Peterson Laurel M, Matthews Karen A, Derby Carol A, Bromberger Joyce T, Thurston Rebecca C
Department of Psychology, Bryn Mawr College.
Department of Psychiatry, University of Pittsburgh.
Health Psychol. 2016 Apr;35(4):313-21. doi: 10.1037/hea0000288.
Unfair treatment may have a detrimental effect on cardiovascular health. However, little research on chronic health outcomes uses cumulative measures of unfair treatment. We tested whether cumulative unfair treatment was associated with greater subclinical cardiovascular disease in a diverse sample of African-American, Caucasian, Chinese, and Hispanic women. We also examined whether this relationship varied by race.
The Study of Women's Health Across the Nation is a longitudinal study of midlife women. Cumulative unfair treatment was calculated as the average of unfair treatment assessed over 10 years at 6 time points. Subclinical cardiovascular disease, specifically carotid intima media thickness and adventitial diameter, was assessed via carotid ultrasound conducted at study year 12 in 1,056 women. We tested whether cumulative unfair treatment was related to subclinical cardiovascular disease via linear regression, controlling for demographic factors including socioeconomic status and cardiovascular risk factors.
The relation between unfair treatment and subclinical cardiovascular disease significantly varied by race (ps < .05), with unfair treatment related to higher intima media thickness (B = .03, SE = .01, p = .009) and adventitial diameter (B = .02, SE = .009, p = .013) only among Caucasian women. No significant relations between unfair treatment and subclinical cardiovascular disease outcomes were observed for African-American, Hispanic, and Chinese women.
Our findings indicate that cumulative unfair treatment is related to worse subclinical cardiovascular disease among Caucasian women. These findings add to the growing literature showing that Caucasian women's experience of unfair treatment may have detrimental health implications. (PsycINFO Database Record
不公平待遇可能对心血管健康产生有害影响。然而，很少有关于慢性健康结果的研究使用不公平待遇的累积测量方法。我们测试了在非裔美国、白人、华裔和西班牙裔女性的多样化样本中，累积不公平待遇是否与更严重的亚临床心血管疾病相关。我们还研究了这种关系是否因种族而异。
全国女性健康研究是一项对中年女性的纵向研究。累积不公平待遇被计算为在6个时间点对10年期间评估的不公平待遇的平均值。在研究的第12年，通过对1056名女性进行颈动脉超声检查来评估亚临床心血管疾病，具体为颈动脉内膜中层厚度和外膜直径。我们通过线性回归测试了累积不公平待遇是否与亚临床心血管疾病相关，并控制了包括社会经济地位和心血管危险因素在内的人口统计学因素。
不公平待遇与亚临床心血管疾病之间的关系因种族而异（p值<.05），仅在白人女性中，不公平待遇与更高的内膜中层厚度（B =.03，标准误 =.01，p =.009）和外膜直径（B =.02，标准误 =.009，p =.013）相关。在非裔美国、西班牙裔和华裔女性中，未观察到不公平待遇与亚临床心血管疾病结果之间的显著关系。
我们的研究结果表明，累积不公平待遇与白人女性中更严重的亚临床心血管疾病相关。这些发现增加了越来越多的文献表明，白人女性所经历的不公平待遇可能对健康有有害影响。（PsycINFO数据库记录）
