Optimism, a sense of purpose and feeling in control are a recipe for better heart health among Black adults reports a new study according to the American Heart Association.

The study, published Wednesday in the American Heart Association’s journal Circulation: Cardiovascular Quality and Outcomes, measured cardiovascular health based on the AHA’s Life’s Simple 7: smoking status, physical activity, diet, weight, and levels of blood glucose, cholesterol and blood pressure.

“We assumed that being both high on psychosocial resilience and living in a resilient neighborhood would be the most beneficial for cardiovascular health,” the study’s principal investigators, Tené T. Lewis, said. “Yet what we found was that psychosocial resilience demonstrated the most robust association regardless of the neighborhood resilience measure.”

“As a result of the heartbreaking consequences of COVID-19 and the inhumanity of George Floyd’s death, we are having a national conversation about the ways in which structural and interpersonal racism have shaped Black Americans’ lives and deaths,” Lewis said. “More studies like this are necessary to fully understand the factors that promote better health for Black Americans.”

The study was published alongside an editorial by Dr. Amber E. Johnson and Dr. Jared W. Magnani, assistant professors of medicine in cardiology at the University of Pittsburgh School of Medicine.