An examination of socio-culturally specific stress and coping factors on smoking status among African American women

2008 ◽  
Vol 24 (5) ◽  
pp. 365-374 ◽  
Author(s):  
Anita Fernander ◽  
Mitzi Schumacher
2009 ◽  
Vol 19 (5) ◽  
pp. 463-482 ◽  
Author(s):  
Johnnie Hamilton-Mason ◽  
J. Camille Hall ◽  
Joyce E. Everett

2019 ◽  
Vol 149 (9) ◽  
pp. 1606-1616 ◽  
Author(s):  
Lauren C Peres ◽  
James R Hebert ◽  
Bo Qin ◽  
Kristin A Guertin ◽  
Elisa V Bandera ◽  
...  

ABSTRACT Background Chronic inflammation is associated with ovarian carcinogenesis; yet, the impact of inflammatory-related exposures on outcomes has been understudied. Objective Given the poor survival of women diagnosed with ovarian cancer, especially African-Americans, we examined whether diet-associated inflammation, a modifiable source of chronic systemic inflammation measured by the dietary inflammatory index (DII), was associated with all-cause mortality among African-American women with ovarian carcinoma. Methods Data were available from 490 ovarian carcinoma patients enrolled in a population-based case-control study of African-American women with ovarian cancer, the African-American Cancer Epidemiology Study. Energy-adjusted DII (E-DII) scores were calculated based on prediagnostic dietary intake of foods alone or foods and supplements, which was self-reported using the 2005 Block Food Frequency Questionnaire. Cox proportional hazards regression was used to estimate risk of mortality overall and for the most common histotype, high-grade serous carcinoma. Additionally, we assessed interaction by age at diagnosis and smoking status. Results Women included in this study had a median age of 57 y, and the majority of women were obese (58%), had late-stage disease (Stage III or IV, 66%), and had high-grade serous carcinoma (64%). Greater E-DII scores including supplements (indicating greater inflammatory potential) were associated with an increased risk of mortality among women with high-grade serous carcinoma (HR1-unit change: 1.08; 95% CI: 1.01, 1.17). Similar associations were observed for the E-DII excluding supplements, although not statistically significant (HR1-unit change: 1.07; 95% CI: 0.97, 1.17). There was an interaction by smoking status, where the positive association with mortality was present only among ever smokers (HRQuartile 4/Quartile 1: 2.36; 95% CI: 1.21, 4.60) but not among never smokers. Conclusions Greater inflammatory potential of prediagnostic diet may adversely impact prognosis among African-American women with high-grade serous carcinoma, and specifically among ever smokers.


2009 ◽  
Vol 30 (10) ◽  
pp. 1311-1338 ◽  
Author(s):  
Roberta L. Coles

For single African American custodial fathers, parenting stress is exacerbated by the cultural expectation that Black fathers are “normally” absent and by the clustering of stresses that Black men are more likely to encounter. This sample of African American fathers have used a repertoire of problem-focused and cognitive coping strategies, including some that are frequently considered “culturally specific.” Twenty Black single custodial fathers are interviewed and their narratives are analyzed for concepts and thematic categories related to stress and coping. Their narratives indicate that certain strategies are avoided because (a) these strategies are not available to them and (b) they desire to present themselves as independent and competent, thus resisting stereotypes and building a sense of efficacy.


2019 ◽  
Vol 3 ◽  
pp. 247054701987908
Author(s):  
Kristen M. Brown ◽  
Qin Hui ◽  
Yunfeng Huang ◽  
Jacquelyn Y. Taylor ◽  
Laura Prescott ◽  
...  

Background Exposure to psychosocial stress and employment of high effort coping strategies have been identified as risk factors that may partially explain the high prevalence of hypertension among African Americans. One biological mechanism through which stress and coping may affect risk of hypertension is via epigenetic modifications (e.g., DNA methylation) in blood pressure-related genes; however, this area remains understudied in African Americans. Methods We used data from the ongoing Intergenerational Blood Pressure Study, a longitudinal study designed to investigate factors that contribute to hypertension risk in African American women (n = 120) and their young children, to investigate the association between stress overload, problem-solving coping, avoidance coping, and social support coping with DNA methylation in 25 candidate genes related to blood pressure. Multivariable linear regression and multilevel modeling were used to conduct methylation site-level and gene-level analyses, respectively. Results In site-level analyses, stress overload, problem-solving coping, social support coping, and avoidance coping were associated with 47, 63, 66, and 61 sites, respectively, at p < 0.05. However, no associations were statistically significant after multiple testing correction. There were also no significant associations in gene-level analyses. Conclusions As human social epigenomics is an emerging, evolving area of research, there is much to be learned from studies with statistically significant findings as well as studies with null findings. Factors such as characteristics of the social stressor, source of DNA, and synchronization of exposure and outcome are likely important considerations as we move the field forward.


Health Equity ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 272-279
Author(s):  
Michelle L. Wright ◽  
Sungju Lim ◽  
Adam Sales ◽  
Shilpa Rajagopal ◽  
Dumebi Nzegwu ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document