Discrimination, chronic stress, and cardiovascular health among African American men and women in the Jackson Heart Study: A cross-sectional study

Amber J. Johnson, Mario Sims, Chelsea Okundolor, Sherman A. James and Katharine A. Kirby

Social Science & Medicine, 2025, vol. 383, issue C

Abstract: Optimal cardiovascular health (CVH) reduces cardiovascular disease risk. However, further research should clarify the role of psychosocial factors on CVH among African Americans. The current cross-sectional study sought to examine the relationship between discrimination, chronic stress, and CVH among African Americans in the Jackson Heart Study (n = 4737). The associations between discrimination (i.e., daily, lifetime, and discrimination burden), chronic stress, and achieving ideal CVH and CVH indicators (e.g., smoking, diet, blood pressure) were investigated using multinomial logistic regression analysis. Multivariable linear regression models also examined associations between discrimination, chronic stress, and CVH scores.

Date: 2025
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DOI: 10.1016/j.socscimed.2025.118460

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