Fernandez Cristina A, Loucks Eric B, Arheart Kristopher L, Hickson DeMarc A, Kohn Robert, Buka Stephen L, Gjelsvik Annie
Department of Epidemiology, Brown University School of Public Health, Box G-S121-2, Providence, RI 02912. Email:
Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island.
Prev Chronic Dis. 2015 Oct 1;12:E165. doi: 10.5888/pcd12.150166.
The objective of this study was to examine the cross-sectional association between coping styles and allostatic load among African American adults in the Jackson Heart Study (2000-2004). Coping styles were assessed using the Coping Strategies Inventory-Short Form; allostatic load was measured by using 9 biomarkers standardized into z-scores. Sex-stratified multivariable linear regressions indicated that females who used disengagement coping styles had significantly higher allostatic load scores (β = 0.016; 95% CI, 0.001-0.032); no such associations were found in males. Future longitudinal investigations should examine why disengagement coping style is linked to increased allostatic load to better inform effective interventions and reduce health disparities among African American women.
本研究的目的是在杰克逊心脏研究（2000 - 2004年）中，检验非裔美国成年人应对方式与负荷过重之间的横断面关联。应对方式采用应对策略量表简版进行评估；负荷过重通过9种标准化为z分数的生物标志物进行测量。按性别分层的多变量线性回归表明，采用脱离应对方式的女性负荷过重得分显著更高（β = 0.016；95%置信区间，0.001 - 0.032）；在男性中未发现此类关联。未来的纵向研究应探究为何脱离应对方式与负荷过重增加有关，以便更好地为有效干预提供依据，并减少非裔美国女性之间的健康差异。
