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    Stress, Coping Strategies, and Cardiovascular Disease in African American Women - With Ethical Considerations for Health Care Practitioners

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    TETDEDXGouch-temple-0225M-13223.pdf
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    Genre
    Thesis/Dissertation
    Date
    2018
    Author
    Gouch, Ayanna D
    Advisor
    Jones, Nora L.
    Department
    Urban Bioethics
    Subject
    Medical Ethics
    African American Studies
    Public Health
    Black Women
    Coping
    Health Psychology
    Heart Disease
    Stress
    Urban Bioethics
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/2941
    
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    DOI
    http://dx.doi.org/10.34944/dspace/2923
    Abstract
    African American women have the highest rates of hypertension, cardiovascular disease (CVD) and mortality rates related to CVD of all ethnic and racial groups in America. Understanding the factors contributing to these health disparities will be crucial to closing the gap in health outcomes. This thesis proposes that stressors and stress coping strategies are contributing as independent risk factors for CVD, thus leading to health disparities. Studies have shown that stress has a direct relationship to neuroendocrine processes in the body leading to elevated blood pressures and increased inflammation. Examining common stress factors among African American women and developing strategies to help relieve the burden of these stress factors will be an important ethical step toward eliminating the CVD health disparity between African American women and other ethnic groups. In addition, developing systemic support for coping with stress through health systems and health centers will be imperative for improving CVD health outcomes and agency among African American women.
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