ArticlePsychoneuroendocrinology2026
Superwoman schema, motherhood status, and subclinical atherosclerosis among African American women.
Article in Psychoneuroendocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCardiovascular disease (CVD) is the leading cause of death among women in the United States, with African American women facing markedly higher rates of CVD-related morbidity and mortality than women of other racial/ethnic backgrounds. African American women's heightened risk for CVD has been linked to their disproportionate exposure to social stressors. In the present study, we examine how Superwoman Schema (SWS) is related to carotid intima media thickness (IMT) among African American women, as well as the moderating role of motherhood status.
methodsData are from the Mechanisms Underlying the Impact of Stress and Emotions (MUSE) on African American Women's Health Study, a cohort of 422 African American women residing in the greater Atlanta metropolitan area. The women completed demographic questions (e.g., motherhood status) and psychosocial assessments, including the 35-item SWS scale. IMT scans were also performed during the visit.
resultsAfter adjustment for sociodemographic (e.g., age) and CVD risk (e.g., systolic blood pressure) factors, the results revealed that Resistance to Vulnerability was associated with lower IMT among non-mothers.
conclusionsThe results indicate that African American women's culturally rooted tendency to embody strength, independence, self-reliance, ambition, and care for others may serve as a compensatory mechanism influencing CVD risk, with the associations varying by motherhood status.
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