Social and psychologic factors in the etiology of coronary heart disease in black populations: an exploration of research needs.

A number of findings that have broad relevance for the planning of future studies of psychosocial risk factors for coronary heart disease (CHD) in blacks were examined. These included data on marital status, social networks, health practices, well-being, distress, mental health, the residential environment, components of high blood pressure control, and health attitudes among youth. It is concluded that the specific research literature on psychosocial risk factors for CHD is almost entirely based on the study of white populations and does not constitute a compelling basis for recommending research programs on blacks. Instead, it is suggested that the starting point be a comprehensive examination of the psychosocial aspects of the black experience and of its etiologic linkages to a variety of health outcomes.