The True Cost of Being the Boss! Superwoman Schema.

African-American women have embraced the role of a 'Superwoman' and felt a sense of pride in being able to manage multiple roles. The responsibilities associated with multiple roles can be overwhelming, especially when experiencing injustices (e.g., microaggression and role strain) while performing roles both at work and at home. African-American women remain the most disrespected and vulnerable population currently in healthcare as well as having the highest cardiovascular adverse event rate in the 20 to 49 years of age range. Chronic exposure to inequities as a Superwoman can activate inflammatory markers resulting in a weakened immune system, increased cardiovascular risk factors, and a shortened life expectancy. This article explores the Superwomen experience and its impact on health outcomes, with a focus on minimizing cardiovascular morbidity and mortality.