Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
College of Medicine and Life Sciences, The University of Toledo, Toledo, OH, USA.
West J Nurs Res. 2020 Oct;42(10):784-794. doi: 10.1177/0193945919898477. Epub 2020 Jun 26.
African-American women have disproportionate rates of hypertension that can be further complicated as they transition through menopause. Stress, coupled with depression and hypertension in perimenopausal African-American women has not been fully explored. This study examines the associations of stress, depression, and social support on systolic blood pressure (SBP) among a sample of 184 perimenopausal African-American women. We used descriptive statistics, Pearson's correlation, and logistic regression to analyze data stratified by menopausal status (perimenopausal or menopausal) and SBP status (<130 mmHg vs. >130 mmHg). Women classified as menopausal reported higher levels of stress and depressive symptoms, and lower levels of social support. Age, body mass index (BMI), health insurance, and perceived health status were significant predictors of SBP in menopausal women. Stress, depression, and social support did not play a role in SBP. It is necessary that future research focus on reducing cardiovascular risk include addressing menopausal health.
非裔美国女性高血压的发病率不成比例，而且随着她们进入更年期，情况可能会更加复杂。压力，加上围绝经期非裔美国女性的抑郁和高血压，尚未得到充分探索。本研究调查了压力、抑郁和社会支持与 184 名围绝经期非裔美国女性的收缩压（SBP）之间的关联。我们使用描述性统计、皮尔逊相关和逻辑回归分析了按绝经状态（围绝经期或绝经后）和 SBP 状态（<130mmHg 与>130mmHg）分层的数据。被归类为绝经后的女性报告了更高水平的压力和抑郁症状，以及更低水平的社会支持。年龄、体重指数（BMI）、医疗保险和感知健康状况是绝经后女性 SBP 的重要预测因素。压力、抑郁和社会支持在 SBP 中不起作用。未来的研究有必要关注减少心血管风险，包括解决绝经后的健康问题。
