{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T07:02:48Z","timestamp":1769583768762,"version":"3.49.0"},"reference-count":103,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosmentalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Ment Health"],"abstract":"<jats:sec id=\"sec126\">\n<jats:title>Background<\/jats:title>\n<jats:p>Chronic financial stress drives cardiovascular disease (CVD), yet its impact within Black Catholic communities remains understudied. Using a profile-based, socio-ecological framework, we centered chronic financial stress and low Mental Component Summary (MCS) scores, as correlates of downstream health risk, and we modeled racial discrimination as an upstream moderator that intensifies this trajectory.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec127\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Cross-sectional data from 285 racially and religiously diverse adults were analyzed. Latent class analysis (LCA) identified distinct stress profiles, and structural equation modeling (SEM) tested pathways from financial stress, perceived stress, discrimination, and low MCS to a Black Catholic profile and subsequent chronic stress risk (CHRONRSK). Model fit was evaluated with \u03c7\u00b2, RMSEA, CFI, TLI, and SRMR indices; indirect effects were estimated with bias-corrected bootstraps.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec128\">\n<jats:title>Results<\/jats:title>\n<jats:p>LCA revealed three profiles\u2014Chronic, Life Trauma, and Daily Hassles. The SEM containing financial stress and discrimination showed excellent fit (\u03c7\u00b2(3)= 3.98, <jats:italic>p<\/jats:italic>\u2009=\u2009.26; RMSEA\u2009=\u2009.034; CFI\u2009=\u2009.979), whereas substituting the Perceived Stress Scale (PSS) produced poor fit (RMSEA\u2009=\u2009.131; CFI\u2009=\u2009.747). Financial stress (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009.124, <jats:italic>p<\/jats:italic>\u2009=\u2009.045) and discrimination (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009.227, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) significantly predicted the Black Catholic profile, which strongly predicted chronic stress (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009.761, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Low Mental Component Summary scores neither predicted the profile (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2013.009, <jats:italic>p<\/jats:italic>\u2009=\u2009.75) nor mediated the pathway. PSS was uninformative, reinforcing that <jats:bold>these downstream health risks<\/jats:bold> stem from upstream structural forces, not individual psychology.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec129\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Ninety percent (90.6%) of low-income Black Catholics fell below the national averages for Mental Component Summary scores. Chronic financial stress explained nearly half of this mental-health disparity (\u03b7\u00b2\u2009=\u20090.489)\u2014evidence that upstream burdens, not individual pathology, drive downstream outcomes. For Black Catholics, chronic financial stress and racial discrimination\u2014rather than generalized stress (PSS) or isolated mental-health scores\u2014emerge as the most salient yet under-recognized moderators of <jats:bold>chronic financial-stress risk<\/jats:bold>. These findings call into question the adequacy of conventional stress models and underscore the need for upstream, equity-driven interventions. Public health strategies must advance upstream structural interventions to counter systemic forces sustaining financial stress and CVD risk.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pmen.0000047","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T17:45:08Z","timestamp":1749836708000},"page":"e0000047","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmen.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Moderation of financial stress and cardiovascular disease risk in black catholics: A social-ecological pathway utilizing latent class and structural equation analyses"],"prefix":"10.1371","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6458-7651","authenticated-orcid":true,"given":"Marcia Elizabeth 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disease in African Americans","volume":"325","author":"R Calvin","year":"2003","journal-title":"Am J Med Sci"},{"key":"pmen.0000047.ref004","article-title":"The growing diversity of Black America","author":"C Tamir","year":"2021","journal-title":"Pew Research Center"},{"issue":"3","key":"pmen.0000047.ref005","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s11121-020-01141-3","article-title":"The moderating role of coping style on chronic stress exposure and cardiovascular reactivity among African American emerging adults","volume":"22","author":"L Cavanagh","year":"2021","journal-title":"Prev Sci"},{"issue":"2","key":"pmen.0000047.ref006","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.amepre.2018.09.022","article-title":"Financial stress and risk of coronary heart disease in the jackson heart study","volume":"56","author":"KE Moran","year":"2019","journal-title":"Am J Prev Med"},{"issue":"1","key":"pmen.0000047.ref007","doi-asserted-by":"crossref","first-page":"41","DOI":"10.18865\/ed.34.1.41","article-title":"Financial well-being among US adults with vascular conditions: differential impacts among blacks and Hispanics","volume":"34","author":"MM Jacobs","year":"2024","journal-title":"Ethn Dis"},{"issue":"2","key":"pmen.0000047.ref008","doi-asserted-by":"crossref","first-page":"2055102920933072","DOI":"10.1177\/2055102920933072","article-title":"Best practices for stress measurement: How to measure psychological stress in health research","volume":"7","author":"AD Crosswell","year":"2020","journal-title":"Health Psychol Open"},{"key":"pmen.0000047.ref009","volume-title":"A conceptual framework for action on the social determinants of health","author":"O Solar","year":"2010"},{"issue":"7","key":"pmen.0000047.ref010","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCOUTCOMES.116.003421","article-title":"Predicted Atherosclerotic Cardiovascular Disease Risk and Masked Hypertension Among Blacks in the Jackson Heart Study","volume":"10","author":"DE Anstey","year":"2017","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"pmen.0000047.ref011","doi-asserted-by":"crossref","first-page":"100426","DOI":"10.1016\/j.ajpc.2022.100426","article-title":"Use of lipid-lowering therapy preceding first hospitalization for acute myocardial infarction or stroke","volume":"12","author":"AT Sandhu","year":"2022","journal-title":"Am J Prev Cardiol"},{"issue":"15","key":"pmen.0000047.ref012","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1056\/NEJMoa070829","article-title":"Optimal medical therapy with or without PCI for stable coronary disease","volume":"356","author":"WE Boden","year":"2007","journal-title":"N Engl J Med"},{"issue":"12","key":"pmen.0000047.ref013","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.44836","article-title":"Association of psychosocial stress with risk of acute stroke","volume":"5","author":"C Reddin","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"2","key":"pmen.0000047.ref014","doi-asserted-by":"crossref","first-page":"102153","DOI":"10.1016\/j.cpcardiol.2023.102153","article-title":"Cardiovascular consequences of financial stress: A systematic review and meta-analysis","volume":"49","author":"SS Swarup","year":"2024","journal-title":"Curr Probl Cardiol"},{"key":"pmen.0000047.ref015","doi-asserted-by":"crossref","DOI":"10.1037\/0278-6133.27.2(Suppl.).S99","article-title":"How and for whom? Mediation and moderation in health psychology","volume":"27","author":"DP MacKinnon","year":"2008","journal-title":"Health Psychol"},{"issue":"2","key":"pmen.0000047.ref016","first-page":"1","article-title":"A review of personality types and locus of control as moderators of stress and conflict management","volume":"4","author":"R Darshani","year":"2014","journal-title":"IJSRP"},{"issue":"1","key":"pmen.0000047.ref017","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/BF00903305","article-title":"Locus of control as a stress moderator: the role of control perceptions and social support","volume":"10","author":"IN Sandler","year":"1982","journal-title":"Am J Community Psychol"},{"issue":"06","key":"pmen.0000047.ref018","doi-asserted-by":"crossref","first-page":"590","DOI":"10.4236\/psych.2011.26091","article-title":"An Examination of moderators of perceived stress and illness behavior","volume":"02","author":"JJ Thomas","year":"2011","journal-title":"PSYCH"},{"key":"pmen.0000047.ref019","doi-asserted-by":"crossref","DOI":"10.1037\/e432992004-001","volume-title":"A review of potential moderating factors in the stress-performance relationship","author":"JL Weaver","year":"1992"},{"issue":"3","key":"pmen.0000047.ref020","article-title":"Poverty, discrimination, cultural norms influence community well-being","volume":"55","author":"C de las Fuentes","year":"2024","journal-title":"Monitor on Psychology"},{"issue":"4","key":"pmen.0000047.ref021","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1177\/0095798410396077","article-title":"An update on the mental health of black Americans","volume":"37","author":"T Earl","year":"2011","journal-title":"Journal of Black Psychology"},{"issue":"1","key":"pmen.0000047.ref022","doi-asserted-by":"crossref","first-page":"21582440211004163","DOI":"10.1177\/21582440211004163","article-title":"Factors associated with cardiovascular disease prevention behavior among office workers based on an ecological model","volume":"11","author":"J Pahn","year":"2021","journal-title":"Sage Open"},{"key":"pmen.0000047.ref023","article-title":"Perspectives of health promotion and primary prevention of cardiovascular disease: revisiting the social-ecological model","volume":"2","author":"C Savage","year":"2015","journal-title":"J Evid Based Med Healthc"},{"issue":"6","key":"pmen.0000047.ref024","first-page":"455","article-title":"State of the art and science: race, discrimination, and cardiovascular disease","volume":"16","author":"LC Brewer","year":"2014","journal-title":"VM"},{"key":"pmen.0000047.ref025","volume-title":"Stress and mental health: A conceptual overview","author":"LI Pearlin","year":"1999"},{"issue":"1","key":"pmen.0000047.ref026","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1177\/002214650604700102","article-title":"Financial strain over the life course and health among older adults","volume":"47","author":"JR Kahn","year":"2006","journal-title":"J Health Soc Behav"},{"key":"pmen.0000047.ref027","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1093\/geronb\/60.Special_Issue_2.S76","article-title":"Economic status over the life course and racial disparities in health","author":"JR Kahn","year":"2005","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"issue":"1","key":"pmen.0000047.ref028","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1177\/2156869313509635","article-title":"How racial identity moderates the impact of financial stress on mental health among African Americans","volume":"4","author":"M Hughes","year":"2013","journal-title":"Society and Mental Health"},{"issue":"4","key":"pmen.0000047.ref029","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1177\/0095798407307045","article-title":"Financial strain, negative interactions, and mastery: pathways to mental health among older African Americans","volume":"33","author":"KD Lincoln","year":"2007","journal-title":"J Black Psychol"},{"issue":"3","key":"pmen.0000047.ref030","doi-asserted-by":"crossref","first-page":"340","DOI":"10.5993\/AJHB.38.3.3","article-title":"Financial strain and self-rated health among Black adults","volume":"38","author":"EJ Savoy","year":"2014","journal-title":"Am J Health Behav"},{"issue":"6","key":"pmen.0000047.ref031","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/HCR.0000000000000751","article-title":"Screening for psychological distress and risk of cardiovascular disease and related mortality: a systematized review, meta-analysis, and case for prevention","volume":"42","author":"AE Gaffey","year":"2022","journal-title":"J Cardiopulm Rehabil Prev"},{"issue":"12","key":"pmen.0000047.ref032","doi-asserted-by":"crossref","first-page":"2437","DOI":"10.1016\/j.socscimed.2012.09.023","article-title":"Marginalized identities, discrimination burden, and mental health: empirical exploration of an interpersonal-level approach to modeling intersectionality","volume":"75","author":"JS Seng","year":"2012","journal-title":"Soc Sci Med"},{"key":"pmen.0000047.ref033","article-title":"An ecological model using promotores de salud to prevent cardiovascular disease on the US-Mexico border: the HEART project","volume":"9","author":"H Balc\u00e1zar","year":"2012","journal-title":"Prev Chronic Dis"},{"issue":"3","key":"pmen.0000047.ref034","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/1090198111418634","article-title":"Social ecological approaches to individuals and their contexts: twenty years of health education & behavior health promotion interventions","volume":"39","author":"SD Golden","year":"2012","journal-title":"Health Educ Behav"},{"issue":"9","key":"pmen.0000047.ref035","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.118.011866","article-title":"Psychological distress and subsequent cardiovascular events in individuals with coronary artery disease","volume":"8","author":"P Pimple","year":"2019","journal-title":"J Am Heart Assoc"},{"issue":"4","key":"pmen.0000047.ref036","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1161\/HYPERTENSIONAHA.109.146621","article-title":"Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status: a meta-analysis of prospective evidence","volume":"55","author":"Y Chida","year":"2010","journal-title":"Hypertension"},{"issue":"14","key":"pmen.0000047.ref037","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1001\/jama.298.14.1685","article-title":"Psychological stress and disease","volume":"298","author":"S Cohen","year":"2007","journal-title":"JAMA"},{"issue":"4","key":"pmen.0000047.ref038","first-page":"489","article-title":"Does socioeconomic position moderate the effects of race on cardiovascular disease mortality?","volume":"14","author":"R Jones-Webb","year":"2004","journal-title":"Ethn Dis"},{"issue":"2","key":"pmen.0000047.ref039","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.annepidem.2011.10.009","article-title":"Racial discrimination, mood disorders, and cardiovascular disease among black americans","volume":"22","author":"DH Chae","year":"2012","journal-title":"Ann Epidemiol"},{"key":"pmen.0000047.ref040","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.jpsychores.2017.06.008","article-title":"Number of recent stressful life events and incident cardiovascular disease: moderation by lifetime depressive disorder","volume":"99","author":"J Berntson","year":"2017","journal-title":"J Psychosom Res"},{"key":"pmen.0000047.ref041","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/1471-2458-8-48","article-title":"Working conditions, self-perceived stress, anxiety, depression and quality of life: a structural equation modelling approach","volume":"8","author":"BN Rusli","year":"2008","journal-title":"BMC Public Health"},{"key":"pmen.0000047.ref042","doi-asserted-by":"crossref","DOI":"10.1016\/j.cjco.2021.08.016","article-title":"Bringing intersectionality to cardiovascular health research in Canada","volume":"3","author":"S Allana","year":"2021","journal-title":"CJC Open"},{"issue":"4","key":"pmen.0000047.ref043","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1097\/ANS.0000000000000046","article-title":"Using an intersectional approach to study the impact of social determinants of health for African American mothers living with HIV","volume":"37","author":"C Caiola","year":"2014","journal-title":"ANS Adv Nurs Sci"},{"issue":"1","key":"pmen.0000047.ref044","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1186\/s12939-023-02061-8","article-title":"Utilising quantitative methods to study the intersectionality of multiple social disadvantages in women with common mental disorders: a systematic review","volume":"22","author":"NA Alghamdi","year":"2023","journal-title":"Int J Equity Health"},{"key":"pmen.0000047.ref045","doi-asserted-by":"crossref","first-page":"100446","DOI":"10.1016\/j.ssmph.2019.100446","article-title":"Intersectional effects of racial and gender discrimination on cardiovascular health vary among black and white women and men in the CARDIA study","volume":"8","author":"GS Bey","year":"2019","journal-title":"SSM Popul Health"},{"issue":"4","key":"pmen.0000047.ref046","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1177\/004056390006100403","article-title":"Black catholic theology: a historical perspective","volume":"61","author":"C Davis","year":"2000","journal-title":"Theological Studies"},{"issue":"10","key":"pmen.0000047.ref047","doi-asserted-by":"crossref","DOI":"10.1111\/soc4.12517","article-title":"\u201cAuthentically black, and truly catholic\u201d: a survey of the study on black catholics","volume":"11","author":"K Winstead","year":"2017","journal-title":"Sociology Compass"},{"issue":"2","key":"pmen.0000047.ref048","doi-asserted-by":"crossref","first-page":"365","DOI":"10.18865\/ed.30.2.365","article-title":"Black resilience - broadening the narrative and the science on cardiovascular health and disease disparities","volume":"30","author":"HA Taylor","year":"2020","journal-title":"Ethn Dis"},{"issue":"1","key":"pmen.0000047.ref049","first-page":"40","article-title":"Fort mose: a black fort in Spanish florida","volume":"6","author":"LW Kruger","year":"1987","journal-title":"Griot"},{"issue":"2","key":"pmen.0000047.ref050","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1177\/2156869313520558","article-title":"Is it really religion? comparing the main and stress-buffering effects of religious and secular civic engagement on psychological distress","volume":"4","author":"GA Acevedo","year":"2014","journal-title":"Society and Mental Health"},{"issue":"1","key":"pmen.0000047.ref051","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.socscimed.2010.03.015","article-title":"Financial hardship and psychological distress: exploring the buffering effects of religion","volume":"71","author":"M Bradshaw","year":"2010","journal-title":"Soc Sci Med"},{"issue":"12","key":"pmen.0000047.ref052","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.3390\/rel14121527","article-title":"On being a listening church: the U.S. catholic church and black lives matter","volume":"14","author":"J Mueller","year":"2023","journal-title":"Religions"},{"key":"pmen.0000047.ref053","volume-title":"Black Catholics in America","author":"J Diamant","year":"2022"},{"issue":"2","key":"pmen.0000047.ref054","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1163\/22144471-00202006","article-title":"\u201cI Belong! And I\u2019m Here to Stay!\u201d u.s. Black Catholics\u2019 Faith and Faithfulness","volume":"2","author":"J Reed-Bouley","year":"2015","journal-title":"Ecclesial Pract"},{"issue":"4","key":"pmen.0000047.ref055","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1177\/004056390006100406","article-title":"Black liberation theology and black catholics: a critical conversation","volume":"61","author":"JH Cone","year":"2000","journal-title":"Theological Studies"},{"issue":"3","key":"pmen.0000047.ref056","doi-asserted-by":"crossref","first-page":"152","DOI":"10.2307\/3710285","article-title":"Attitudes of black catholics and protestants: evidence for religious identity","volume":"33","author":"HM Nelsen","year":"1972","journal-title":"Sociological Analysis"},{"key":"pmen.0000047.ref057","unstructured":"Diamant J, Leppert R. Why the US census doesn\u2019t ask Americans about their religion. 2023."},{"key":"pmen.0000047.ref058","volume-title":"Demographic turning points for the United States: Population projections for 2020 to 2060","author":"JE Vespa","year":"2018"},{"key":"pmen.0000047.ref059","volume-title":"How to conduct better research studies with the mturk toolkit","author":"J Edelman","year":"2021"},{"key":"pmen.0000047.ref060","doi-asserted-by":"crossref","DOI":"10.52399\/001c.22019","article-title":"Amazon\u2019s MTurk: a currently underutilised resource for survey researchers?","volume":"27","author":"M Farrell","year":"2021","journal-title":"Accounting, Finance & Governance Review"},{"key":"pmen.0000047.ref061","author":"Federal poverty level (FPL)"},{"issue":"2","key":"pmen.0000047.ref062","first-page":"50","article-title":"College students and financial distress: Exploring debt, financial satisfaction, and financial anxiety","volume":"24","author":"KL Archuleta","year":"2013","journal-title":"Journal of Financial Counseling and Planning"},{"issue":"3","key":"pmen.0000047.ref063","doi-asserted-by":"crossref","first-page":"661","DOI":"10.3390\/jcm9030661","article-title":"Reliability and validity of the short-form 12 item version 2 (sf-12v2) health-related quality of life survey and disutilities associated with relevant conditions in the U.S. older adult population","volume":"9","author":"CH Shah","year":"2020","journal-title":"J Clin Med"},{"key":"pmen.0000047.ref064","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","author":"S Cohen","year":"1983","journal-title":"J Health Soc Behav"},{"issue":"3","key":"pmen.0000047.ref065","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.socscimed.2008.03.021","article-title":"Perceived discrimination, race and health in South Africa","volume":"67","author":"DR Williams","year":"2008","journal-title":"Soc Sci Med"},{"issue":"1","key":"pmen.0000047.ref066","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The multidimensional scale of perceived social support","volume":"52","author":"GD Zimet","year":"1988","journal-title":"J Pers Assess"},{"issue":"11","key":"pmen.0000047.ref067","first-page":"4223","article-title":"Evidence of the validity of the Multidimensional Scale of Perceived Social Support (MSPSS) in university students","volume":"27","author":"AVM Brugnoli","year":"2022","journal-title":"Cien Saude Colet"},{"issue":"3","key":"pmen.0000047.ref068","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1207\/S15324796ABM2303_5","article-title":"Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health","volume":"23","author":"A Steptoe","year":"2001","journal-title":"Ann Behav Med"},{"key":"pmen.0000047.ref069","volume-title":"The patient satisfaction questionnaire short-form (PSQ-18)","author":"GN Marshall","year":"1994"},{"key":"pmen.0000047.ref070","article-title":"The importance of patient satisfaction and health-related quality of life after renal transplantation","author":"A Yildirim","year":"2006","journal-title":"Transplant Proc"},{"issue":"4","key":"pmen.0000047.ref071","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1080\/13557850802638203","article-title":"Patient ethnicity: a key predictor of cancer care satisfaction","volume":"14","author":"BC Thomas","year":"2009","journal-title":"Ethn Health"},{"issue":"3","key":"pmen.0000047.ref072","doi-asserted-by":"crossref","first-page":"777","DOI":"10.3390\/jcm12030777","article-title":"Validation of physical activity correlates questionnaire from social ecological model in college students","volume":"12","author":"M Huang","year":"2023","journal-title":"J Clin Med"},{"key":"pmen.0000047.ref073","volume-title":"IBM SPSS Statistics for Windows","author":"Corp IBM","year":"2021"},{"issue":"4","key":"pmen.0000047.ref074","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/s10869-022-09813-3","article-title":"Normalizing the use of single-item measures: validation of the single-item compendium for organizational psychology","volume":"37","author":"RA Matthews","year":"2022","journal-title":"J Bus Psychol"},{"key":"pmen.0000047.ref075","author":"NL Surveys"},{"key":"pmen.0000047.ref076","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"AF Hayes","year":"2017"},{"key":"pmen.0000047.ref077","volume-title":"Mplus user\u2019s guide","author":"LK Muth\u00e9n","year":"2017"},{"issue":"49","key":"pmen.0000047.ref078","doi-asserted-by":"crossref","first-page":"17312","DOI":"10.1073\/pnas.0407162101","article-title":"Accelerated telomere shortening in response to life stress","volume":"101","author":"ES Epel","year":"2004","journal-title":"Proc Natl Acad Sci U S A"},{"issue":"6","key":"pmen.0000047.ref079","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1038\/nrcardio.2012.45","article-title":"Stress and cardiovascular disease","volume":"9","author":"A Steptoe","year":"2012","journal-title":"Nat Rev Cardiol"},{"issue":"7","key":"pmen.0000047.ref080","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1037\/a0029938","article-title":"Chronic exposure to everyday discrimination and sleep in a multiethnic sample of middle-aged women","volume":"32","author":"TT Lewis","year":"2013","journal-title":"Health Psychol"},{"key":"pmen.0000047.ref081","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.bbi.2015.08.007","article-title":"Acute and chronic psychological stress as risk factors for cardiovascular disease: Insights gained from epidemiological, clinical and experimental studies","volume":"50","author":"HM Lagraauw","year":"2015","journal-title":"Brain Behav Immun"},{"issue":"4","key":"pmen.0000047.ref082","doi-asserted-by":"crossref","first-page":"590","DOI":"10.2105\/AJPH.2009.185652","article-title":"A framework for public health action: the health impact pyramid","volume":"100","author":"TR Frieden","year":"2010","journal-title":"Am J Public Health"},{"key":"pmen.0000047.ref083","article-title":"Associations of cumulative perceived stress with cardiovascular risk factors and outcomes: findings from the dallas heart study","author":"I Eleazu","year":"2023","journal-title":"medRxiv"},{"issue":"1","key":"pmen.0000047.ref084","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1017\/S1742058X11000087","article-title":"Racial disparities in health: how much does stress really matter?","volume":"8","author":"MJ Sternthal","year":"2011","journal-title":"Du Bois Rev"},{"issue":"13","key":"pmen.0000047.ref085","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1016\/j.jacc.2007.12.024","article-title":"Psychological stress and cardiovascular disease","volume":"51","author":"JE Dimsdale","year":"2008","journal-title":"J Am Coll Cardiol"},{"issue":"1","key":"pmen.0000047.ref086","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/s10865-008-9185-0","article-title":"Discrimination and racial disparities in health: evidence and needed research","volume":"32","author":"DR Williams","year":"2009","journal-title":"J Behav Med"},{"issue":"6","key":"pmen.0000047.ref087","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1136\/jech.2007.066191","article-title":"Social and economic correlates of depressive symptoms and perceived stress in South African adults","volume":"62","author":"R Hamad","year":"2008","journal-title":"J Epidemiol Community Health"},{"issue":"2","key":"pmen.0000047.ref088","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1136\/jech-2015-206390","article-title":"Perceived discrimination is associated with health behaviours among African-Americans in the Jackson Heart Study","volume":"70","author":"M Sims","year":"2016","journal-title":"J Epidemiol Community Health"},{"key":"pmen.0000047.ref089","article-title":"Racial variations in adult health status: patterns, paradoxes and prospects","volume-title":"America Becoming: Racial Trends and Their Consequences","author":"DR Williams","year":"2001"},{"issue":"1","key":"pmen.0000047.ref090","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1080\/13607863.2020.1855627","article-title":"Is the Black-White mental health paradox consistent across age, gender, and psychiatric disorders?","volume":"26","author":"CS Thomas Tobin","year":"2022","journal-title":"Aging Ment Health"},{"key":"pmen.0000047.ref091","article-title":"Code black: a black catholic liberation bioethics","author":"SSNDSM Daniels-Sykes","year":"2009","journal-title":"Journal of the Black Catholic Theological Symposium"},{"issue":"5","key":"pmen.0000047.ref092","doi-asserted-by":"crossref","first-page":"2552","DOI":"10.1007\/s40615-022-01435-y","article-title":"\u201cIt\u2019s important to work with people that look like me\u201d: black patients\u2019 preferences for patient-provider race concordance","volume":"10","author":"C Moore","year":"2023","journal-title":"J Racial Ethn Health Disparities"},{"issue":"4","key":"pmen.0000047.ref093","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/0022146518814251","article-title":"Stress and the mental health of populations of color: advancing our understanding of race-related stressors","volume":"59","author":"DR Williams","year":"2018","journal-title":"J Health Soc Behav"},{"issue":"4","key":"pmen.0000047.ref094","doi-asserted-by":"crossref","first-page":"282","DOI":"10.4278\/0890-1171-10.4.282","article-title":"Translating social ecological theory into guidelines for community health promotion","volume":"10","author":"D Stokols","year":"1996","journal-title":"Am J Health Promot"},{"issue":"1","key":"pmen.0000047.ref095","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s12939-023-01877-8","article-title":"An action-oriented public health framework to reduce financial strain and promote financial wellbeing in high-income countries","volume":"22","author":"CIJ Nykiforuk","year":"2023","journal-title":"Int J Equity Health"},{"issue":"5","key":"pmen.0000047.ref096","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1080\/0014013031000061640","article-title":"Cognitive flexibility and adaptability to environmental changes in dynamic complex problem-solving tasks","volume":"46","author":"J Ca\u00f1as","year":"2003","journal-title":"Ergonomics"},{"issue":"10","key":"pmen.0000047.ref097","article-title":"Moderating the link between discrimination and adverse mental health outcomes: Examining the protective effects of cognitive flexibility and emotion regulation","volume":"18","author":"Y Zhu","year":"2023","journal-title":"PLoS One"},{"issue":"3","key":"pmen.0000047.ref098","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/s41134-020-00124-2","article-title":"Charity isn\u2019t just, or always charitable: exploring charitable and justice models of social support","volume":"5","author":"T Smith-Carrier","year":"2020","journal-title":"J Hum Rights Soc Work"},{"issue":"4","key":"pmen.0000047.ref099","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1111\/j.1468-5906.2006.00327.x","article-title":"Does religion buffer the effects of discrimination on mental health? differing effects by race","volume":"45","author":"A BIERMAN","year":"2006","journal-title":"Scientific Study of Religion"},{"issue":"12","key":"pmen.0000047.ref100","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.3390\/rel12121062","article-title":"Where would you go? race, religion, and the limits of pastor mental health care in black and latino congregations","volume":"12","author":"D Bolger","year":"2021","journal-title":"Religions"},{"key":"pmen.0000047.ref101","doi-asserted-by":"crossref","unstructured":"Schneider N. Truly, much can be done: Cooperative economics from the book of acts to pope francis. 2019.","DOI":"10.31219\/osf.io\/jhrmd"},{"key":"pmen.0000047.ref102","volume-title":"Serious games","author":"CC Abt","year":"1987"},{"key":"pmen.0000047.ref103","doi-asserted-by":"crossref","first-page":"883431","DOI":"10.3389\/fnins.2022.883431","article-title":"Attentional and Behavioral disengagement as coping responses to technostress and financial stress: an experiment based on psychophysiological, perceptual, and behavioral data","volume":"16","author":"M Korosec-Serfaty","year":"2022","journal-title":"Front Neurosci"}],"container-title":["PLOS Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pmen.0000047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T17:45:30Z","timestamp":1749836730000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pmen.0000047"}},"subtitle":[],"editor":[{"given":"Laura Hannah","family":"Kelly","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,6,13]]},"references-count":103,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pmen.0000047","relation":{},"ISSN":["2837-8156"],"issn-type":[{"value":"2837-8156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,13]]}}}