Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the hispanic community health study/study of latinos sociocultural ancillary study

Linda C. Gallo, Scott C. Roesch, Addie L. Fortmann, Mercedes R. Carnethon, Frank J. Penedo, Krista Perreira, Orit Birnbaum-Weitzman, Sylvia Wassertheil-Smoller, Sheila F. Castañeda, Gregory A. Talavera, Daniela Sotres-Alvarez, Martha L. Daviglus, Neil Schneiderman, Carmen R. Isasi

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

OBJECTIVE: The current study examined multiple stress indicators (chronic, perceived, traumatic) in relation to prevalent coronary heart disease, stroke, and major cardiovascular disease (CVD) risk factors (i.e., diabetes, dyslipidemia, hypertension, and current smoking) in the multisite Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study (2010-2011). METHODS: Participants were 5313 men and women 18 to 74 years old, representing diverse Hispanic/Latino ethnic backgrounds, who underwent a comprehensive baseline clinical examination and sociocultural examination with measures of stress. RESULTS: Chronic stress burden was related to a higher prevalence of coronary heart disease after adjusting for sociodemographic, behavioral, and biological risk factors (odds ratio [OR; 95% confidence interval], 1.22 [1.10-1.36]) and related to stroke prevalence in the model adjusted for demographic and behavioral factors (OR [95% confidence interval], 1.26 [1.03-1.55]). Chronic stress was also related to a higher prevalence of diabetes (OR = 1.20 [1.11-1.31]) and hypertension (OR = 1.10 [1.02-1.19]) in individuals free from CVD (n = 4926). Perceived stress (OR = 1.03 [1.01-1.05]) and traumatic stress (OR = 1.15 [1.05-1.26]) were associated with a higher prevalence of smoking. Participants who reported a greater number of lifetime traumatic events also unexpectedly showed a lower prevalence of diabetes (OR = 0.89 [0.83-0.97]) and hypertension (OR = 0.88 [0.82-0.93]). Effects were largely consistent across age and sex groups. CONCLUSIONS: The study underscores the advantages of examining multiple indicators of stress in relation to health because the direction and consistency of associations may vary across distinct stress conceptualizations. In addition, the study suggests that chronic stress is related to higher CVD risk and prevalence in Hispanics/Latinos, the largest US ethnic minority group.

Original languageEnglish (US)
Pages (from-to)468-475
Number of pages8
JournalPsychosomatic Medicine
Volume76
Issue number6
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Hispanic Americans
Cardiovascular Diseases
Health
Hypertension
Coronary Disease
Smoking
Stroke
Confidence Intervals
Minority Groups
Biological Factors
Dyslipidemias
Ethnic Groups
Cardiovascular Disease
Latinos
Burden
Risk Factors
Age Groups
Odds Ratio
Demography

Keywords

  • cardiovascular disease
  • coronary heart disease
  • Hispanic
  • Latino
  • stress

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Cite this

Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the hispanic community health study/study of latinos sociocultural ancillary study. / Gallo, Linda C.; Roesch, Scott C.; Fortmann, Addie L.; Carnethon, Mercedes R.; Penedo, Frank J.; Perreira, Krista; Birnbaum-Weitzman, Orit; Wassertheil-Smoller, Sylvia; Castañeda, Sheila F.; Talavera, Gregory A.; Sotres-Alvarez, Daniela; Daviglus, Martha L.; Schneiderman, Neil; Isasi, Carmen R.

In: Psychosomatic Medicine, Vol. 76, No. 6, 2014, p. 468-475.

Research output: Contribution to journalArticle

Gallo, LC, Roesch, SC, Fortmann, AL, Carnethon, MR, Penedo, FJ, Perreira, K, Birnbaum-Weitzman, O, Wassertheil-Smoller, S, Castañeda, SF, Talavera, GA, Sotres-Alvarez, D, Daviglus, ML, Schneiderman, N & Isasi, CR 2014, 'Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the hispanic community health study/study of latinos sociocultural ancillary study', Psychosomatic Medicine, vol. 76, no. 6, pp. 468-475. https://doi.org/10.1097/PSY.0000000000000069
Gallo, Linda C. ; Roesch, Scott C. ; Fortmann, Addie L. ; Carnethon, Mercedes R. ; Penedo, Frank J. ; Perreira, Krista ; Birnbaum-Weitzman, Orit ; Wassertheil-Smoller, Sylvia ; Castañeda, Sheila F. ; Talavera, Gregory A. ; Sotres-Alvarez, Daniela ; Daviglus, Martha L. ; Schneiderman, Neil ; Isasi, Carmen R. / Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the hispanic community health study/study of latinos sociocultural ancillary study. In: Psychosomatic Medicine. 2014 ; Vol. 76, No. 6. pp. 468-475.
@article{62329e00e5db4196a5c4bb5fb51050fc,
title = "Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the hispanic community health study/study of latinos sociocultural ancillary study",
abstract = "OBJECTIVE: The current study examined multiple stress indicators (chronic, perceived, traumatic) in relation to prevalent coronary heart disease, stroke, and major cardiovascular disease (CVD) risk factors (i.e., diabetes, dyslipidemia, hypertension, and current smoking) in the multisite Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study (2010-2011). METHODS: Participants were 5313 men and women 18 to 74 years old, representing diverse Hispanic/Latino ethnic backgrounds, who underwent a comprehensive baseline clinical examination and sociocultural examination with measures of stress. RESULTS: Chronic stress burden was related to a higher prevalence of coronary heart disease after adjusting for sociodemographic, behavioral, and biological risk factors (odds ratio [OR; 95{\%} confidence interval], 1.22 [1.10-1.36]) and related to stroke prevalence in the model adjusted for demographic and behavioral factors (OR [95{\%} confidence interval], 1.26 [1.03-1.55]). Chronic stress was also related to a higher prevalence of diabetes (OR = 1.20 [1.11-1.31]) and hypertension (OR = 1.10 [1.02-1.19]) in individuals free from CVD (n = 4926). Perceived stress (OR = 1.03 [1.01-1.05]) and traumatic stress (OR = 1.15 [1.05-1.26]) were associated with a higher prevalence of smoking. Participants who reported a greater number of lifetime traumatic events also unexpectedly showed a lower prevalence of diabetes (OR = 0.89 [0.83-0.97]) and hypertension (OR = 0.88 [0.82-0.93]). Effects were largely consistent across age and sex groups. CONCLUSIONS: The study underscores the advantages of examining multiple indicators of stress in relation to health because the direction and consistency of associations may vary across distinct stress conceptualizations. In addition, the study suggests that chronic stress is related to higher CVD risk and prevalence in Hispanics/Latinos, the largest US ethnic minority group.",
keywords = "cardiovascular disease, coronary heart disease, Hispanic, Latino, stress",
author = "Gallo, {Linda C.} and Roesch, {Scott C.} and Fortmann, {Addie L.} and Carnethon, {Mercedes R.} and Penedo, {Frank J.} and Krista Perreira and Orit Birnbaum-Weitzman and Sylvia Wassertheil-Smoller and Casta{\~n}eda, {Sheila F.} and Talavera, {Gregory A.} and Daniela Sotres-Alvarez and Daviglus, {Martha L.} and Neil Schneiderman and Isasi, {Carmen R.}",
year = "2014",
doi = "10.1097/PSY.0000000000000069",
language = "English (US)",
volume = "76",
pages = "468--475",
journal = "Psychosomatic Medicine",
issn = "0033-3174",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Associations of chronic stress burden, perceived stress, and traumatic stress with cardiovascular disease prevalence and risk factors in the hispanic community health study/study of latinos sociocultural ancillary study

AU - Gallo, Linda C.

AU - Roesch, Scott C.

AU - Fortmann, Addie L.

AU - Carnethon, Mercedes R.

AU - Penedo, Frank J.

AU - Perreira, Krista

AU - Birnbaum-Weitzman, Orit

AU - Wassertheil-Smoller, Sylvia

AU - Castañeda, Sheila F.

AU - Talavera, Gregory A.

AU - Sotres-Alvarez, Daniela

AU - Daviglus, Martha L.

AU - Schneiderman, Neil

AU - Isasi, Carmen R.

PY - 2014

Y1 - 2014

N2 - OBJECTIVE: The current study examined multiple stress indicators (chronic, perceived, traumatic) in relation to prevalent coronary heart disease, stroke, and major cardiovascular disease (CVD) risk factors (i.e., diabetes, dyslipidemia, hypertension, and current smoking) in the multisite Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study (2010-2011). METHODS: Participants were 5313 men and women 18 to 74 years old, representing diverse Hispanic/Latino ethnic backgrounds, who underwent a comprehensive baseline clinical examination and sociocultural examination with measures of stress. RESULTS: Chronic stress burden was related to a higher prevalence of coronary heart disease after adjusting for sociodemographic, behavioral, and biological risk factors (odds ratio [OR; 95% confidence interval], 1.22 [1.10-1.36]) and related to stroke prevalence in the model adjusted for demographic and behavioral factors (OR [95% confidence interval], 1.26 [1.03-1.55]). Chronic stress was also related to a higher prevalence of diabetes (OR = 1.20 [1.11-1.31]) and hypertension (OR = 1.10 [1.02-1.19]) in individuals free from CVD (n = 4926). Perceived stress (OR = 1.03 [1.01-1.05]) and traumatic stress (OR = 1.15 [1.05-1.26]) were associated with a higher prevalence of smoking. Participants who reported a greater number of lifetime traumatic events also unexpectedly showed a lower prevalence of diabetes (OR = 0.89 [0.83-0.97]) and hypertension (OR = 0.88 [0.82-0.93]). Effects were largely consistent across age and sex groups. CONCLUSIONS: The study underscores the advantages of examining multiple indicators of stress in relation to health because the direction and consistency of associations may vary across distinct stress conceptualizations. In addition, the study suggests that chronic stress is related to higher CVD risk and prevalence in Hispanics/Latinos, the largest US ethnic minority group.

AB - OBJECTIVE: The current study examined multiple stress indicators (chronic, perceived, traumatic) in relation to prevalent coronary heart disease, stroke, and major cardiovascular disease (CVD) risk factors (i.e., diabetes, dyslipidemia, hypertension, and current smoking) in the multisite Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study (2010-2011). METHODS: Participants were 5313 men and women 18 to 74 years old, representing diverse Hispanic/Latino ethnic backgrounds, who underwent a comprehensive baseline clinical examination and sociocultural examination with measures of stress. RESULTS: Chronic stress burden was related to a higher prevalence of coronary heart disease after adjusting for sociodemographic, behavioral, and biological risk factors (odds ratio [OR; 95% confidence interval], 1.22 [1.10-1.36]) and related to stroke prevalence in the model adjusted for demographic and behavioral factors (OR [95% confidence interval], 1.26 [1.03-1.55]). Chronic stress was also related to a higher prevalence of diabetes (OR = 1.20 [1.11-1.31]) and hypertension (OR = 1.10 [1.02-1.19]) in individuals free from CVD (n = 4926). Perceived stress (OR = 1.03 [1.01-1.05]) and traumatic stress (OR = 1.15 [1.05-1.26]) were associated with a higher prevalence of smoking. Participants who reported a greater number of lifetime traumatic events also unexpectedly showed a lower prevalence of diabetes (OR = 0.89 [0.83-0.97]) and hypertension (OR = 0.88 [0.82-0.93]). Effects were largely consistent across age and sex groups. CONCLUSIONS: The study underscores the advantages of examining multiple indicators of stress in relation to health because the direction and consistency of associations may vary across distinct stress conceptualizations. In addition, the study suggests that chronic stress is related to higher CVD risk and prevalence in Hispanics/Latinos, the largest US ethnic minority group.

KW - cardiovascular disease

KW - coronary heart disease

KW - Hispanic

KW - Latino

KW - stress

UR - http://www.scopus.com/inward/record.url?scp=84904754776&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904754776&partnerID=8YFLogxK

U2 - 10.1097/PSY.0000000000000069

DO - 10.1097/PSY.0000000000000069

M3 - Article

C2 - 24979579

AN - SCOPUS:84904754776

VL - 76

SP - 468

EP - 475

JO - Psychosomatic Medicine

JF - Psychosomatic Medicine

SN - 0033-3174

IS - 6

ER -