Krieger N, Sidney S
Department of Health and Social Behaviour, Harvard School of Public Health, Boston, Mass 02115, USA.
Am J Public Health. 1996 Oct;86(10):1370-8. doi: 10.2105/ajph.86.10.1370.
This study examined associations between blood pressure and self reported experiences of racial discrimination and responses to unfair treatment.
Survey data were collected in year 7 (1992/93) of the Coronary Artery Risk Development in Young Adults (CARDIA) study, a prospective multisite community-based investigation. Participants included 831 Black men, 1143 Black women, 1006 White men, and 1106 White women 25 to 37 years old.
Systolic blood pressure among working-class Black adults reporting that they typically accepted unfair treatment and had experienced racial discrimination in none of seven situations was about 7 mm Hg higher than among those reporting that they challenged unfair treatment and experienced racial discrimination in one or two of the situations. Among professional Black adults, systolic blood pressure was 9 to 10 mm Hg lower among those reporting that they typically challenged unfair treatment and had not experienced racial discrimination. Black-White differences in blood pressure were substantially reduced by taking into account reported experiences of racial discrimination and responses to unfair treatment.
Research on racial/ ethnic distributions of blood pressure should take into account how discrimination may harm health.
本研究探讨了血压与自我报告的种族歧视经历以及对不公平待遇的反应之间的关联。
调查数据收集于青年动脉粥样硬化风险发展研究（CARDIA）的第7年（1992/93年），这是一项基于社区的前瞻性多地点调查。参与者包括831名25至37岁的黑人男性、1143名黑人女性、1006名白人男性和1106名白人女性。
报告通常接受不公平待遇且在七种情况中均未经历种族歧视的工人阶级黑人成年人的收缩压，比报告通常挑战不公平待遇且在一两种情况中经历过种族歧视的人高出约7毫米汞柱。在专业黑人成年人中，报告通常挑战不公平待遇且未经历种族歧视的人的收缩压要低9至10毫米汞柱。考虑到报告的种族歧视经历和对不公平待遇的反应后，黑人和白人之间的血压差异大幅减小。
关于血压种族/族裔分布的研究应考虑到歧视可能对健康造成的危害。
