Cuevas Adolfo G, Williams David R, Albert Michelle A
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Landmark Center, Room 428a, 401 Park Drive, Boston, MA 02215, USA.
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, 6th Floor, Boston, MA 02115, USA; Department of African and African American Studies, Harvard University, 12 Quincy Street, Cambridge, MA 02138, USA.
Cardiol Clin. 2017 May;35(2):223-230. doi: 10.1016/j.ccl.2016.12.004. Epub 2017 Jan 30.
Black people have the highest prevalence of hypertension in the United States. Evidence suggests that psychosocial factors increase the risks for hypertension and help to account for racial differences in this condition. This article reviews research on psychosocial factors and hypertension, and contextualizes the findings within a health disparities framework. A wide range of psychosocial factors contribute to hypertension but understanding remains limited about how these factors relate to each other and accumulate to contribute to hypertension disparities. Future research on psychosocial factors and hypertension needs to enhance the effectiveness of interventions to reduce hypertension risk in ethnic minority communities.
在美国，黑人的高血压患病率最高。有证据表明，心理社会因素会增加患高血压的风险，并有助于解释这种疾病在种族上的差异。本文回顾了关于心理社会因素与高血压的研究，并将这些研究结果置于健康差异框架中进行背景分析。多种心理社会因素会导致高血压，但对于这些因素如何相互关联以及累积起来导致高血压差异，我们的了解仍然有限。未来关于心理社会因素与高血压的研究需要提高干预措施的有效性，以降低少数族裔社区的高血压风险。
