Description/Abstract

Working hard and persisting through challenges (i.e., striving) are often encouraged for children who face adversity.  But for children facing severe adversity, striving can come with hidden costs. This brief summarizes findings from a study using data from the Environmental Exposures and Child Health Outcomes (EECHO) cohort (N=283, 2013-2017) of children ages 9-11 in Syracuse, NY. The authors find that children facing adversity who strived harder reported lower depression and hostility. However, high-striving high-adversity children also experienced significantly higher blood pressure and enlarged heart chambers than their lower striving peers, both risk factors for future heart disease.

Document Type

Research Brief

Keywords

Cardiovascular disease, adversity, striving, childhood, mental health

Disciplines

Cardiovascular Diseases | Maternal and Child Health | Mental and Social Health | Public Health

Date

3-24-2026

Language

English

Acknowledgements

Research reported in this study was supported by funding from the National Institute of Environmental Health (NIEHS) of the National Institutes of Health (NIH) (ES023252). The content is solely the responsibility of the authors and does not necessarily represent the official views of NIEHS or NIH. The authors thank Alyssa Kirk and Shannon Monnat for copyediting and formatting assistance.

Funder(s)

National Institute of Environmental Health (NIEHS) of the National Institutes of Health (NIH)

Funding ID

ES023252

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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