Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course
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OBJECTIVES: We sought to determine whether unhealthy behaviors play a stress-buffering role in observed racial disparities in physical and mental health. METHODS: We conducted logistic regressions by race on data from the first 2 waves of the Americans' Changing Lives Survey to determine whether unhealthy behaviors had buffering effects on the relationship between major stressors and chronic health conditions, and on the relationship between major stressors and meeting the criteria for major depression. RESULTS: Among Whites, unhealthy behaviors strengthened the relationship between stressors and meeting major-depression criteria. Among Blacks, however, the relationship between stressors and meeting major-depression criteria was stronger among those who had not engaged in unhealthy behaviors than among those who had. Among both race groups there was a positive association between stressors and chronic health conditions. Among Blacks there was an additional positive association between number of unhealthy behaviors and number of chronic conditions. CONCLUSIONS: Those who live in chronically stressful environments often cope with stressors by engaging in unhealthy behaviors that may have protective mental-health effects. However, such unhealthy behaviors can combine with negative environmental conditions to eventually contribute to morbidity and mortality disparities among social groups.
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One of the environmental affordances model's main arguments is that health-related self-regulatory coping strategies, such as substance use and consumption of unhealthy foods, although psychologically protective, are key contributing factors to poor physical health among Black Americans.
“One of the EA model’s main arguments is that health-related self-regulatory coping strategies, such as substance use and consumption of unhealthy foods, although psychologically protective, are key contributing factors to poor physical health among Black Americans (Jackson et al. 2010; Mezuk et al. 2013).”
From Is John Henryism a Health Risk or Resource?: Exploring the Role of Culturally Relevant Coping for Physical and Mental Health among Black Americans. (2021) · cites this paper as Jackson et al. 2010
It is likely that a complex combination of structural, physiological, psychological and behavioral differences drive racial/ethnic health disparities.
“It is likely that a complex combination of structural, physiological, psychological and behavioral differences drive these relationships (205, 206, 208-210).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [210]
There are trade-offs in terms of physical and mental health that, on one hand, may increase the likelihood of passing on one's genes by improving coping with adversity and enhancing mental health and overall reproductive success, but, on the other hand, may impair later health, e.g., by eating of comfort foods.
“Yet, there are “trade-offs” in terms of physical and mental health that, on one hand, may increase the likelihood of passing on one's genes by improving coping with adversity and enhancing mental health and overall reproductive success, but, on the other hand, may impair later health, e.g., by eating of “comfort foods””
From Neurobiological and Systemic Effects of Chronic Stress (2017) · cites this paper as [129]
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- Authors
- Jackson, J. S., Knight, K. M., & Rafferty, J. A.
- Affiliations
- University of Michigan (US)
- ORCID
- Jackson, James S.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2010-05
- Volume
- 100
- Issue
- 5
- Pages
- 933-939
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2853611
- OpenAlex
- W1989924524
- Cited by
- 840
- References
- 38
- Citations by year
- 2026: 20 · 2025: 43 · 2024: 52 · 2023: 38 · 2022: 62 · 2021: 78 · 2020: 71 · 2019: 63 · 2018: 65 · 2017: 65 · 2016: 59 · 2015: 52 · 2014: 66 · 2013: 46 · 2012: 23
- FWCI
- 20.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- University of Michigan
- National Institutes of Health
- National Institute on Aging (R01AG020282, P30AG015281)
- National Institute of Mental Health (T32MH067555, U01-MH57716], 1T32 MH67555, 1 P01 MH58565, P01MH058565, U01MH057716)
- National Institute on Drug Abuse
- Office of Behavioral and Social Sciences Research
- National Institute on Minority Health and Health Disparities (P60MD002249)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- race, racial disparities, harmful habits, chronic stress, hypothalamic-pituitary-adrenal axis, stress buffering, major depressive disorder, chronic disease, life course, African Americans, white, environmental stressors, health disparities
- MeSH terms
- Aged, Black or African American, Chronic Disease, Major Depressive Disorder, Female, Health Surveys, Humans, Hypothalamo-Hypophyseal System, Male, Mental Health, Middle Aged, Pituitary-Adrenal System, Risk-Taking, Stress, Psychological, United States, Health Behavior, Logistic Models, White People, Health Status Disparities
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