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Racial Disparities in Avoidant Coping and Hypertension Among Midlife Adults.

Brian Batayeh1, Rachel Shelton2, Pam Factor-Litvak3

  • 1Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA, 30322, USA.

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Avoidant coping strategies were linked to higher hypertension rates in White adults but not African American adults. This suggests that individual coping behaviors may not explain racial disparities in hypertension.

Keywords:
Avoidant copingHealth disparitiesHypertension

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Area of Science:

  • Public Health
  • Psychology
  • Sociology

Background:

  • Stress and hypertension are linked, but coping mechanisms' role, particularly in racial disparities, is understudied.
  • Hypertension prevalence is significantly higher in African Americans compared to White Americans.

Purpose of the Study:

  • To investigate the association between avoidant coping and hypertension.
  • To examine potential racial differences in this association among African American and White adults.
  • To explore coping in response to general stress versus discrimination.

Main Methods:

  • Utilized data from the CHDS-DISPAR study (n=414) of adults aged 50+.
  • Measured avoidant coping using a 9-item scale, assessing responses to general stress and discrimination.
  • Analyzed associations between avoidant coping and hypertension, adjusting for sociodemographic factors and obesity.

Main Results:

  • No significant racial differences were found in avoidant coping scores.
  • Avoidant coping was associated with increased hypertension among White respondents (PRs 1.63-1.69).
  • No associations between avoidant coping and hypertension were observed among African American respondents (PRs 0.82-0.83).

Conclusions:

  • Racial disparities in hypertension may not be explained by individual-level avoidant coping behaviors.
  • Findings highlight the complexity of hypertension etiology, potentially involving factors beyond individual coping mechanisms.
  • Further research is needed to understand the underlying reasons for racial differences in hypertension prevalence and the role of coping.