Change in quality of life over eight years in a nationally representative sample of US adults with heart disease and type 2 diabetes:minority race and toxic stress as keysocial determinants.

Among older African Americans, however, the association between having none or one vs two or more recent stressors strengthened over time (and marginally significant in 2012) to become more protective for SRH declines (time*stress, p = 0.033).

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