ArticleJournal of the American Heart Association2018
Stress and Achievement of Cardiovascular Health Metrics: The American Heart Association Life's Simple 7 in Blacks of the Jackson Heart Study.
Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.
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The trial behind it
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Who cites it
52 citing papers in PubMed, 77 citations in OpenAlex.
- Community-Based, Cluster-Randomized Pilot Trial of a Cardiovascular Mobile Health Intervention: Preliminary Findings of the FAITH! Trial.Circulation · 2022Trial
- Mindfulness in Motion and Dietary Approaches to Stop Hypertension (DASH) in Hypertensive African Americans.Journal of the American Geriatrics Society · 2021Trial
- Chronic Stress and Cardiovascular Health: The MESA and MASALA Studies.American journal of preventive medicine · 2026Article
- Social Determinants of Cardiovascular Health: Yes, They Matter-But What Can We Do to Address Them?Current cardiology reports · 2026Review
- Lifestyle Medicine and Cardiovascular Health.American journal of lifestyle medicine · 2026Review
- A Community-Engaged Approach for Assessment of Cortisol Dynamic Range and Multilevel Chronic Stress in African Americans: FAITH! Heart Health+ Ancillary Study.Journal of participatory medicine · 2025Article
- Design of Black Impact: A Randomized Controlled Trial Evaluating the Mechanisms Underlying Psychosocial Stress Reduction in a Cardiovascular Health Intervention.Journal of the American Heart Association · 2025Article
- Discrimination, chronic stress, and cardiovascular health among African American men and women in the Jackson Heart Study: A cross-sectional study.Social science & medicine (1982) · 2025Article
- Association of the "life's crucial 9" cardiovascular health with all-cause and cardiovascular disease mortality: a national cohort study.Archives of public health = Archives belges de sante publique · 2025Article
- Multilevel Mediators on the Associations of Neighborhood Social Environmental Factors and Severity of Metabolic Syndrome: The Jackson Heart Study.Journal of the American Heart Association · 2025Article
- Community-based participatory design of a decade: the FAITH! Cardiovascular Health and Wellness Program.Frontiers in public health · 2025Article
- Rationale, design, and participant characteristics of the FAITH! Heart Health+ study: An exploration of the influence of the social determinants of health, stress, and structural racism on African American cardiovascular health.Contemporary clinical trials · 2024Article
- Low income and education are associated with greater ASCVD risk scores among adults in the US.Preventive medicine reports · 2024Article
- A novel approach to model cumulative stress: Area under the s-factor curve.Social science & medicine (1982) · 2024Article
- Association of Socioeconomic Status With Life's Essential 8 in the National Health and Nutrition Examination Survey: Effect Modification by Sex.Journal of the American Heart Association · 2024Article
- Improving mental health in black men through a 24-week community-based lifestyle change intervention: the black impact program.BMC psychiatry · 2024Article
- Intersectionality and Social Drivers of Health in Cardiovascular Care.Methodist DeBakey cardiovascular journal · 2024Review
- Neighborhood Factors, Individual Stressors, and Cardiovascular Health Among Black and White Adults in the US: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study.JAMA network open · 2023Article
- The Association Between Cardiovascular Health with Internet and Mobile Technology Use Among Jackson Heart Study Participants.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- mHealth Intervention for Promoting Hypertension Self-management Among African American Patients Receiving Care at a Community Health Center: Formative Evaluation of the FAITH! Hypertension App.JMIR formative research · 2023Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundIdeal cardiovascular health metrics (defined by the American Heart Association Life's Simple 7 [LS7]) are suboptimal among blacks, which results in high risk of cardiovascular disease. We examined the association of multiple stressors with LS7 components among blacks. METHODS AND
resultsUsing a community-based cohort of blacks (N=4383), we examined associations of chronic stress, minor stressors, major life events, and a cumulative stress score with LS7 components (smoking, diet, physical activity, body mass index, blood pressure, total cholesterol, and fasting plasma glucose) and an LS7 composite score. Multivariable logistic regression assessed the odds of achieving intermediate/ideal levels of cardiovascular health adjusted for demographic, socioeconomic, behavioral, and biomedical factors. The LS7 components with the lowest percentages of intermediate/ideal cardiovascular health levels were diet (39%), body mass index (47%), and physical activity (51%). Higher chronic, minor, and cumulative stress scores were associated with decreased odds (odds ratio [OR]) of achieving intermediate/ideal levels for smoking (OR [95% confidence interval], 0.80 [0.73-0.88], 0.84 [0.75-0.94], and 0.81 [0.74-0.90], respectively). Participants with more major life events had decreased odds of achieving intermediate/ideal levels for smoking (OR, 0.84; 95% confidence interval, 0.76-0.92) and fasting plasma glucose (OR, 0.90; 95% confidence interval, 0.82-0.98). Those with higher scores for minor stressors and major life events were less likely to achieve intermediate or ideal LS7 composite scores (OR [95% confidence interval], 0.89 [0.81-0.97] and 0.91 [0.84-0.98], respectively).
conclusionsBlacks with higher levels of multiple stress measures are less likely to achieve intermediate or ideal levels of overall cardiovascular health (LS7 composite score), specific behaviors (smoking), and biological factors (fasting plasma glucose).
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