{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T15:00:30Z","timestamp":1765292430565,"version":"3.46.0"},"reference-count":55,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"23","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,12,2]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">This study examined whether religious coping modified the longitudinal associations between lifetime discrimination and subclinical atherosclerotic cardiovascular disease risk among Black individuals, and if these effects differed by sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">Data were collected from 753 Black adult participants (44.5% men; mean age=49.3\u2009years) in the Healthy Aging in Neighborhoods of Diversity across the Life Span study. Carotid intima\u2010media thickness (CIMT) was measured using ultrasonography at baseline (Wave 1: 2004\u20132009) and a subsequent follow\u2010up visit (Wave 4: 2013\u20132017). Abnormal CIMT was defined as \u22651.0\u2009mm of plaque buildup. Religious coping, racial discrimination, and burden of lifetime discrimination were self\u2010reported at baseline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Mixed\u2010effects multivariable logistic regression analyses estimated the longitudinal associations between a 3\u2010way interaction term (discrimination, religious coping, and sex) and abnormal CIMT in models adjusted for age and socioeconomic status. For Black men, those who engaged in religious coping the least had higher odds of abnormal CIMT for both racial (OR=1.22, 95% CI [1.02\u20131.48],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.03) and burden of lifetime discrimination (OR=1.75, 95% CI [1.14\u20132.69],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.01). The associations were attenuated at higher levels of religious coping. No associations were found among women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">The effects of discrimination on abnormal CIMT lessened as religious coping increased for Black men. Future research is needed to disentangle how aspects of religious coping might yield benefits linked with atherosclerotic cardiovascular disease risk for this group and identify alternative psychosocial resources effective in mitigating discrimination effects on health for Black women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.043832","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T13:14:04Z","timestamp":1763990044000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Burden of Unfair Treatment and Subclinical Atherosclerotic Risk Among Black Adults: The Moderating Role of Religious Coping"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2485-9605","authenticated-orcid":false,"given":"Jason J.","family":"Ashe","sequence":"first","affiliation":[{"name":"National Institute on Aging","place":["Baltimore, USA"]},{"name":"Emory University","place":["Atlanta, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9875-3825","authenticated-orcid":false,"given":"Adolfo G.","family":"Cuevas","sequence":"additional","affiliation":[{"name":"New York University School of Global Public Health","place":["New York, USA"]},{"name":"New York University School of Global Public Health","place":["New York, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7164-7053","authenticated-orcid":false,"given":"Antonius D.","family":"Skipper","sequence":"additional","affiliation":[{"name":"Georgia State University","place":["Atlanta, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8430-4850","authenticated-orcid":false,"given":"Keisha","family":"Bentley\u2010Edwards","sequence":"additional","affiliation":[{"name":"Duke University","place":["Durham, USA"]},{"name":"Duke University","place":["Durham, USA"]},{"name":"Duke University","place":["Durham, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0792-6167","authenticated-orcid":false,"given":"Shari R.","family":"Waldstein","sequence":"additional","affiliation":[{"name":"University of Maryland","place":["Baltimore, USA"]},{"name":"University of Maryland School of Medicine","place":["Baltimore, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5912-1953","authenticated-orcid":false,"given":"Indira C.","family":"Turney","sequence":"additional","affiliation":[{"name":"National Institute on Aging","place":["Baltimore, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6523-4778","authenticated-orcid":false,"given":"Alan B.","family":"Zonderman","sequence":"additional","affiliation":[{"name":"National Institute on Aging","place":["Baltimore, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3097-0038","authenticated-orcid":false,"given":"Allana T.","family":"Forde","sequence":"additional","affiliation":[{"name":"National Institutes of Health","place":["Bethesda, USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001209"},{"key":"e_1_3_2_3_2","unstructured":"Office of Minority Health U.S. Department of Health & Health Services . 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