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Gepubliceerd in: Journal of Behavioral Medicine 3/2022

03-05-2022

Discrimination experiences, resilience, and cardiovascular disease risk factors among sexual minority women

Auteurs: Jacklyn D. Foley, Amelia M. Stanton, Caleigh Shepard, Jennifer Morris, Conall O’Cleirigh, Jennifer Potter, Abigail W. Batchelder

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2022

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Abstract

Resilience, or the process of adapting to adversity, may protect against the harmful effects of minority-related stressors on the cardiovascular health of sexual minority women (SMW). An online survey was conducted in a sample of cisgender, non-heterosexual women to evaluate resilience as a moderator of the association between discrimination experiences and key cardiovascular disease (CVD) risk factors: stress, tobacco-smoking, hazardous alcohol consumption, poor diet quality, physical inactivity, and sedentary behaviors. Overall, 191 women (mean age = 29.34, SD = 6.92; 84.5% White) completed the survey and met eligibility to be included in the data analysis. White race (b = − 6.71, SE = 2.49) and education (b = − 3.36, SE = 0.56) were each independently associated with fewer discrimination experiences. Latinx ethnicity was associated with more discrimination experiences (b = 9.34, SE = 2.61). Education was associated with greater resilience (b = 4.57, SE = 0.83). Multivariable regression models were adjusted for race, ethnicity, and education. Discrimination was associated with a higher likelihood of smoking in the past month (b = 0.04, SE = 0.02) and drinking at hazardous levels (b = 0.09, SE = 0.02). Resilience was associated with less stress (b =  − 0.15, SE = 0.02), a lower likelihood of hazardous alcohol consumption (b =  − 0.02, SE = 0.01) and less time spent engaging in sedentary behaviors (b =  − 0.02, SE = 0.01). One moderation emerged, such that discrimination was negatively associated with stress for those low in resilience (b =  − 1.75, SE = 0.58), and not associated with stress for those high in resilience. These findings may inform the development of CVD-risk reduction interventions for SMW, which could include both strategies to mitigate the effects of discrimination on substance use and coping skills to promote resilience.
Voetnoten
1
Calculated based on reported prevalence rates.
 
2
Discrimination was significantly associated with tobacco-smoking when treated as a continuous outcome (b = 0.03, SE = 0.006, t = 5.13, p < 0.002); however, discrimination was not associated with alcohol consumption when alcohol use was treated as a continuous outcome (b = 4.51, SE = 4.12, t = 1.09, p = 0.28).
 
3
Resilience was significantly associated with alcohol consumption when treated as a continuous outcome (b =  − 10.79, SE = 2.65, t = − 4.08, p < 0.001). Resilience was not associated with tobacco-smoking when tobacco use was treated as a continuous outcome (b = − 0.01, SE = 0.004, t =  − 1.21, p = 0.23).
 
4
In alternative model testing that examined predictors of resilience, only sedentary behaviors were significantly associated with less resilience (b =  − 1.84, SE = 0.73, t =  − 2.52, p = 0.01).
 
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Metagegevens
Titel
Discrimination experiences, resilience, and cardiovascular disease risk factors among sexual minority women
Auteurs
Jacklyn D. Foley
Amelia M. Stanton
Caleigh Shepard
Jennifer Morris
Conall O’Cleirigh
Jennifer Potter
Abigail W. Batchelder
Publicatiedatum
03-05-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-022-00320-7

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