Abstract:
OBJECTIVES:Using Jackson Heart Study data, we examined whether perceived discrimination was associated with prevalent hypertension in African Americans. METHODS:Everyday discrimination, lifetime discrimination, burden of discrimination, and stress from discrimination were examined among 4939 participants aged 35 to 84 years (women = 3123; men = 1816). We estimated prevalence ratios of hypertension by discrimination, and adjusted for age, gender, socioeconomic status, and risk factors. RESULTS:The prevalence of hypertension was 64.0% in women and 59.7% in men. After adjustment for age, gender, and socioeconomic status, lifetime discrimination and burden of discrimination were associated with greater hypertension prevalence (prevalence ratios for highest vs lowest quartile were 1.08 [95% confidence interval (CI) = 1.02, 1.15] and 1.09 [95% CI = 1.02,1.16] for lifetime discrimination and burden of discrimination, respectively). Associations were slightly weakened after adjustment for body mass index and behavioral factors. No associations were observed for everyday discrimination. CONCLUSIONS:Further understanding the role of perceived discrimination in the etiology of hypertension may be beneficial in eliminating hypertension disparities.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Sims M,Diez-Roux AV,Dudley A,Gebreab S,Wyatt SB,Bruce MA,James SA,Robinson JC,Williams DR,Taylor HAdoi
10.2105/AJPH.2011.300523subject
Has Abstractpub_date
2012-05-01 00:00:00pages
S258-65eissn
0090-0036issn
1541-0048journal_volume
102 Suppl 2pub_type
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更新日期:2010-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2002-06-01 00:00:00