Scott Jewel, Silva Susan, Gonzalez-Guarda Rosa M, Bennett Gary G, Merwin Elizabeth, Simmons Leigh Ann
University of South Carolina, Columbia (Dr Scott); Duke University School of Nursing, Durham, North Carolina (Drs Silva and Gonzalez-Guarda); Duke Global Digital Health Science Center, Duke University, Durham, North Carolina (Dr Bennett); College of Nursing and Health Innovation, University of Texas, Arlington (Dr Merwin); and Department of Human Ecology, University of California, Davis (Dr Simmons).
ANS Adv Nurs Sci. 2022 Dec 7. doi: 10.1097/ANS.0000000000000468.
This study sought to advance the literature on Black women's cardiovascular health (CVH) by examining maternal relationship, religion and spirituality, and social connections as potential protective social determinants that buffer the stress of adverse childhood experiences (ACEs). The outcome was the American Heart Association's ideal CVH score. Neither maternal relationship nor religion/spirituality was able to buffer the stress of ACEs on ideal CVH. Findings are discussed in terms of cultural aspects of potential protective factors that are critical for future research. Identifying protective factors that may buffer the influence of ACEs on CVH remains a priority to promote health equity.
本研究旨在通过考察母亲关系、宗教与灵性以及社会联系,将其作为缓冲不良童年经历(ACEs)压力的潜在保护性社会决定因素,推进有关黑人女性心血管健康(CVH)的文献研究。结果变量是美国心脏协会的理想CVH分数。母亲关系和宗教/灵性均无法缓冲ACEs对理想CVH的压力。研究结果从潜在保护因素的文化层面进行了讨论,这些层面对于未来研究至关重要。确定可能缓冲ACEs对CVH影响的保护因素仍然是促进健康公平的首要任务。