Gavin Amelia R, Woo Bongki, Conway Anne, Takeuchi David
School of Social Work, University of Washington, Seattle, WA, USA.
College of Social Work, University of South Carolina, Columbia, SC, USA.
J Racial Ethn Health Disparities. 2022 Feb;9(1):193-200. doi: 10.1007/s40615-020-00943-z. Epub 2021 Jan 26.
To test the association between racial discrimination and cardiovascular-related conditions and whether PTSD mediates this relationship in a nationally representative sample of non-Hispanic Blacks.
We used data from the 2013 National Epidemiologic Survey on Alcohol and Related Conditions to conduct logistic regression analyses to examine the association between racial discrimination, PTSD, and cardiovascular-related conditions. We also performed mediation analyses to assess whether the association between racial discrimination and cardiovascular conditions was partly explained by PTSD.
Racial discrimination was positively associated with both PTSD and cardiovascular-related conditions. Additionally, PTSD was positively associated with cardiovascular conditions. Results from the fully adjusted mediation models suggest that PTSD significantly mediated the association between racial discrimination and cardiovascular conditions.
Our results demonstrate an association between racial discrimination and cardiovascular-related conditions that is significantly mediated by PTSD. To improve cardiovascular functioning among non-Hispanic Blacks, health care professionals in conjunction with Black communities must adopt culturally competent screening for and treatment for PTSD. To address racial differences in cardiovascular conditions, public health efforts must address institutional policies that negatively alter health opportunities among the Black population.
在一个具有全国代表性的非西班牙裔黑人样本中，检验种族歧视与心血管相关疾病之间的关联，以及创伤后应激障碍（PTSD）是否介导这种关系。
我们使用了2013年全国酒精及相关疾病流行病学调查的数据进行逻辑回归分析，以检验种族歧视、创伤后应激障碍和心血管相关疾病之间的关联。我们还进行了中介分析，以评估创伤后应激障碍是否部分解释了种族歧视与心血管疾病之间的关联。
种族歧视与创伤后应激障碍和心血管相关疾病均呈正相关。此外，创伤后应激障碍与心血管疾病呈正相关。完全调整后的中介模型结果表明，创伤后应激障碍显著介导了种族歧视与心血管疾病之间的关联。
我们的结果表明，种族歧视与心血管相关疾病之间存在关联，且这种关联由创伤后应激障碍显著介导。为改善非西班牙裔黑人的心血管功能，医疗保健专业人员必须与黑人社区一道，采用具备文化胜任力的方法对创伤后应激障碍进行筛查和治疗。为解决心血管疾病方面的种族差异问题，公共卫生工作必须解决那些对黑人健康机会产生负面影响的制度政策。
