Perceived Discrimination and Hypertension Risk Among Participants in the Multi‐Ethnic Study of Atherosclerosis

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

卷:10

Tené T. Lewis¹  Scarlett L. Bellamy²  Ana V. Diez Roux²  Kiarri N. Kershaw³  Allana T. Forde⁴ 

[1] Department of Epidemiology Emory University Rollins School of Public Health Atlanta GA;

[2] Department of Epidemiology and Biostatistics Drexel University Dornsife School of Public Health Philadelphia PA;

[3] Department of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL;

[4] Division of Intramural Research National Institute on Minority Health and Health DisparitiesNational Institutes of Health Bethesda MD;

关键词: blood pressure;    discrimination;    ethnicity;    hypertension;    multiethnic study of atherosclerosis;    race;   

DOI  :  10.1161/JAHA.120.019541

来源: DOAJ

【 摘 要 】

Background Black Americans have a higher risk of hypertension compared with White Americans. Perceived discrimination is a plausible explanation for these health disparities. Few studies have examined the impact of perceived discrimination on the incidence of hypertension among a racially diverse sample. Our study examined associations of everyday and lifetime discrimination with incidence of hypertension and whether these associations varied by sex, discrimination attribution, and racial residential segregation. Methods and Results The study included 3297 Black, Hispanic, Chinese, and White participants aged 45 to 84 years from the Multi‐Ethnic Study of Atherosclerosis who were without hypertension at exam 1 (2000–2002) and who completed at least 1 of 5 follow‐up exams (2002–2018). Cox proportional hazards regression was used to estimate associations of perceived discrimination with incident hypertension. Over the follow‐up period, 49% (n=1625) of participants developed hypertension. After adjustment for age, sex, socioeconomic status, hypertension risk factors, and study site, Black participants reporting any lifetime discrimination (compared with none) were more likely to develop hypertension (hazard ratio [HR], 1.35; 95% CI, 1.07–1.69). In fully adjusted models, everyday discrimination (high versus low) was associated with a lower risk for hypertension among Hispanic participants (HR, 0.73; 95% CI, 0.55–0.98). Statistically significant interactions of perceived discrimination (everyday and lifetime) with sex, discrimination attribution, and racial residential segregation were not observed. Conclusions This study suggests that lifetime, but not everyday discrimination is associated with incident hypertension in Black Americans.

【 授权许可】

Unknown