TY - JOUR
T1 - Family member incarceration, psychological stress, and subclinical cardiovascular disease in Mexican women (2012–2016)
AU - Connors, Kaela
AU - Flores-Torres, Mario H.
AU - Stern, Dalia
AU - Valdimarsdóttir, Unnur
AU - Rider, Jennifer R.
AU - Lopez-Ridaura, Ruy
AU - Kirschbaum, Clemens
AU - Cantú-Brito, Carlos
AU - Catzin-Kuhlmann, Andrés
AU - Rodriguez, Beatriz L.
AU - Correa, Catalina Pérez
AU - Lajous, Martín
N1 - Funding Information: This work was supported by CONACyT (SALUD 161786 and FOINS 214145), an investigator–initiated unrestricted grant from AstraZeneca (ISSNPCV0022), and an institutional grant support by Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud. D. Stern and M. Lajous were partially supported by the Bernard Lown Scholars in Cardiovascular Health Program at the Harvard T. H. Chan School of Public Health. We thank all study participants for their time and continued support of the Mexican Teachers’ Cohort. We thank the leadership at the office for Regulation at Carrera Magisterial (now Servicio Profesional Docente) in Mexico’s Ministry of Education as well as state coordinators in Chiapas, Yucatán, and Nuevo León for their support in contacting Mexican Teachers’ Cohort participants and assisting with operations during the clinical visits. We would like to acknowledge the commitment to the study by Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado’s Prevention and Health Protection area within the Medical Sub-Directorate by providing technical and logistical support in data collection and hosting clinical visits in their facilities in Chiapas and Yucatán. For clinical data collection in Nuevo León, we thank Tecnologico de Monterrey’s Escuela de Medicina y Ciencias de la Salud and Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado de Nuevo León for hosting our research team. Funding Information: R. Lopez-Ridaura and M. Lajous have received limited salary support from an institutional grant provided by The Bloomberg Family Foundation. The other authors have nothing to declare. Publisher Copyright: © 2020 American Public Health Association Inc. All rights reserved.
PY - 2020/1
Y1 - 2020/1
N2 - Objectives. To examine the association between family member incarceration, psychological stress, and subclinical cardiovascular disease (CVD). Methods. Between 2012 and 2016, 1849 CVD-free women from the Mexican Teachers’ Cohort responded to questions on family incarceration from the Life Stressor Checklist. Perceived stress and hair cortisol levels were measured in a subset of participants. Carotid intima-media thickness was measured, and carotid atherosclerosis was determined in all participants. We used multivariable quantile, linear, and logistic regression models to evaluate the association between family member incarceration, stress, and subclinical CVD. Results. Among women with a mean age of 49.7 years (SD 65.2), 15.3% reported family member incarceration. We found that both perceived stress and hair cortisol levels were significantly higher in women with an incarcerated family member relative to women without one. After multivariable adjustment, women who reported family member incarceration had 41% (95% confidence interval = 1.04, 2.00) higher odds of carotid atherosclerosis compared with those who did not. Conclusions. Family member incarceration was associated with robust markers of stress and cardiovascular risk. Mass incarceration may have a long-lasting impact on physical health of affected families.
AB - Objectives. To examine the association between family member incarceration, psychological stress, and subclinical cardiovascular disease (CVD). Methods. Between 2012 and 2016, 1849 CVD-free women from the Mexican Teachers’ Cohort responded to questions on family incarceration from the Life Stressor Checklist. Perceived stress and hair cortisol levels were measured in a subset of participants. Carotid intima-media thickness was measured, and carotid atherosclerosis was determined in all participants. We used multivariable quantile, linear, and logistic regression models to evaluate the association between family member incarceration, stress, and subclinical CVD. Results. Among women with a mean age of 49.7 years (SD 65.2), 15.3% reported family member incarceration. We found that both perceived stress and hair cortisol levels were significantly higher in women with an incarcerated family member relative to women without one. After multivariable adjustment, women who reported family member incarceration had 41% (95% confidence interval = 1.04, 2.00) higher odds of carotid atherosclerosis compared with those who did not. Conclusions. Family member incarceration was associated with robust markers of stress and cardiovascular risk. Mass incarceration may have a long-lasting impact on physical health of affected families.
UR - https://www.scopus.com/pages/publications/85078281098
U2 - 10.2105/AJPH.2019.305397
DO - 10.2105/AJPH.2019.305397
M3 - Review article
C2 - 31967877
SN - 0090-0036
VL - 110
SP - S71-S77
JO - American Journal of Public Health
JF - American Journal of Public Health
ER -
