Self-Regulatory Coping Behaviors and Stress Reactivity: Exploring the Environmental Affordance Model of Health Disparities

Abstract

Objectives

To explore the relationship between self-regulatory coping behaviors (SRCB) and hypothalamic pituitary adrenal (HPA) stress reactivity.

Methods

Data came from the Richmond Stress and Sugar Study (n=125, median age: 57 years, 46% non-Hispanic White, 48% African American). The relationships between 11 SRCB (“health-harming” [e.g., smoking] and “health-promoting” [e.g., exercising]) with HPA stress reactivity, indicated by salivary cortisol response to the Trier Social Stress Test, was assessed using multi-level modeling.

Results

Health-harming and health-promoting SRCB were positively correlated (+0.33, p<0.001). Several individual behaviors were related to HPA stress reactivity, for example, smoking and meditation were associated with shallower increases in cortisol (smoking: −13.0%, 95%CI: −20.9% to −4.3%; meditation: −14.0%, 95%CI: −22.0% to −5.1%). However, SRCB summary measures were unrelated to stress reactivity.

Discussion

Health-harming and health-promoting SRCB are inter-related. Specific behaviors, rather than groupings as health-harming versus -promoting, are related to HPA stress reactivity.

Keywords

stress coping disparities biopsychosocial HPA-axis

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References

Allen

A. P.

Kennedy

P. J.

Dockray

Cryan

J. F.

Dinan

T. G.

Clarke

(2017). The trier social stress test: Principles and practice. Neurobiology of Stress, 6(February), 113–126. https://doi.org/10.1016/j.ynstr.2016.11.001

Barrington

W. E.

Stafford

Hamer

Beresford

S. A. A.

Koepsell

Steptoe

(2014). Neighborhood socioeconomic deprivation, perceived neighborhood factors, and cortisol responses to induced stress among healthy adults. Health & Place, 27(May), 120–126. https://doi.org/10.1016/j.healthplace.2014.02.001

Ben-Shlomo

Kuh

(2002). A life course approach to chronic disease epidemiology: Conceptual models, empirical challenges and interdisciplinary perspectives. International Journal of Epidemiology, 31(2), 285–293. https://doi.org/10.1093/ije/31.2.285

Boardman

J. D.

Alexander

K. B.

(2011). Stress trajectories, health behaviors, and the mental health of black and white young adults. Social Science & Medicine, 72(10), 1659–1666. https://doi.org/10.1016/j.socscimed.2011.03.024

Castro-Diehl

Diez Roux

A. V.

Seeman

Shea

Shrager

Tadros

(2014). Associations of socioeconomic and psychosocial factors with urinary measures of cortisol and catecholamines in the Multi-Ethnic Study of Atherosclerosis (MESA). Psychoneuroendocrinology, 41(March), 132–141. https://doi.org/10.1016/j.psyneuen.2013.12.013

Chida

Hamer

(2008). Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: A quantitative review of 30 years of investigations. Psychological Bulletin, 134(6), 829–885. https://doi.org/10.1037/a0013342

D. P.

Diez Roux

A. V.

Hajat

Auchincloss

A. H.

Merkin

S. S.

Ranjit

Shea

Seeman

(2011). Circadian rhythm of cortisol and neighborhood characteristics in a population-based sample: The multi-ethnic study of atherosclerosis. Health & Place, 17(2), 625–632. https://doi.org/10.1016/j.healthplace.2010.12.019

Foster

M. T.

Warne

J. P.

Ginsberg

A. B.

Horneman

H. F.

Pecoraro

N. C.

Akana

S. F.

Dallman

M. F.

(2009). Palatable foods, stress, and energy stores sculpt corticotropin-releasing factor, adrenocorticotropin, and corticosterone concentrations after restraint. Endocrinology, 150(5), 2325–2333. https://doi.org/10.1210/en.2008-1426

Glover

L. M.

Bertoni

A. G.

Golden

S. H.

Baltrus

Min

Y.-I.

Carnethon

M. R.

Taylor

Sims

(2019). Sex differences in the association of psychosocial resources with prevalent type 2 diabetes among African Americans: The Jackson heart study. Journal of Diabetes and Its Complications, 33(2), 113–117. https://doi.org/10.1016/j.jdiacomp.2018.11.005

10.

Jackson

J. S.

Knight

K. M.

(2006). Race and self-regulatory health behaviors: The role of the stress response and the HPA axis in physical and mental health disparities. In Schaie

K. W.

Cartensen

(Eds.), Social structures, aging and self-regulation in the elderly (pp. 189–207). Springer.

11.

Jackson

J. S.

Knight

K. M.

Rafferty

J. A.

(2010). Race and unhealthy behaviors: Chronic stress, the HPA axis, and physical and mental health disparities over the life course. American Journal of Public Health, 100(5), 933–939. https://doi.org/10.2105/AJPH.2008.143446

12.

Keller-Allen

(2014). Science of behavior change Common Fund program fourth annual meeting of investigators (p. 70). https://commonfund.nih.gov/sites/default/files/FINAL_SOBC_June2014_Annual_mtg_report_REV_10-15-14_508.pdf

13.

Keyes

K. M.

Barnes

D. M.

Bates

L. M.

(2011). Stress, coping, and depression: Testing a new hypothesis in a prospectively studied general population sample of U.S.-born Whites and Blacks. Social Science & Medicine, 72(5), 650–659. https://doi.org/10.1016/j.socscimed.2010.12.005

14.

Knäuper

Rabiau

Cohen

Patriciu

(2004). Compensatory health beliefs: Scale development and psychometric properties. Psychology & Health, 19(5), 607–624. https://doi.org/10.1080/0887044042000196737

15.

Koob

G. F.

(2008). A role for brain stress systems in addiction. Neuron, 59(1), 11–34. https://doi.org/10.1016/j.neuron.2008.06.012

16.

Koob

G. F.

Volkow

N. D.

(2016). Neurobiology of addiction: A neurocircuitry analysis. Lancet Psychiatry, 3(8), 760–773. https://doi.org/10.1016/S2215-0366(16)00104-8

17.

Margittai

Nave

Strombach

van Wingerden

Schwabe

Kalenscher

(2016). Exogenous cortisol causes a shift from deliberative to intuitive thinking. Psychoneuroendocrinology, 64(February), 131–135. https://doi.org/10.1016/j.psyneuen.2015.11.018

18.

Massey

D. S.

Rugh

J. S.

(2014). Segregation in post-civil rights America: Stalled integration or end of the segregated century? Du Bois Review : Social Science Research on Race, 11(2), 205–232. https://doi.org/10.1017/S1742058X13000180

19.

McNeish

(2017). Small sample methods for multilevel modeling: A colloquial elucidation of REML and the Kenward-Roger correction. Multivariate Behavioral Research, 52(5), 661–670. https://doi.org/10.1080/00273171.2017.1344538

20.

Meier

H. C. S.

Hussein

Needham

Barber

Lin

Seeman

Diez Roux

(2019). Cellular response to chronic psychosocial stress: Ten-year longitudinal changes in telomere length in the multi-ethnic study of atherosclerosis. Psychoneuroendocrinology, 107(September), 70–81. https://doi.org/10.1016/j.psyneuen.2019.04.018

21.

Mezuk

Abdou

C. M.

Hudson

Kershaw

K. N.

Rafferty

J. A.

Lee

Jackson

J. S.

(2013). “White box” epidemiology and the social neuroscience of health behaviors: The environmental affordances model. Society and Mental Health, 3(2), 79–95. https://doi.org/10.1177/2156869313480892

22.

Mezuk

Del Toro

Gough Courtney

Kirk

K. F.

Zhang

Spears

E. C.

Green

Lee

Hudson

(2021). Theory and empiricism: A comment on “Interrogating the environmental affordances model” by Pamplin and colleagues. Social Science & Medicine, 285(September), 114281. https://doi.org/10.1016/j.socscimed.2021.114281

23.

Mezuk

Lexima

Kalesnikava

V. A.

Fleming

Montgomery

Tuktur

Winston

Perrin

P. B.

Green

Wheeler

D. C.

(2020). Stress reactivity as a contributor to racial and socioeconomic disparities: Rationale and baseline results from the richmond stress and sugar study. Psychosomatic Medicine, 82(7), 658–668. https://doi.org/10.1097/PSY.0000000000000830

24.

Mezuk

Rafferty

J. A.

Kershaw

K. N.

Hudson

Abdou

C. M.

Lee

Eaton

W. W.

Jackson

J. S.

(2010). Reconsidering the role of social disadvantage in physical and mental health: Stressful life events, health behaviors, race, and depression. American Journal of Epidemiology, 172(11), 1238–1249. https://doi.org/10.1093/aje/kwq283

25.

Mezuk

Ratliff

Concha

J. B.

Abdou

C. M.

Rafferty

Lee

Jackson

J. S.

(2017). Stress, self-regulation, and context: Evidence from the Health and Retirement Survey. SSM - Population Health, 3(December), 455–463. https://doi.org/10.1016/j.ssmph.2017.05.004

26.

Miller

Chen

Cole

S. W.

(2009). Health psychology: Developing biologically plausible models linking the social world and physical health. Annual Review of Psychology, 60, 501–524. https://doi.org/10.1146/annurev.psych.60.110707.163551

27.

Mullen

Monin

(2016). Consistency versus licensing effects of past moral behavior. Annual Review of Psychology, 67, 363–385. https://doi.org/10.1146/annurev-psych-010213-115120

28.

Nandi

Glymour

M. M.

Subramanian

S. V.

(2014). Association among socioeconomic status, health behaviors, and all-cause mortality in the United States. Epidemiology, 25(2), 170–177. https://doi.org/10.1097/EDE.0000000000000038

29.

Neblett

E. W.

Jr. (2019). Racism and health: Challenges and future directions in behavioral and psychological research. Cultural Diversity and Ethnic Minority Psychology, 25(1), 12–20. https://doi.org/10.1037/cdp0000253

30.

Nielsen

Riddle

King

J. W.

NIH Science of Behavior Change Implementation Team Aklin

W. M.

Chen

Clark

Collier

Czajkowski

Esposito

Ferrer

Green

Hunter

Kehl

King

Onken

Simmons

J. M.

Stoeckel

Stoney

Weber

(2018). The NIH science of behavior change program: Transforming the science through a focus on mechanisms of change. Behaviour Research and Therapy, 101(February), 3–11. https://doi.org/10.1016/j.brat.2017.07.002

31.

Nusslock

Miller

G. E.

(2016). Early-life adversity and physical and emotional health across the lifespan: A neuroimmune network hypothesis. Biological Psychiatry, 80(1), 23–32. https://doi.org/10.1016/j.biopsych.2015.05.017

32.

Pascoe

M. C.

Thompson

D. R.

Jenkins

Z. M.

Ski

C. F.

(2017). Mindfulness mediates the physiological markers of stress: Systematic review and meta-analysis. Journal of Psychiatric Research, 95(December), 156–178. https://doi.org/10.1016/j.jpsychires.2017.08.004

33.

Petrovic

de Mestral

Bochud

Bartley

Kivimäki

Vineis

Mackenbach

Stringhini

(2018). The contribution of health behaviors to socioeconomic inequalities in health: A systematic review. Preventive Medicine, 113(August), 15–31. https://doi.org/10.1016/j.ypmed.2018.05.003

34.

Schulz

A. J.

Kannan

Dvonch

J. T.

Israel

B. A.

Allen

3rd James

S. A.

House

J. S.

Lepkowski

(2005). Social and physical environments and disparities in risk for cardiovascular disease: The healthy environments partnership conceptual model. Environmental Health Perspectives, 113(12), 1817–1825. https://doi.org/10.1289/ehp.7913

35.

Strahler

Wurst

Fuchs

Wunsch

(2021). Joint associations of regular exercise and healthy diet with psychobiological stress reactivity in a healthy male sample. Stress, 24(6), 1–14. https://doi.org/10.1080/10253890.2021.1878496

36.

Thoits

P. A.

(2010). Stress and health: Major findings and policy implications. Journal of Health and Social Behavior, 51(Suppl), S41–S53. https://doi.org/10.1177/0022146510383499

37.

Tryon

M. S.

Stanhope

K. L.

Epel

E. S.

Mason

A. E.

Brown

Medici

Havel

P. J.

Laugero

K. D.

(2015). Excessive sugar consumption may be a difficult habit to break: A view from the brain and body. The Journal of Clinical Endocrinology and Metabolism, 100(6), 2239–2247. https://doi.org/10.1210/jc.2014-4353

38.

Turner

R. J.

Wheaton

Lloyd

D. A.

(1995). The epidemiology of social stress. American Sociological Review, 60(1), 104. https://doi.org/10.2307/2096348

39.

US Census Bureau . (2019). Census profile: Richmond, VA metro area. Census Reporter. http://censusreporter.org/profiles/31000US40060-richmond-va-metro-area/

40.

Wells

Tremblay

P. F.

Flynn

Russell

Kennedy

Rehm

Van Uum

Koren

Graham

(2014). Associations of hair cortisol concentration with self-reported measures of stress and mental health-related factors in a pooled database of diverse community samples. Stress (Amsterdam, Netherlands), 17(4), 334–342. https://doi.org/10.3109/10253890.2014.930432

41.

Williams

D. R.

Lawrence

J. A.

Davis

B. A.

(2019). Racism and Health: Evidence and needed research. Annual Review of Public Health, 40, 105–125. https://doi.org/10.1146/annurev-publhealth-040218-043750