Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement
Background African American women bear a disproportionate burden of cardiovascular diseases, potentially due to altered central hemodynamics. Racism and sexism often lead to African American women taking on numerous caretaking roles and overall increases their use of the Strong Black Woman (ie, Supe...
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Wiley
2024-09-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.123.033587 |
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| author | Zachary T. Martin Nicole D. Fields Christy L. Erving Shivika Udaipuria Reneé H. Moore Kennedy M. Blevins Raphiel J. Murden Bianca Booker LaKeia Culler Seegar Swanson Jaylah Goodson Emma Barinas‐Mitchell Arshed A. Quyyumi Viola Vaccarino Tené T. Lewis |
| author_facet | Zachary T. Martin Nicole D. Fields Christy L. Erving Shivika Udaipuria Reneé H. Moore Kennedy M. Blevins Raphiel J. Murden Bianca Booker LaKeia Culler Seegar Swanson Jaylah Goodson Emma Barinas‐Mitchell Arshed A. Quyyumi Viola Vaccarino Tené T. Lewis |
| author_sort | Zachary T. Martin |
| collection | DOAJ |
| description | Background African American women bear a disproportionate burden of cardiovascular diseases, potentially due to altered central hemodynamics. Racism and sexism often lead to African American women taking on numerous caretaking roles and overall increases their use of the Strong Black Woman (ie, Superwoman) mindset, which may have negative health consequences. We hypothesized that endorsing the Superwoman role and its Obligation to Help Others dimension would be associated with a deleterious central hemodynamics profile in African American women. Methods and Results Using cross‐sectional data, we examined central systolic blood pressure (mm Hg; n=408), augmentation index (percentage, adjusted for height and heart rate; n=408), and pulse wave velocity (m/s; n=368) in African American women aged 30 to 46 years. The Giscombe Superwoman Schema (SWS) questionnaire assessed endorsement of Overall SWS (range, 0–105) and SWS–Obligation to Help Others (range, 0–3). Multiple linear regression modeled associations between Overall SWS (10‐unit increments) and SWS–Obligation to Help Others (1‐unit increments) and central hemodynamics while adjusting for pertinent sociodemographic, clinical, and psychosocial factors. In fully adjusted models, central systolic blood pressure was significantly associated with Overall SWS (β=0.83 [95% CI, 0.19–1.47]) and SWS–Obligation to Help Others (β=2.03 [95% CI, 0.39–3.67]). Augmentation index was associated with Overall SWS (β=0.66 [95% CI, 0.02–1.30]) and SWS–Obligation to Help Others (β=2.21 [95% CI, 0.58–3.84]). Significant associations were not observed between pulse wave velocity and SWS. Conclusions Greater endorsement of the Superwoman role and prioritizing caregiving over self‐care were associated with higher central systolic blood pressure and augmentation index, which may contribute to adverse cardiovascular health among African American women. |
| format | Article |
| id | doaj-art-d4640eb3fd0e42d5a3ca1a69305214ad |
| institution | OA Journals |
| issn | 2047-9980 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-d4640eb3fd0e42d5a3ca1a69305214ad2025-08-20T02:28:01ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-09-01131810.1161/JAHA.123.033587Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema EndorsementZachary T. Martin0Nicole D. Fields1Christy L. Erving2Shivika Udaipuria3Reneé H. Moore4Kennedy M. Blevins5Raphiel J. Murden6Bianca Booker7LaKeia Culler8Seegar Swanson9Jaylah Goodson10Emma Barinas‐Mitchell11Arshed A. Quyyumi12Viola Vaccarino13Tené T. Lewis14Department of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Sociology, College of Liberal Arts The University of Texas at Austin Austin TX USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology and Biostatistics, Dornsife School of Public Health Drexel University Philadelphia PA USADepartment of Psychological Science, School of Social Ecology University of California, Irvine Irvine CA USADepartment of Biostatistics and Bioinformatics, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Biostatistics and Bioinformatics, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology, School of Public Health University of Pittsburgh Pittsburgh PA USADepartment of Medicine, School of Medicine Emory University Atlanta GA USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USADepartment of Epidemiology, Rollins School of Public Health Emory University Atlanta GA USABackground African American women bear a disproportionate burden of cardiovascular diseases, potentially due to altered central hemodynamics. Racism and sexism often lead to African American women taking on numerous caretaking roles and overall increases their use of the Strong Black Woman (ie, Superwoman) mindset, which may have negative health consequences. We hypothesized that endorsing the Superwoman role and its Obligation to Help Others dimension would be associated with a deleterious central hemodynamics profile in African American women. Methods and Results Using cross‐sectional data, we examined central systolic blood pressure (mm Hg; n=408), augmentation index (percentage, adjusted for height and heart rate; n=408), and pulse wave velocity (m/s; n=368) in African American women aged 30 to 46 years. The Giscombe Superwoman Schema (SWS) questionnaire assessed endorsement of Overall SWS (range, 0–105) and SWS–Obligation to Help Others (range, 0–3). Multiple linear regression modeled associations between Overall SWS (10‐unit increments) and SWS–Obligation to Help Others (1‐unit increments) and central hemodynamics while adjusting for pertinent sociodemographic, clinical, and psychosocial factors. In fully adjusted models, central systolic blood pressure was significantly associated with Overall SWS (β=0.83 [95% CI, 0.19–1.47]) and SWS–Obligation to Help Others (β=2.03 [95% CI, 0.39–3.67]). Augmentation index was associated with Overall SWS (β=0.66 [95% CI, 0.02–1.30]) and SWS–Obligation to Help Others (β=2.21 [95% CI, 0.58–3.84]). Significant associations were not observed between pulse wave velocity and SWS. Conclusions Greater endorsement of the Superwoman role and prioritizing caregiving over self‐care were associated with higher central systolic blood pressure and augmentation index, which may contribute to adverse cardiovascular health among African American women.https://www.ahajournals.org/doi/10.1161/JAHA.123.033587Black or African Americancardiovascular diseasesfemalehypertensionracismsurveys and questionnaires |
| spellingShingle | Zachary T. Martin Nicole D. Fields Christy L. Erving Shivika Udaipuria Reneé H. Moore Kennedy M. Blevins Raphiel J. Murden Bianca Booker LaKeia Culler Seegar Swanson Jaylah Goodson Emma Barinas‐Mitchell Arshed A. Quyyumi Viola Vaccarino Tené T. Lewis Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Black or African American cardiovascular diseases female hypertension racism surveys and questionnaires |
| title | Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement |
| title_full | Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement |
| title_fullStr | Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement |
| title_full_unstemmed | Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement |
| title_short | Central Hemodynamics in African American Women: Examining the Role of Superwoman Schema Endorsement |
| title_sort | central hemodynamics in african american women examining the role of superwoman schema endorsement |
| topic | Black or African American cardiovascular diseases female hypertension racism surveys and questionnaires |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.123.033587 |
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