Departments of Sociology and Medical Education and Clinical Sciences, Washington State University, Pullman, WA, USA.
Department of Medical Education and Clinical Sciences, Washington State University, Spokane, WA, USA.
J Immigr Minor Health. 2021 Aug;23(4):717-724. doi: 10.1007/s10903-020-01130-2. Epub 2020 Nov 28.
To examine risk factors for elevated blood pressure and hypertension in American Indians and Alaska Natives (AI/ANs), compared to three other ethnic groups in the US. Weighted relative risk regression models, stratified by race/ethnicity, were used to measure the associations between risk factors and elevated blood pressure and hypertension in AI/ANs, compared to non-Hispanic Whites, non-Hispanic Blacks and Hispanics, with data from the National Longitudinal Study of Adolescent to Adult Health. In all groups, females had a lower risk of both elevated blood pressure and hypertension than males. Increasing body mass index raised hypertension risk in all groups. In AI/ANs, financial instability increased the risk of hypertension by 88% (95% CI: 1.27-2.77), but not in other groups. No other statistically significant associations were found. Future interventions should include socio-economic factors in efforts to prevent hypertension in AI/ANs.
为了研究与美国其他三个种族相比，美国印第安人和阿拉斯加原住民（AI/ANs）中高血压和高血压的风险因素。使用加权相对风险回归模型，按种族/族裔分层，比较了 AI/ANs 与非西班牙裔白人、非西班牙裔黑人和西班牙裔之间的风险因素与高血压和高血压之间的关联，数据来自全国青少年至成人健康纵向研究。在所有群体中，女性高血压和高血压的风险均低于男性。在所有群体中，体重指数增加都会增加高血压的风险。在 AI/ANs 中，财务不稳定使高血压的风险增加了 88%（95%CI：1.27-2.77），但在其他群体中则没有。没有发现其他具有统计学意义的关联。未来的干预措施应包括社会经济因素，以努力预防 AI/ANs 中的高血压。
