Minority Health Archive

RACE DIFFERENCES IN CARDIOVASCULAR AND CORTISOL RESPONSES TO AN INTERPERSONAL CHALLENGE IN WOMEN WHO ARE FAMILY CAREGIVERS

Wilcox, Sara and Bopp, Melissa and Wilson, Dawn K. and Fulk, Laura J. and Hand, Gregory A. (2005) RACE DIFFERENCES IN CARDIOVASCULAR AND CORTISOL RESPONSES TO AN INTERPERSONAL CHALLENGE IN WOMEN WHO ARE FAMILY CAREGIVERS. Ethnicity & Disease, 15 (1). pp. 17-24.

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Abstract

Objectives: To examine race differences in psychosocial and psychophysiological responses to family caregiving. Design: Participants completed paper-andpencil surveys and were exposed to a laboratory- based interpersonal challenge that included a period of rest, an interpersonal challenge, and a period of recovery. Setting: A university research laboratory. Participants: Sixteen Caucasian and 12 African-American postmenopausal (64610 years) women who were caregivers to a family member with dementia. Measures: Psychosocial functioning included self-reported perceived stress, caregiver burden, social support, and caregiving meaning. Systolic and diastolic blood pressure (SBP,DBP) and heart rate (HR) were measured every two minutes during the rest, challenge, and recovery. Salivary cortisol was measured at rest and 15-minutes post-challenge. Results: There was a Race 3 Task interaction for SBP and HR but not DBP reactivity. African-American women showed greater reactivity than Caucasian women. The magnitude of this interaction was large. African-American women also reported greater caregiving from meaning than Caucasian women. In contrast, significantly more African Americans (58%) than Caucasians (14%) showed cortisol reactivity from rest to 15-minutes post-challenge. Conclusions: The differential pattern of physiologic responses is consistent with studies outside of the caregiving literature, and suggests that caregiving may be perceived as more effortful among Caucasian women and less controllable among African-American women.


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Item Type: Article
Additional Information: After clicking link, scroll down the page to find the article. Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: African American; Aging; Cardiovascular Reactivity; Caregiving; Cortisol; Race Differences; Women
Subjects: Health
Health > Public Health > Health Risk Factors > Stress
Practice > service
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 16 Feb 2009
Last Modified: 11 Jun 2011 14:24
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1279

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