Dressler W W, Grell G A, Gallagher P N, Viteri F E
Department of Behavioral and Community Medicine, University of Alabama School of Medicine-Tuscaloosa Program 35487-0326.
Soc Sci Med. 1992 Nov;35(10):1233-44. doi: 10.1016/0277-9536(92)90177-r.
Research on the factors mediating social class differences in blood pressure was carried out in a Jamaican community. It was found in a previous report that higher social class is related to lower blood pressure for females, while for males higher social class is related to higher blood pressure. These differences are examined in greater detail here, especially in terms of the historical context of the specific community studied, which is on the fringe of the Kingston urban area, and in terms of the continuing importance of a social class system established under colonial rule. In the current study it is shown that social class differences in blood pressure for males are mediated by perceptions of social support. Social class differences in blood pressure for females are mediated by perceptions of economic stress. It is suggested that specific patterns of the growth of the city, and the historically-based social class system, have resulted in the juxtaposition of lower and middle class Jamaicans within this community, who in turn are influenced by different factors affecting blood pressure.
在牙买加的一个社区开展了关于血压方面社会阶层差异中介因素的研究。先前的一份报告发现，较高的社会阶层与女性较低的血压有关，而对于男性来说，较高的社会阶层与较高的血压有关。在此，我们将更详细地研究这些差异，特别是从所研究的特定社区的历史背景角度，该社区位于金斯敦市区边缘，以及从殖民统治时期建立的社会阶层体系持续存在的重要性角度。在当前的研究中发现，男性血压的社会阶层差异是由社会支持感介导的。女性血压的社会阶层差异是由经济压力感介导的。研究表明，城市发展的特定模式以及基于历史的社会阶层体系，导致了该社区内中低收入阶层牙买加人的并存，而他们又受到影响血压的不同因素的影响。
