ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2012
Progression of coronary artery calcification in black and white women: do the stresses and rewards of multiple roles matter?
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed.
- Financial responsibility, financial context, and ambulatory blood pressure in early middle-aged African-American women.Social science & medicine (1982) · 2024Article
- Psychosocial Well-Being and Progression of Coronary Artery Calcification in Midlife Women.Journal of the American Heart Association · 2022Article
- Serial Studies in Subclinical Atherosclerosis During Menopausal Transition (from the Study of Women's Health Across the Nation).The American journal of cardiology · 2018Article
- The Association between Social Network Betweenness and Coronary Calcium: A Baseline Study of Patients with a High Risk of Cardiovascular Disease.Journal of atherosclerosis and thrombosis · 2018Article
- Women's heart health at mid-life: what is the role of psychosocial stress?Women's midlife health · 2018Review
- Race disparities in pubertal timing: Implications for cardiovascular disease risk among African American women.Population research and policy review · 2017Article
- A Qualitative Understanding of Midlife Sources of Stress and Support in African-American Women.Journal of National Black Nurses' Association : JNBNA · 2016Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundBlack women experience higher rates of cardiovascular disease (CVD) than white women, though evidence for racial differences in subclinical CVD is mixed. Few studies have examined multiple roles (number, perceived stress, and/or reward) in relation to subclinical CVD, or whether those effects differ by race. PURPOSE: The aim of this study was to investigate the effects of multiple roles on 2-year progression of coronary artery calcium.
methodsSubjects were 104 black and 232 white women (mean age 50.8 years). Stress and reward from four roles (spouse, parent, employee, caregiver) were assessed on five-point scales. Coronary artery calcium progression was defined as an increase of ≥10 Agatston units.
resultsWhite women reported higher rewards from their multiple roles than black women, yet black women showed cardiovascular benefits from role rewards. Among black women only, higher role rewards were related significantly to lower progression of coronary artery calcium, adjusting for body mass index, blood pressure, and other known CVD risk factors. Blacks reported fewer roles but similar role stress as whites; role number and stress were unrelated to coronary artery calcium progression.
conclusionRewarding roles may be a novel protective psychosocial factor for progression of coronary calcium among black women.
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Registered trials
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