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Published in: International Journal of Behavioral Medicine 1/2013

01-03-2013

Cardiovascular Risk: Gender Differences in Lifestyle Behaviors and Coping Strategies

Authors: Luci A. Martin, Joseph W. Critelli, Joseph A. Doster, Catherine Powers, Michael Purdum, Meagen R. Doster, Paul L. Lambert

Published in: International Journal of Behavioral Medicine | Issue 1/2013

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Abstract

Background

Although cardiovascular disease (CVD) does not occur until mid to late life for most adults, the presence of risk factors, such as high blood pressure (BP) and cholesterol, has increased dramatically in young adults.

Purpose

The present study examined the relationships between gender and coping strategies, lifestyle behaviors, and cardiovascular risks.

Method

The sample consisted of 297 (71% female) university students. Participants completed a survey to assess demographics, lifestyle behaviors, and coping strategies, and a physiological assessment including lipid and blood pressure (BP) measurements. Data collection occurred from January 2007 to May 2008.

Results

Analyses revealed that age, ethnicity, greater body mass index (BMI), greater use of social support, and less frequent exercise were associated with higher cholesterol, while gender, age, greater BMI, and less frequent exercise were associated with higher systolic BP. There were two significant interactions: one between gender and avoidant coping and the other between gender and exercise on systolic BP, such that for men greater use of avoidant coping or exercise was associated with lower systolic BP.

Conclusion

Understanding how young adults manage their demands and cope with stress sets the stage for understanding the developmental process of CVD. Both coping strategies and lifestyle behaviors must be considered in appraising gender-related cardiovascular risk at an early age before the disease process has begun.
Literature
1.
go back to reference Lloyd-Jones D, Adams R, Carnethon M, et al. Heart disease and stroke statistics 2009 update: a report from the American Heart Association statistics committee and stroke statistics subcommittee. Circulation. 2009;119:e21–e181.PubMedCrossRef Lloyd-Jones D, Adams R, Carnethon M, et al. Heart disease and stroke statistics 2009 update: a report from the American Heart Association statistics committee and stroke statistics subcommittee. Circulation. 2009;119:e21–e181.PubMedCrossRef
2.
go back to reference Heron M, Hoyert D, Murphy S, Xu J, Kochanek K, Tejada-Vera B. Deaths: final data for 2006. Natl Vital Stat Rep. 2009;57:14. Heron M, Hoyert D, Murphy S, Xu J, Kochanek K, Tejada-Vera B. Deaths: final data for 2006. Natl Vital Stat Rep. 2009;57:14.
3.
go back to reference Pleis J, Lethbridge-Çejku M. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. National Center for Health Statistics. Vital Health Stat. 2007;10:235. Pleis J, Lethbridge-Çejku M. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. National Center for Health Statistics. Vital Health Stat. 2007;10:235.
4.
go back to reference Sarafino E. Health psychology: biopsychosocial interactions. 6th ed. Hoboken: John Wiley & Sons, Inc. Hoboken, NJ; 2008. Sarafino E. Health psychology: biopsychosocial interactions. 6th ed. Hoboken: John Wiley & Sons, Inc. Hoboken, NJ; 2008.
5.
go back to reference Mensah, G, Brown, D, Croft, J, Greenlund, K. Major coronary risk factors and death from coronary heart disease: baseline and follow-up mortality data from the Second National Cholesterol Education Program (NCEP). Third report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (ATP III final report). National Heart Lung and Blood Institute. Web site. 2011. http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3full.pdf. Accessed May 20, 2011. Mensah, G, Brown, D, Croft, J, Greenlund, K. Major coronary risk factors and death from coronary heart disease: baseline and follow-up mortality data from the Second National Cholesterol Education Program (NCEP). Third report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (ATP III final report). National Heart Lung and Blood Institute. Web site. 2011. http://​www.​nhlbi.​nih.​gov/​guidelines/​cholesterol/​atp3full.​pdf. Accessed May 20, 2011.
6.
go back to reference Eaton D, Kann L, Kinchen S, et al. Centers for Disease Control and Prevention (CDC). Youth risk behavior surveillance: United States. MMWR. 2008;57:1–131.PubMed Eaton D, Kann L, Kinchen S, et al. Centers for Disease Control and Prevention (CDC). Youth risk behavior surveillance: United States. MMWR. 2008;57:1–131.PubMed
7.
8.
go back to reference Dedovic K, Duchesne A, Andrews J, Engert V, Pruessner J. The brain and the stress axis: the neural correlates of cortisol regulation in response to stress. Neuroimage. 2009;47:864–71.PubMedCrossRef Dedovic K, Duchesne A, Andrews J, Engert V, Pruessner J. The brain and the stress axis: the neural correlates of cortisol regulation in response to stress. Neuroimage. 2009;47:864–71.PubMedCrossRef
9.
go back to reference Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
10.
go back to reference Kajantie E, Phillips D. The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology. 2006;31:151–78.PubMedCrossRef Kajantie E, Phillips D. The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology. 2006;31:151–78.PubMedCrossRef
11.
go back to reference Wang J, Korczykowski M, Rao H, Fan Y, Pluta J, Gur R, McEwen B, Detre J. Gender difference in neural response to psychological stress. Soc Cogn Affect Neurosci. 2007;2:227–39.PubMedCrossRef Wang J, Korczykowski M, Rao H, Fan Y, Pluta J, Gur R, McEwen B, Detre J. Gender difference in neural response to psychological stress. Soc Cogn Affect Neurosci. 2007;2:227–39.PubMedCrossRef
12.
go back to reference Yeh S, Huang C, Chou H, Wan T. Gender differences in stress and coping among elderly patients on hemodialysis. Sex Rol. 2009;60:44–56.CrossRef Yeh S, Huang C, Chou H, Wan T. Gender differences in stress and coping among elderly patients on hemodialysis. Sex Rol. 2009;60:44–56.CrossRef
13.
go back to reference Uchino B. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. Int J Behav Med. 2006;29:377–87.CrossRef Uchino B. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. Int J Behav Med. 2006;29:377–87.CrossRef
14.
go back to reference Sollár T, Sollárová E. Proactive coping from the perspective of age, gender and education. Stud Psychol. 2009;51:161–5. Sollár T, Sollárová E. Proactive coping from the perspective of age, gender and education. Stud Psychol. 2009;51:161–5.
15.
go back to reference Robb C, Small B, Haley W. Gender differences in coping with functional disability in older married couples: the role of personality and social resources. Aging Ment Health. 2008;12:423–33.PubMedCrossRef Robb C, Small B, Haley W. Gender differences in coping with functional disability in older married couples: the role of personality and social resources. Aging Ment Health. 2008;12:423–33.PubMedCrossRef
16.
go back to reference Doster J, Purdum M, Martin L, Goven A, Moorefield R. Gender differences, anger expression, and cardiovascular risk. J Ment Nerv Disord. 2009;197(7):552–4.CrossRef Doster J, Purdum M, Martin L, Goven A, Moorefield R. Gender differences, anger expression, and cardiovascular risk. J Ment Nerv Disord. 2009;197(7):552–4.CrossRef
17.
go back to reference Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc. 2001;101:28–34.PubMedCrossRef Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc. 2001;101:28–34.PubMedCrossRef
18.
go back to reference Carver CS. You want to measure coping but your protocol's too long: consider the Brief COPE. Int J Behav Med. 1997;4(1):92–101.PubMedCrossRef Carver CS. You want to measure coping but your protocol's too long: consider the Brief COPE. Int J Behav Med. 1997;4(1):92–101.PubMedCrossRef
19.
go back to reference Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989;56:267–83.PubMedCrossRef Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989;56:267–83.PubMedCrossRef
20.
go back to reference Delongis A, Folkman S, Lazarus R. The impact of daily stress on health and mood: psychological and social resources as mediators. J Pers Soc Psychol. 1988;54:486–95.PubMedCrossRef Delongis A, Folkman S, Lazarus R. The impact of daily stress on health and mood: psychological and social resources as mediators. J Pers Soc Psychol. 1988;54:486–95.PubMedCrossRef
21.
go back to reference Aiken L, West S. Multiple regression: testing and interpreting interactions. Newbury Park: SAGE Publications, Inc. Thousand Oaks, CA; 1991. Aiken L, West S. Multiple regression: testing and interpreting interactions. Newbury Park: SAGE Publications, Inc. Thousand Oaks, CA; 1991.
22.
go back to reference Frazier PA, Tix AP, Baron KE. Testing moderator and mediator effects in counseling psychology research. J Couns Psychol. 2004;51:115–34.CrossRef Frazier PA, Tix AP, Baron KE. Testing moderator and mediator effects in counseling psychology research. J Couns Psychol. 2004;51:115–34.CrossRef
23.
go back to reference Landow MV. College students: mental health and coping strategies. Hauppauge: Nova Science; 2006. Landow MV. College students: mental health and coping strategies. Hauppauge: Nova Science; 2006.
24.
go back to reference Navalta JW, Sedlock DA, Park KS, McFarlin BK. Neither gender nor menstrual cycle phase influences exercise-induced lymphocyte apoptosis in untrained subjects. Appl Physiol, Nutr, Metab. 2007;32:481–6.CrossRef Navalta JW, Sedlock DA, Park KS, McFarlin BK. Neither gender nor menstrual cycle phase influences exercise-induced lymphocyte apoptosis in untrained subjects. Appl Physiol, Nutr, Metab. 2007;32:481–6.CrossRef
26.
go back to reference Uchino B. Understanding the links between social support and physical health: a lifespan perspective with emphasis on the separability of perceived and received support. Perspect Psychol Sci. 2009;4:236–55.CrossRef Uchino B. Understanding the links between social support and physical health: a lifespan perspective with emphasis on the separability of perceived and received support. Perspect Psychol Sci. 2009;4:236–55.CrossRef
27.
go back to reference Holt-Lunstad J, Uchino B, Smith T, Hicks A. On the importance of relationship quality: the impact of ambivalence in friendships on cardiovascular functioning. Ann Behav Med. 2007;33:278–90.PubMedCrossRef Holt-Lunstad J, Uchino B, Smith T, Hicks A. On the importance of relationship quality: the impact of ambivalence in friendships on cardiovascular functioning. Ann Behav Med. 2007;33:278–90.PubMedCrossRef
28.
go back to reference Substance Abuse and Mental Health Services Administration, Office of Applied Studies. August 2, 2007. The NSDUH report: gender differences in alcohol use and alcohol dependence or abuse: 2004 and 2005. Rockville, MD. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. August 2, 2007. The NSDUH report: gender differences in alcohol use and alcohol dependence or abuse: 2004 and 2005. Rockville, MD.
29.
go back to reference Klatsky, AL. Alcohol and cardiovascular health. Physiol Behav, December 31, 2009. Klatsky, AL. Alcohol and cardiovascular health. Physiol Behav, December 31, 2009.
30.
go back to reference Juonala M, Viikari J, Kahonen M, et al. Alcohol consumption is directly associated with carotid intima-media thickness in Finnish young adults: the cardiovascular risk in young Finns study. Atherosclerosis. 2009;204:93–8.CrossRef Juonala M, Viikari J, Kahonen M, et al. Alcohol consumption is directly associated with carotid intima-media thickness in Finnish young adults: the cardiovascular risk in young Finns study. Atherosclerosis. 2009;204:93–8.CrossRef
31.
go back to reference Ford C, Nonnemaker J, Wirth K. The influence of adolescent body mass index, physical activity, and tobacco use on blood pressure and cholesterol in young adulthood. J Adolesc Health. 2008;43:576–83.PubMedCrossRef Ford C, Nonnemaker J, Wirth K. The influence of adolescent body mass index, physical activity, and tobacco use on blood pressure and cholesterol in young adulthood. J Adolesc Health. 2008;43:576–83.PubMedCrossRef
32.
go back to reference Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008;56:445–53.PubMedCrossRef Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008;56:445–53.PubMedCrossRef
Metadata
Title
Cardiovascular Risk: Gender Differences in Lifestyle Behaviors and Coping Strategies
Authors
Luci A. Martin
Joseph W. Critelli
Joseph A. Doster
Catherine Powers
Michael Purdum
Meagen R. Doster
Paul L. Lambert
Publication date
01-03-2013
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 1/2013
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-011-9204-3

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