title: The impact of goal-striving stress on physical health of white Americans, African Americans, and Caribbean blacks.
abstract: OBJECTIVE
  To contribute to the growing understanding of U.S. black-white health disparities by examining psychosocial stress as an important contributor to physical health problems.
  
  
  METHODS
  Data are from the National Survey of American Life, an integrated national household probability sample of White Americans, African Americans, and Caribbean blacks. Regression analysis was used to assess associations between goal-striving stress and hypertension, BMI, physical health problems, and self-rated health.
  
  
  RESULTS
  After accounting for sociodemographic factors and three additional stressors--personal problems, lifetime racial discrimination, and everyday racial discrimination-goal-striving stress was a significant predictor of hypertension, physical health problems, and diminished self-rated health. Ethnicity moderated the relationship; the negative association between goal-striving stress and physical health problems was strongest for Caribbean blacks.
  
  
  CONCLUSIONS
  This study extends the research on goal-striving stress and adds to a growing literature documenting relationships between social processes and disease.
authors: Department of Family Studies and Social Work, Miami University, Oxford, OH 45056, USA. slsellers@muohio.edu
authors: Sherrill L
authors: SL
authors: Sellers
authors: Harold W
authors: HW
authors: Neighbors
authors: Rong
authors: R
authors: Zhang
authors: James S
authors: JS
authors: Jackson
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D015992:Body Mass Index; D017691:Caribbean Region / Q000208:ethnology; D005260:Female; D006040:Goals; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D007407:Interviews as Topic; D008297:Male; D010549:Personal Satisfaction; D012044:Regression Analysis; D013315:Stress, Psychological / Q000208:ethnology*; D014481:United States / Q000208:ethnology; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data