL158141 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001012160800006
- Scopus ID
- 2-s2.0-85163921355
- Other Identifier
- 991021448063804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology
- Psychology, Clinical