Individual Psychosocial Resilience, Neighborhood Context, and Cardiovascular Health in Black Adults: A Multilevel Investigation From the Morehouse-Emory Cardiovascular Center for Health Equity Study
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Background: Despite well-documented cardiovascular disparities between racial groups, within-race determinants of cardiovascular health among Black adults remain understudied. Factors promoting cardiovascular resilience among Black adults in particular warrant further investigation. Our objective was to examine whether individual psychosocial resilience and neighborhood-level cardiovascular resilience were associated with better cardiovascular health in Black adults, measured utilizing Life’s Simple 7 (LS7) scores. Methods: We assessed LS7 scores in 389 Black adults (mean age, 53±10 years; 39% men) living in Atlanta, Georgia. A composite score of individual psychosocial resilience was created by assessing environmental mastery, purpose in life, optimism, resilient coping, and depressive symptoms. Neighborhood-level cardiovascular resilience was separately determined by the census tract-level rates of cardiovascular mortality/morbidity events. Generalized linear mixed regression models were used to examine the association between individual psychosocial resilience, neighborhood cardiovascular resilience, and LS7 scores. Results: Higher individual psychosocial resilience was significantly associated with higher LS7 (β=0.38 [0.16–0.59] per 1 SD) after adjustment for sociodemographic factors. Similarly, higher neighborhood-level cardiovascular resilience was significantly associated with higher LS7 (β=0.23 [0.02–0.45] per 1 SD). When jointly examined, high individual psychosocial resilience (>median) was independently associated with higher LS7 (β=0.73 [0.31–1.17]), whereas living in high-resilience neighborhoods (>median) was not. The largest difference in LS7 score was between those with high and low psychosocial resilience living in low-resilience neighborhoods (8.38 [7.90–8.86] versus 7.42 [7.04–7.79]). Conclusions: Individual psychosocial resilience in Black adults is associated with better cardiovascular health.
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Recent publications that focus on reducing cardiovascular disease-related disparities underscore the importance of considering resilience strategies in addition to unique historical barriers faced by underrepresented racial and ethnic groups.
“Recent publications that focus on reducing cardiovascular disease-related disparities underscore the importance of considering resilience strategies in addition to unique historical barriers faced by underrepresented racial and ethnic groups.[121][122][123][124][125][126]”
From Popular dietary patterns: alignment with American Heart Association 2021 dietary guidance: a scientific statement from the American Heart Association. (2023) · cites this paper as [122]
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- Authors
- Kim, J. H., Islam, S. J., Topel, M. L., Ko, Y.-A., Mujahid, M. S., Vaccarino, V., Liu, C., Sims, M., Mubasher, M., Searles, C. D., Dunbar, S. B., Pemu, P., Taylor, H. A., Quyyumi, A. A., Baltrus, P., & Lewis, T. T.
- Affiliations
- Emory University (US)
- University of California, Berkeley (US)
- University of Mississippi Medical Center (US)
- Morehouse School of Medicine (US)
- ORCID
- Venue
- Circulation: Cardiovascular Quality and Outcomes
- Published
- 2020-10
- Volume
- 13
- Issue
- 10
- Pages
- e006638-e006638
- ISSN
- 1941-7705 (ISSN-L)
- 1941-7713
- PMC
- PMC8059442
- OpenAlex
- W3092019280
- Cited by
- 23
- References
- 38
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 8 · 2021: 3 · 2020: 1
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Circulation Cardiovascular Quality and Outcomes (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (T32HL007745, R01HL130471, T32HL130025)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR070898)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- psychosocial resilience, cardiovascular health, Black people, neighborhood context, Life's Essential 8, environmental mastery, meaning of life, optimism, resilient coping, depressive symptoms, cardiovascular morbidity and mortality
- MeSH terms
- Health Equity, Healthy Lifestyle, Race Factors, Adult, Black or African American, Cardiovascular Diseases, Cross-Sectional Studies, Female, Georgia, Humans, Male, Middle Aged, Residence Characteristics, Risk Factors, Risk Assessment, Risk Reduction Behavior, Health Status Disparities, Healthcare Disparities, Resilience, Psychological, Social Determinants of Health
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