在一个低收入、种族融合的城市社区中，感知到的种族歧视与高血压之间的关联。

The Association Between Perceived Racial Discrimination and Hypertension in a Low-Income, Racially Integrated Urban Community.

机构信息

Hopkins Center for Health Disparities Solutions, Johns Hopkins School of Public Health, Baltimore, Maryland (Ms Gabriel and Drs Bowie and Thorpe); University of Maryland, College Park (Dr Bell); Johns Hopkins School of Medicine, Baltimore, Maryland (Dr Hines); and Tulane School of Tropical Medicine and Public Health, New Orleans, Louisiana (Dr LaVeist).

出版信息

Fam Community Health. 2020 Apr/Jun;43(2):93-99. doi: 10.1097/FCH.0000000000000254.

DOI:10.1097/FCH.0000000000000254

PMID:32079965

Abstract

We examined the association between perceived racial discrimination and hypertension among African Americans and whites who live in a low-income, racially integrated, urban community. Hypertension was defined as having a systolic blood pressure 140 mm Hg or more, a diastolic blood pressure 90 mm Hg or more, or taking antihypertensive medication(s). Perceived racial discrimination was based on self-reported responses of experiencing racial discrimination in various settings. Using modified Poisson multivariable regression models, we found no association between perceived racial discrimination and hypertension (prevalence ratio: 0.96, 95% confidence interval: 0.90-1.04). Findings suggest that social context may play a role in the relationship between perceived racial discrimination and hypertension.

摘要

我们研究了生活在一个低收入、种族融合的城市社区中的非裔美国人和白人中，感知到的种族歧视与高血压之间的关联。高血压的定义为收缩压 140 毫米汞柱或以上、舒张压 90 毫米汞柱或以上，或正在服用抗高血压药物。感知到的种族歧视是基于在各种环境中经历种族歧视的自我报告反应。使用改良的泊松多变量回归模型，我们没有发现感知到的种族歧视与高血压之间存在关联（患病率比：0.96，95%置信区间：0.90-1.04）。研究结果表明，社会环境可能在感知到的种族歧视与高血压之间的关系中起作用。