Annals of Behavioral Medicine

, Volume 24, Issue 4, pp 320–325 | Cite as

Relationships among socioeconomic status, stress induced changes in cortisol, and blood pressure in african american males

  • Gaston K. Kapuku
  • Frank A. TreiberEmail author
  • Harry C. Davis


The inverse relation between socioeconomic status (SES) and cardiovascular disease (CVD) risk has been posited to be partially due to exaggerated cardiovascular reactivity (CVR) to stress. Stress elicits hypothalamic-pituitary-adrenal axis activation (e.g., increased cortisol secretion), which may contribute to subsequent blood pressure (BP) elevation. Univariate associations among SES, cortisol secretion, and aggregated change scores to stressors (i.e., video game and forehead cold) for systolic BP (SBP) and diastolic BP (DBP) were assessed in a sample of 24 African American males (M age = 18.8, ± 2.7 years). Circadian variability of cortisol level was taken into account by partialling out collection time. Family SES was inversely related to initial cortisol level (partial r = -.46, p < .03). Neighborhood SES was inversely related to DBP reactivity (r = -.41, p < .05). The change in cortisol level during the stressor protocol was related to SBP reactivity (partial r = .44, p < .05). These results suggest that SES may be linked to CVD via BP and cortisol reactivity to stress, but prospective studies are needed to clarify whether such is the case.


Cortisol Cortisol Level Video Game Cortisol Change Systolic Blood Pressure Reactivity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. (1).
    Kaplan GA, Keil JE: Socioeconomic factors and cardiovascular disease: A review of the literature.Circulation.1993,88: 1973–1988.PubMedGoogle Scholar
  2. (2).
    Marmot MG: Socio-economic factors in cardiovascular disease.Journal of Hypertension. 1996,14(Suppl.):S201-S205.PubMedGoogle Scholar
  3. (3).
    Carroll D, Smith GD, Sheffield D, Shipley MJ, Marmot MG: The relationship between socioeconomic status, hostility, and blood pressure reactions to mental stress in men: Data from the Whitehall II Study.Health Psychology. 1997,16:131–136.PubMedCrossRefGoogle Scholar
  4. (4).
    Kessler RC, Neighbors HW: A new perspective on the relationships among race, social class and psychological distress.Journal of Health and Social Behavior. 1986,27:107–115.PubMedCrossRefGoogle Scholar
  5. (5).
    Krieger W, Rowley DL, Herman AA, Avery B, Phyllips MT: Racism, sexism and social class: Implication for studies of health disease and well-being.American Journal of Preventive Medicine. 1993,9(Suppl.):S82-S122.Google Scholar
  6. (6).
    Cooper RS: Hypertension in blacks: A puzzle waiting to be solved.Ethnicity and Disease. 1991,1:111–113.PubMedGoogle Scholar
  7. (7).
    Anderson NB, Williams RB, Lane JD, Haney T, Simpson S, Houseworth SJ: Type A behavior, family history of hypertension and cardiovascular responses among black women.Health Psychology. 1986,5:393–406.PubMedCrossRefGoogle Scholar
  8. (8).
    Farley R, Allen WR:The Color Line and Quality of Life in America. New York: Oxford University Press, 1989.Google Scholar
  9. (9).
    Jaynes G, Williams {jrJr.} R:A Common Destiny: Blacks and American Society. Washington, DC: National Academy Press, 1989.Google Scholar
  10. (10).
    Stamler J, Stamler R, Neaton JD: Blood pressure, systolic, diastolic, and cardiovascular risks: US population data.Archives of Internal Medicine. 1993,153:598–615.PubMedCrossRefGoogle Scholar
  11. (11).
    Burt VL, Whelton P, Roccella EJ, et al.: Prevalence of hypertension in the US adult population: Results from the Third National Health and Nutrition Examination Survey, 1988-1991.Hypertension. 1995,25:305–313.PubMedGoogle Scholar
  12. (12).
    American Heart Association:1998 Heart and Stroke Statistical Update. Dallas, TX: American Heart Association, 1998.Google Scholar
  13. (13).
    Musante L, Turner JR, Treiber FA, Davis H, Strong WB: Moderators of ethnic differences in vasoconstrictive reactivity in youth.Ethnicity and Disease. 1996,6:224–234.PubMedGoogle Scholar
  14. (14).
    Armstead CA, Anderson NB, Lawler KA: The interaction of socioeconomic status, ethnicity and cardiovascular reactivity among women.Psychosomatic Medicine. 1998,16:57.Google Scholar
  15. (15).
    Gump BB, Matthews KA, Raikkonen K: Modeling relationships among socioeconomic status, cardiovascular reactivity and left ventricular mass in African American and White children.Health Psychology. 1999,18:140–150.PubMedCrossRefGoogle Scholar
  16. (16).
    Wilson DK, Kliewer W, Plybon L, Sica DA: Socioeconomic status and blood pressure reactivity in healthy black adolescents.Hypertension. 2000,35:496–500.PubMedGoogle Scholar
  17. (17).
    Anderson NB, McNeilly M, Myers H: Toward understanding race difference in autonomic reactivity. In Turner JR, Sherwood A, Light KC (eds),Individual Differences in Cardiovascular Response to Stress. New York: Plenum, 1992, 125–145.Google Scholar
  18. (18).
    Fredrikson M, Robson A, Ljungdell T: Ambulatory blood pressure in individuals with negative and positive family history of hypertension.Health Psychology. 1991,10:371–377.PubMedCrossRefGoogle Scholar
  19. (19).
    Anderson NB, McNeilly M, Myers H: Autonomic reactivity and hypertension in blacks: A review and proposed model.Ethnicity and Disease. 1991,1:154–170.PubMedGoogle Scholar
  20. (20).
    Soro A, Ingram MC, Tonolo G, Glorioso N, Fraser R: Mildly raised corticosterone excretion rates in patients with essential hypertension.Journal of Human Hypertension. 1995,9:391–393.PubMedGoogle Scholar
  21. (21).
    Watt GC, Harrap SB, Foy CJ, et al.: Abnormalities of glucocorticoid metabolism and the renin-angiotensin system: A four-corners approach to the identification of genetic determinants of blood pressure.Journal of Hypertension. 1992,10:473–482.PubMedCrossRefGoogle Scholar
  22. (22).
    al’ Absi M, Lovallo WR, McKey BS, Pincomb GA: Borderline hypertensives produce exaggerated adrenocortical responses to mental stress.Psychosomatic Medicine. 1994,56:245–250.Google Scholar
  23. (23).
    Sgoutas-Emch SA, Cacioppo JT, Uchino BN, et al.: The effect of an acute psychological stressor on cardiovascular, endocrine, and cellular immune responses: A prospective study of individuals high and low in heart rate reactivity.Psychophysiology. 1994,31:264–271.PubMedCrossRefGoogle Scholar
  24. (24).
    McCann BS, Carter J, Vaughan M, et al.: Cardiovascular and neuroendocrine responses to extended laboratory challenge.Psychosomatic Medicine. 1993,55:497–504.PubMedGoogle Scholar
  25. (25).
    Brandstadter J, Baltes-Gotz B, Kirschbaum C, Hellhammer D: Developmental and personality correlates of adrenocortical activity as indexed by salivary cortisol: Observation in the age range of 35 to 65 years.Journal of Psychosomatic Research. 1991,35:173–185.CrossRefGoogle Scholar
  26. (26).
    Decker SA: Salivary cortisol and social status among Dominican men.Hormones and Behavior. 2000,38:29–38.PubMedCrossRefGoogle Scholar
  27. (27).
    Treiber FA, Turner JR, Davis H, Strong WB: Prediction of resting cardiovascular functioning in youth with family histories of essential hypertension: A 5-year follow-up.International Journal of Behavioral Medicine. 1997,4:278–291.PubMedCrossRefGoogle Scholar
  28. (28).
    Behuke AR: Quantitative assessment of body build.Journal of Applied Physiology. 1961,16:960–968.Google Scholar
  29. (29).
    Treiber FA, Davis H, Musante L, et al.: Ethnicity, gender, family history of myocardial infarction, and hemodynamic responses to laboratory stressors in children.Health Psychology. 1993,12:6–15.PubMedCrossRefGoogle Scholar
  30. (30).
    Jackson RW, Treiber FA, Turner JR, Davis H, Strong WB: Effects of race, sex, and socioeconomic status upon cardiovascular stress responsivity and recovery in youth.International Journal of Psychophysiology. 1999,31:111–119.PubMedCrossRefGoogle Scholar
  31. (31).
    Barnes VA, Treiber FA, Musante L, et al.: Ethnicity and socio-economic status: Impact on cardiovascular activity at rest and during stress in youth with a family history of hypertension.Ethnicity and Disease. 2000,10:4–16.PubMedGoogle Scholar
  32. (32).
    Hollingshead AB:Four Factor Index of Social Status. New Haven, CT: Department of Sociology, Yale University, 1981.Google Scholar
  33. (33).
    Marmot M: Stress, social and cultural variations in heart disease.Journal of Psychosomatic Research. 1983,27:377–384.PubMedCrossRefGoogle Scholar
  34. (34).
    al’ Absi M, Bongard S, Buchanan T, et al.: Cardiovascular and neuroendocrine adjustment to public speaking and mental arithmetic stressors.Psychophysiology. 1997,34:266–275.CrossRefGoogle Scholar
  35. (35).
    Lovallo WR, Wilson MF, Pincomb GA, et al.: Activation patterns to aversive stimulation in man: Passive exposure versus effort to control.Psychophysiology. 1985,22:283–291.PubMedCrossRefGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 2002

Authors and Affiliations

  • Gaston K. Kapuku
    • 1
  • Frank A. Treiber
    • 1
    Email author
  • Harry C. Davis
    • 1
  1. 1.Medical College of GeorgiaGeorgia Prevention InstituteAugusta

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