Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women.

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI:10.1177/10901981241263027
Charissa N Obeng-Nyarko, Penny A Ralston, Kandauda K A S Wickrama, Jennifer L Lemacks, Jasminka Z Ilich
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引用次数: 0

Abstract

Cardiovascular disease (CVD) continues to be the leading cause of death in the United States, with African Americans experiencing higher age-adjusted mortality compared to Whites. African American women in particular carry a high CVD burden due to more exposure to adverse personal and socioenvironmental challenges. Church-based interventions can improve health behaviors and health status of African Americans, yet few have addressed stress-related health. The purpose of this study was to determine the effectiveness of the 18-month Health for Hearts United intervention in relation to stress-related outcomes (perceived stress, allostatic load) of mid-life and older African American women (≥45 years of age; n = 152 overall sample, n = 65 clinical subsample). The results of the repeated measures analysis of variance (ANOVA) analyses showed overall significant decreases in perceived stress and allostatic load for both treatment and comparison groups over the measurement occasions (baseline and 18 months) with educational level remaining as a significant correlate over time. There was no significant interaction between treatment and time, yet there were trends in improvements for the treatment group compared to the comparison group. The findings demonstrate the potential of church-based interventions in reducing both self-reported stress and allostatic load in African American women, and highlight the need for further investigation of educational level and other possible factors influencing stress management in these settings.

心健康联合纵向试验:改善中老年非裔美国妇女的压力感知和代谢负荷结果。
心血管疾病(CVD)仍然是美国人的主要死因,与白人相比,非裔美国人的年龄调整死亡率更高。尤其是非裔美国妇女,由于更多地暴露于不利的个人和社会环境挑战中,她们的心血管疾病负担尤其沉重。基于教会的干预措施可以改善非裔美国人的健康行为和健康状况,但很少有干预措施涉及与压力相关的健康问题。本研究旨在确定为期 18 个月的 "心连心健康"(Health for Hearts United)干预措施对中老年非裔美国妇女(年龄≥45 岁;n = 152 个总体样本,n = 65 个临床子样本)压力相关结果(感知压力、异位负荷)的有效性。重复测量方差分析(ANOVA)结果表明,治疗组和对比组在不同测量时间(基线和 18 个月)感知到的压力和代谢负荷总体上都有显著下降,而教育水平随着时间的推移仍然是一个重要的相关因素。治疗与时间之间没有明显的交互作用,但治疗组与对比组相比有改善的趋势。研究结果表明,以教堂为基础的干预措施在减少非裔美国妇女自我报告的压力和异质负荷方面具有潜力,并强调了在这些环境中进一步调查教育水平和其他可能影响压力管理的因素的必要性。
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来源期刊
Health Education & Behavior
Health Education & Behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
8.60
自引率
2.40%
发文量
75
期刊介绍: Health Education & Behavior is the official publication of the Society for Public Health Education (SOPHE). The journal publishes authoritative and practical information on critical health issues for a broad range of professionals interested in understanding factors associated with health behavior and health status, and strategies to improve social and behavioral health. The journal is interested in articles directed toward researchers and/or practitioners in health behavior and health education. Empirical research, case study, program evaluation, literature reviews, and articles discussing theories are regularly published.
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