Social and Behavioral Sciences Commons^™

Married Mothers' Multiple Roles: Implications For Cardiovascular Health, Tyler C. Graff

Theses and Dissertations

In recent years, the traditional nuclear family, as defined by social role theory with mother at home and father in the workplace, is no longer the norm. Nearly three out of every four women with children under the age of 18 are part of the workforce. Mothers are frequently juggling multiple roles as well as most of the responsibilities that are inherent in these roles. The current project examined diurnal ambulatory blood pressure influences associated with the responsibility of having a greater number of roles. We investigate differences between a self-reported healthy population of 112 married stay-at-home and 112 married …

Marital Quality Buffers The Association Between Socioeconomic Status And Ambulatory Blood Pressure, Wendy C. Birmingham, Jenny M. Cundiff, Bert N. Uchino, Timothy W. Smith

Faculty Publications

Background Socioeconomic status is robustly associated with rates of death and disease. Psychophysiological stress processes are thought to account for a portion of this association. Purpose Although positive and supportive relationships can buffer psychophysiological stress responses, no studies have examined whether the quality of a primary adult relation�ship—marriage—may buffer the negative association be�tween socioeconomic status and stress-related disease processes. Methods The current study examines the interaction between income and marital quality (supportive vs. ambivalent) on individuals’ daily ambulatory blood pressure, a valid and re�liable indicator of cardiovascular risk. Results Results revealed that supportive marital relationships buffered the otherwise higher ambulatory …

Socioeconomic Status And Health: Education And Income Are Independent And Joint Predictors Of Ambulatory Blood Pressure, Wendy C. Birmingham, Jenny M. Cundiff, Bert N. Uchino, Timothy W. Smith

Faculty Publications

Epidemiological research suggests that different indicators of socioeconomic status (SES) such as income and education may have independent and/or interactive effects on health outcomes. In this study, we examined both simple and more complex associations (i.e., interactions) between different indicators of SES and ambulatory blood pressure (ABP) during daily life. Our sample consisted of 94 married couples who completed a one-day ABP protocol. Both income and education were independently related to systolic blood pressure and only income was significantly related to diastolic blood pressure. There were also statistical interactions such that individuals with high levels of both income and education …

Do Social Control Motives Combine With Perceptions Of Social Support To Predict Relationships Between Interpersonal Stress And Blood Pressure In The Normal Environment?, Gavin James Elder

Dissertations - ALL

Social support is related to lower risk for cardiovascular disease development. Yet, research has failed to yield consistent evidence for psychological mechanisms of relationships between social support and health outcomes. Explanations for these failures include limitations of research design and statistical analysis, inadequate theory-building, and a failure to investigate implicit psychological processes that operate during normal everyday social interactions. The present study utilized a promising theoretical framework (i.e., social action theory) to evaluate implicit mechanisms within a naturalistic observation study design using multilevel modeling. The primary aims of this study were to evaluate the role of between-person differences in agonistic …

Perceived Racism And Blood Pressure In Foreign-Born Mexicans, Richard Iztcoatl Merideth

Theses and Dissertations

Studies have identified perceived racism as one type of social stress that is believed to contribute to hypertension, though no studies to date have examined the relationship between perceived racism and blood pressure among foreign-born Mexicans living in the United States (U.S.). In addition, studies have shown that acculturation may increase levels of perceived discrimination among foreign-born Mexicans living in the U.S. The primary purpose of this study was to examine the relationship between perceived racism and ambulatory blood pressure among a convenience sample of 332 foreign-born Mexicans living in Utah County, Utah controlling for age, gender, body mass index …

Specific Dimensions Of Perceived Support And Ambulatory Blood Pressure: Which Support Functions Appear Most Beneficial And For Whom?, Wendy C. Birmingham, Kimberly S. Bowen, Bert N. Uchino, Mckenzie Carlisle, Timothy W. Smith, Kathleen C. Light

Faculty Publications

Perceived support has been related to lower cardiovascular morbidity and mortality. However, little is known about the specific functional components of support responsible for such links. We tested if emotional, informational, tangible, and belonging support predicted ambulatory blood pressure (ABP) and interpersonal interactions (e.g., responsiveness), and if such links were moderated by gender. In this study, 94 married couples underwent 12 h of ABP monitoring during daily life which included a night at home with their spouse. They completed a short-form of the interpersonal support evaluation list that provides information on total (global) support, as well as specific dimensions of …

Evaluative Threat And Ambulatory Blood Pressure: Cardiovascular Effects Of Social Stress In Daily Experience, Wendy C. Birmingham, Timothy W. Smith, Bert N. Uchino

Faculty Publications

Objective—Physiological effects of social evaluation are central in models of psychosocial influences on physical health. Experimental manipulations of evaluative threat evoke substantial cardiovascular and neuroendocrine responses in laboratory studies, but only preliminary evidence is available regarding naturally-occurring evaluative threats in daily life. In such non-experimental ambulatory studies, it is essential to distinguish effects of evaluative threat from related constructs known to alter stress, such as ability perceptions and concerns about appearance. Methods—94 married, working couples (mean age 29.2 years) completed a one-day (8am to 10pm) ambulatory blood pressure (ABP) protocol with random interval-contingent measurements using a Suntech monitor and Palm …

Knowing Your Partner Is Not Enough: Spousal Importance Moderates The Link Between Attitude Familiarity And Ambulatory Blood Pressure, Wendy C. Birmingham, Bert N. Uchino, David M. Sanbonmatsu

Faculty Publications

Close relationships have been linked to cardiovascular morbidity and mortality. More research is needed, however, on the social and biological processes responsible for such links. In this study, we examined the role of relationship-based attitudinal processes (i.e., attitude familiarity and partner importance) on ambulatory blood pressure during daily life. Forty-seven married couples completed a questionnaire regarding their own attitudes, perceptions of their partner’s attitudes, and perceptions of partner importance. They also underwent a 1-day ambulatory assessments of daily spousal interactions and blood pressure. Partner importance was related to better interpersonal functioning (e.g., partner responsiveness) and lower ambulatory systolic blood pressure. …

Communal And Exchange Relationships In Marriage And Their Effects On Ambulatory Blood Pressure In Caucasians And Foreign-Born Mexican Americans, Bryan J. Jensen

Theses and Dissertations

Research shows Mexican Americans typically have better cardiovascular health than European Americans, despite being relatively economically disadvantaged. Given research indicating the importance of relationship quality on one's health, the present study examined whether certain relationship orientations (e.g. communal or exchange) were more prevalent in different ethnic groups and if these orientations could help explain this Hispanic Paradox. 582 adults were recruited from the community. Participants were primarily European American (40%) and foreign-born Mexican Americans (55%). A cross-sectional designed was used where participants wore 24-hour ambulatory blood pressure (ABP) monitors and completed self-report measures of relationship satisfaction and relationship orientation. Results …

On The Importance Of Knowing Your Partner’S Views: Attitude Familiarity Is Associated With Better Interpersonal Functioning And Lower Ambulatory Blood Pressure In Daily Life, Wendy C. Birmingham, David M. Sanbonmatsu, Bert N. Uchino

Faculty Publications

Background—Relationships have been linked to significant physical health outcomes. However, little is known about the more specific processes that might be responsible for such links. Purpose—The main aim of this study was to examine a previously unexplored and potentially important form of partner knowledge (i.e., attitude familiarity) on relationship processes and cardiovascular function. Methods—In this study, 47 married couples completed an attitude familiarity questionnaire and ambulatory assessments of daily spousal interactions and blood pressure. Results—Attitude familiarity was associated with better interpersonal functioning between spouses in daily life (e.g., greater partner responsiveness). Importantly, attitude familiarity was also related to lower overall …

Married With Children: The Influence Of Parental Status And Gender On Ambulatory Blood Pressure, Wendy C. Birmingham, Julianne Holt-Lunstad, Adam M. Howard, Dustin Thoman

Faculty Publications

Background Although there is substantial evidence that social relationships and marriage may influence both psychological and physical health, little is known about the influence of children. Purpose This study examined the competing predictions regarding the directional influence of parental status and its interaction with gender—given that mothers are typically disproportionately more responsible for everyday care of children—on cardiovascular functioning. Method We examined ambulatory blood pressure (ABP) over 24 hours among 198 married males and females. Results Couples without children had significantly higher ambulatory SBP and DBP than those with children. Moreover, we found a significant interaction between parental status and …

Racism And Ambulatory Blood Pressure In A Community Sample, Elizabeth Brondolo, Daniel Libby, Ellen-Ge Denton

Publications and Research

Objective: Racism has been identified as a psychosocial stressor that may contribute to disparities in the prevalence of cardiovascular disease. The goal of the present article was to investigate the relationship of perceived racism to ambulatory blood pressure (ABP) in a sample of American-born Blacks and Latinos.

Methods: Participants included English-speaking Black or Latino(a) adults between the ages of 24 and 65. They completed daily mood diaries and measures of perceived racism, socioeconomic status, and hostility. Participants were outfitted with ABP monitors; 357 provided data on waking hours only, and 245 provided data on both waking and nocturnal ABP.

Results: …

Is There Something Unique About Marriage? The Relative Impact Of Marital Status, Relationship Quality, And Network Social Support On Ambulatory Blood Pressure And Mental Health, Wendy C. Birmingham, Julianne Holt-Lunstad, Brandon Q. Jones

Faculty Publications

Background Having close social relationships and being married specifically have been reliably associated with health benefits including lower morbidity and mortality. Purpose The purpose of this study was to examine the influence of marital status, relationship quality, and network support on measures of psychological and cardiovascular health. Method We examined ambulatory blood pressure (ABP) among 204 married and 99 single males and females (N=303). Results We found that both marital status and marital quality were important. Married individuals had greater satisfaction with life (SWL) and blood pressure dipping than single individuals. High marital quality was associated with lower ABP, lower …