A Health Equity Study of Heart Health Promotion in Black Adults: Cultural Strengths and Heart Health Behaviors

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Abstract
Introduction: Cardiovascular disease is the leading cause of death in the Black population, accounting for over 22% of fatalities. Health equity science aims to explore this for evidence of social determinants that can eliminate cardiovascular health disparities. Methods: This study explored associations between three American Heart Association constructs of positive psychological health that reflect cultural strengths (environmental well-being, Black identity, and spirituality) with three modifiable health behaviors (blood pressure checking, exercise, and physical activity) in 470 Black adults living in racially marginalized communities. Results: Environmental well-being significantly predicted physical activity (β = 0.033, p = .04) and exercise (β = 0.045, p < .001). Black identity and spirituality demonstrated weaker and non-significant associations with the measured behaviors. Discussion: Environmental well-being emerged as a key cultural strength promoting physical activity and exercise among Black adults. Black identity and spirituality may play nuanced roles influenced by systemic factors. Findings emphasize incorporating culturally relevant strategies into heart health promotion.
Funding Information
  • Institute of Diversity Science SEED Grant (AAM3987)
  • Louis J. And Phyllis Clark Jacobs Professor in Mental Health
  • University of Wisconsin-Madison Institute of Diversity Science

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