社会心理因素会影响非裔美国人的静息血压。

Psychosocial factors contribute to resting blood pressure in African Americans.

作者信息

Pointer Mildred A, Livingston Jonathan N, Yancey Sadiqa, McClelland Marilyn K, Bukoski Richard D

机构信息

Julius L. Chambers Biomedical/Biotechnology Research Institute, North Carolina Central University, Durham, North Carolina 27707, USA.

出版信息

Ethn Dis. 2008 Summer;18(3):289-93.

PMID:18785441

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4398995/

Abstract

OBJECTIVES

African Americans as a group have higher blood pressure than individuals of northern European ancestry (non-Hispanic Whites). We investigate whether psychosocial factors explain the resting blood pressure of healthy, community-dwelling African Americans in our study.

PARTICIPANTS

A convenience sample of self-reported normotensive African Americans aged 18-65 years who live in the North Carolina Triangle region.

DESIGN

The study protocol consisted of three resting blood pressure sessions with assessment of the following psychosocial factors: anger expression, interpersonal support, anxiety, depression, hostility, active coping, and perceived racism. Additional clinical assessments were height, weight, waist girth, fasting glucose, insulin, triglycerides, and cholesterol.

RESULTS

Resting systolic blood pressure was positively associated with male sex (P<.001) and positively correlated with age (P<.0001), waist girth (P<.0001), body mass index (P=.023), and a Cook Medley Hostility subscale identified as aggressive responding (P=.031). Mean arterial pressure was positively correlated with age (P<.0001), waist girth (P=.0041), Spielberger Anger Expression subscale anger control (P=.023), and aggressive responding (P=.020).

CONCLUSIONS

Anger and hostility are significantly associated with resting blood pressure and may modulate behavioral and traditional (biologic) risk factors that determine cardiovascular physiology.

摘要

目的

作为一个群体，非裔美国人的血压高于北欧血统的个体（非西班牙裔白人）。在我们的研究中，我们调查心理社会因素是否能解释健康的、居住在社区的非裔美国人的静息血压。

参与者

从居住在北卡罗来纳三角地区、年龄在18 - 65岁之间、自我报告为血压正常的非裔美国人中选取的便利样本。

设计

研究方案包括三次静息血压测量，并评估以下心理社会因素：愤怒表达、人际支持、焦虑、抑郁、敌意、积极应对和感知到的种族主义。额外的临床评估包括身高、体重、腰围、空腹血糖、胰岛素、甘油三酯和胆固醇。

结果

静息收缩压与男性性别呈正相关（P <.001），与年龄（P <.0001）、腰围（P <.0001）、体重指数（P =.023）以及库克梅德利敌意量表中被确定为攻击性反应的子量表呈正相关（P =.031）。平均动脉压与年龄（P <.0001）、腰围（P =.0041）、斯皮尔伯格愤怒表达量表中的愤怒控制子量表（P =.023）和攻击性反应（P =.020）呈正相关。