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Heart Disease Death Rates Among Blacks and Whites Aged ≥35 Years - United States, 1968-2015.≥35 岁的黑人和白人的心脏病死亡率-美国,1968-2015 年。
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教育和社会支持对非裔美国人血压的交互影响。

The Interactive Effects of Education and Social Support on Blood Pressure in African Americans.

机构信息

Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA.

Department of Psychology, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.

出版信息

J Gerontol A Biol Sci Med Sci. 2022 Feb 3;77(2):e98-e106. doi: 10.1093/gerona/glab289.

DOI:10.1093/gerona/glab289
PMID:34612486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8824551/
Abstract

BACKGROUND

This study examined whether the effects of received and provided social support on blood pressure (BP) would differ by education.

METHODS

Data from 602 African American adults (48-95 years) enrolled in the Baltimore Study of Black Aging-Patterns of Cognitive Aging were analyzed using multiple linear regression.

RESULTS

We found no main effects of received and provided social support on BP. However, a significant moderation effect was observed for systolic BP, such that greater received social support was positively associated with higher systolic BP among individuals with low levels of education, adjusting for age, sex, chronic health conditions, and depressive symptoms.

CONCLUSIONS

The findings demonstrate that social support and education have joint effects on BP, which highlights the importance of considering psychosocial determinants of adverse cardiovascular health outcomes that disproportionately affect African Americans.

摘要

背景

本研究旨在探讨接受和提供社会支持对血压(BP)的影响是否因教育程度而异。

方法

本研究分析了参加巴尔的摩黑人老龄化研究-认知衰老模式的 602 名非裔美国成年人(48-95 岁)的数据,采用多元线性回归分析。

结果

我们发现接受和提供社会支持对 BP 没有主要影响。然而,我们观察到收缩压存在显著的调节作用,即对于教育程度较低的个体,接受更多的社会支持与更高的收缩压呈正相关,调整了年龄、性别、慢性健康状况和抑郁症状等因素。

结论

这些发现表明,社会支持和教育对 BP 具有联合作用,这凸显了考虑对非裔美国人产生不成比例影响的心血管健康不良结局的心理社会决定因素的重要性。