Type a behavior pattern and hypertension among inner-city black women

Kathleen Smyth, Jim Call, Stephen Hansell, Jack Sparaclno, Fred L. Strodtbeck

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Inner-city Black women were administered Rosenman and Friedman's A-B interview and invited to discuss stress experiences and traditional coronary heart disease risk factors while their blood pressure was monitored at two-minute intervals. Results revealed the essential reliability of the A-B classification for the sample and demonstrated a general congruence with type A behaviors reported in previous (mostly white male) samples. While type A Black women were not significantly more likely to be hypertensive than type B women, analyses of the intrasubject blood pressure variability revealed an interaction between A-B and hypertensive-normotensive status. Consistent with earlier findings, hypertensives were more variable than normoten-sives, but this was true only for type Bs; type As were intermediate and not differentiated in their variability. This finding calls attention to the possible adaptive function of type A behavior among stressed inner-city Black females and raises the question of whether Rosenman and Friedman’s personality theory might be objectionably simplistic.

Original languageEnglish (US)
Pages (from-to)30-35
Number of pages6
JournalNursing research
Issue number1
StatePublished - 1978
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Nursing(all)


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