The relationship between perceived stress and support with blood pressure in urban Haiti: A cross-sectional analysis

Lily D Yan, Jessy G Dévieux, Jean Lookens Pierre, Eliezer Dade, Rodney Sufra, Stephano St Preux, Olga Tymejczyk, Denis Nash, Miranda Metz, Myung Hee Lee, Dan W Fitzgerald, Marie Deschamps, Jean W Pape, Margaret L McNairy and Vanessa Rouzier

PLOS Global Public Health, 2022, vol. 2, issue 5, 1-12

Abstract: Haiti is a low-income country whose population lives under repeated and chronic stress from multiple natural disasters, civil unrest, and extreme poverty. Stress has been associated with cardiovascular (CVD) risk factors including hypertension, and the impact of stress on blood pressure may be moderated by support. The distribution of stress, support, and their association with blood pressure has not been well described in low-income countries. We measured stress and support using validated instruments on cross-sectional enrollment data of a population-based cohort of 2,817 adults living in Port-au-Prince, Haiti between March 2019 and April 2021. Stress was measured using the Perceived Stress Scale, while support was measured using the Multidimensional Scale of Perceived Social Support. Continuous scores were categorized into three groups for stress (low (1–5), moderate (6–10), high (11–16), and five groups for support (low (7–21), low-moderate (22–35), moderate (36–49), moderate-high (50–64), high (65–77)). Linear regression models were used to quantify the associations between: 1) support and stress adjusting for age and sex, and 2) stress and blood pressure adjusting for age and sex. A moderation analysis was conducted to assess if support moderated the relationship between stress and blood pressure. The cohort included 59.7% females and the median age was 40 years (IQR 28–55). The majority had an income

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pgph00:0000263

DOI: 10.1371/journal.pgph.0000263

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