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The purposes of this study were (1) to describe stressful life events experienced by urban young black men (YBM) with HBP over time and (2) to examine the effect of cumulative stressful life events on a variety of outcome variables. Using a prospective study design, data were collected on 230 YBM with HBP over a 24-month period. The most prevalent events that were reported at two or more 6-month points during the 24-month period were death of family member or close friend (34.8%), change in residence (17.4%), difficulty finding a job (15.2%), having been fired or laid off from work (10.9%), and a new, close personal relationship (10.9%). One or more of the following involvements with the crime or legal matters (i.e., major/minor violation of the law, being a violence victim, or being arrested or held in jail) were also reported more than twice during the period by 6.5% of men. A cumulative stressful life events score, as calculated by summing the number of life events experienced at 6, 12, 18, and 24-month follow-ups, was significantly (p 0.05) correlated with illicit drug use (r 0.19), alcohol intake (r 0.13), depression (r 0.25), and several domains of quality of life such as psychological general well-being (r -0.27), cognitive function (r 0.15), and symptom bother (r 0.15) at 24 months. The results indicate that stressful life events pose a high risk for substance use, depression, and poor quality of life in YBM with HBP, and necessitate additional study to elucidate the mechanisms that underlie these relationships. Interventions for YBM with HBP should focus on assisting individuals in managing distress related to stressful events and providing them with specific skills (e.g., education on financial management skills) and community resources.

Nature and consequences of stressful life events in urban young black men with hypertension