Abstract
Objective
Research that assesses the relationship between psychosocial factors and chronic kidney disease (CKD) among African Americans (AAs) is limited. Using the Jackson Heart Study (JHS) cohort data, we investigated the association of goal-striving stress (GSS)—the stress experienced from not reaching goals—with prevalent CKD among AAs.
Design
This was a cross-sectional analysis of JHS exam 1 data that assessed the relationship between GSS and CKD.
Setting and Participants
We utilized a sample from the JHS (n = 4967), an AA sample of women and men, 35–84 years old from the Jackson, MS metro area.
Main Outcome Measures
The baseline relationship between GSS levels (low, moderate, and high) and CKD (eGFR < 60 mL/min/1.73m2) was evaluated using a logistic regression model to estimate odds ratios (OR) on a 95% confidence interval (CI). The final model was adjusted for sex, age, socioeconomic status, health behaviors, risk factors, and total stress.
Results
After full adjustment, the odds of prevalent CKD increased by 52% (OR 1.52; 95% CI 1.04, 2.24) for those reporting high (versus low) GSS.
Conclusions
Deficiencies between goal aspiration and achievement were associated with prevalent CKD. Potential interventions might consider the impact GSS contributes to prevalent CKD.