Shin Cha-Nam, Soltero Erica, Mama Scherezade K, Sunseri Christopher, Lee Rebecca E
1 Arizona State University, Phoenix, AZ, USA.
2 Pennsylvania State University, University Park, PA, USA.
Clin Nurs Res. 2017 Dec;26(6):694-712. doi: 10.1177/1054773816669448. Epub 2016 Sep 13.
Psychological stressors can contribute to adverse health outcomes and lead to health disparities. To examine associations among psychological stressors, coping, blood pressure, body mass index, and body fat in ethnic minority women, we conducted a secondary analysis using data from 178 African American and Hispanic/Latina women who completed measures of perceived racial discrimination and stress, coping, blood pressure, and body composition. The mean age of participants was 45.3 (±9.3 years), and most were obese (74.2%) and had prehypertensive systolic blood pressure (125.7 ± 14.6 mmHg). Hierarchical multiple regression models indicated a significant negative relationship between racial discrimination and percent body fat, and positive associations between stress and blood pressure. Coping did not moderate the association between racial discrimination and blood pressure or body composition. Health care providers should consider psychological stressors as underlying causes for hypertension and address tailored stress-reduction coping strategies when treating African American and Hispanic/Latina women with hypertension.
心理压力源会导致不良健康后果，并造成健康差异。为了研究少数民族女性心理压力源、应对方式、血压、体重指数和体脂之间的关联，我们使用了178名非裔美国人和西班牙裔/拉丁裔女性的数据进行二次分析，这些女性完成了关于感知到的种族歧视与压力、应对方式、血压和身体成分的测量。参与者的平均年龄为45.3岁（±9.3岁），大多数人肥胖（74.2%）且收缩压处于高血压前期（125.7±14.6毫米汞柱）。分层多元回归模型表明，种族歧视与体脂百分比之间存在显著负相关，压力与血压之间存在正相关。应对方式并未调节种族歧视与血压或身体成分之间的关联。医疗保健提供者应将心理压力源视为高血压的潜在病因，并在治疗患有高血压的非裔美国人和西班牙裔/拉丁裔女性时采用针对性的减压应对策略。
