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The Social Dimension of Stress: Experimental Manipulations of Social Support and Social Identity in the Trier Social Stress Test
Published on: November 19, 2015
Social support and health behavior in hostile black and white men and women in CARDIA. Coronary Artery Risk
J Allen1, J Markovitz, D R Jacobs
1Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute, Bethesda, Maryland 20892-7936, USA.
Insights
Social support may only sometimes mitigate hostility
Area of Science:
- Cardiovascular health research
- Behavioral psychology
- Public health
Background:
- Previous research indicates hostility is linked to poor health behaviors.
- The Coronary Artery Risk Development in Young Adults (CARDIA) study provides data on young adults.
- Understanding protective factors for health behaviors is crucial.
Purpose of the Study:
- To investigate if high social support buffers the negative health behavior effects of high hostility.
- To examine this relationship across different race and gender groups.
Main Methods:
- Cross-sectional analysis of 5115 young adults from the CARDIA study.
- Assessed hostility using the Cook-Medley Hostility scale and social support using a defined index.
- Analyzed associations between hostility, social support, and health behaviors (exercise, smoking, alcohol consumption).
Main Results:
- Social support was linked to increased exercise in most groups, but this benefit persisted with high hostility only in men.
- High social support was associated with less smoking in white women, but this effect diminished in the high-hostility subgroup.
- High social support and high hostility were moderately linked to increased alcohol consumption in black men and white women.
Conclusions:
- Social support's ability to reduce the negative health behavior impact of hostility is inconsistent and complex.
- Effects vary significantly across different race and gender demographics.
- Further research is needed to explore specific types of social support and their influence on health behaviors.
Objective:
These cross-sectional analyses of the Coronary Artery Risk Development in Young Adults (CARDIA) data were stimulated by previous CARDIA analyses that showed an adverse association between hostility and several health behaviors: physical activity, cigarette smoking, alcohol consumption, and caloric intake, in both black and white men and women, such that the higher the hostility, the worse the health behavior profile. The current study investigated whether high social support was associated with better health behavior than low social support in individuals with high hostility scores.
Methods:
The subjects were 5115 healthy black and white men and women ranging in age from 18 to 30 years. The hypothesis was that the association between hostility and certain adverse health behaviors would be diminished in the presence of high social support. Race-gender specific median cutpoints of the Cook-Medley Hostility scale and an index of social support defined levels of high and low hostility and social support.
Results:
After controlling for age and body mass index (BMI), support was positively associated with more exercise in all groups except black women, but when coupled with high hostility, this positive association between support and exercise remained only in men. White women with high support were less often smokers but this association did not hold when examined only in the high-hostile group. Black men and white women with high support in the presence of high hostility consumed more alcohol, but the amount was moderate.
Conclusions:
We conclude that social support in the presence of high hostility only sometimes reduces the association of hostility to adverse health behaviors and that these effects are complex. Additional research investigating types of social support on health behavior in different race-gender groups is advocated.
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