The role of social vs. physical environmental nuisances in affecting stress among Jewish and Muslim women in Israel.

We calculate the effects of selected social and physical environmental nuisances on the autonomic nervous system balance among Jewish and Muslim mothers. Seventy-two Jewish and Muslim young healthy mothers from an Arab and Jewish neighboring city were tested in seven urban environments. Three social mediators (social discomfort, participation in household's decision-making and freedom of movement) and three physical mediators (thermal load, carbon monoxide and noise) were considered. Mean differences between Jewish and Muslim heart rate variability (HRV) and the effects of the mediating variables were calculated by ANOVA and stepwise multiple regressions. The results suggest that HRV was predominantly affected by social discomfort. Jewish and Muslim mothers experienced similar levels of social discomfort albeit; their responses differed by type of environment. Jewish mothers experienced stronger social discomfort in outdoor environments while Muslim mothers felt stronger social discomfort at home. Crossing ethnic boundaries was associated with increase in stress in both groups. Social discomfort played a stronger role in predicting stress in inter-ethnic environments. In conclusion, the study shows that social discomfort is a predominant environmental factor in predicting stress and related risk to health as reflected in the ANS balance across ethnicities. In addition ethnic specific factors like women freedom of movement played a minor role in effecting stress. At the same time the physical environmental aspects played essential role in effecting stress.