Racial and ethnic differences in blood pressure before and after the 2016 United States general election.
Racial and ethnic differences in blood pressure before and after the 2016 United States general election.
复制标题
2016 年美国大选前后种族和民族血压差异。
DOI：
10.1002/ajhb.23785
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Smith,StevenM
中科院分区：
文献类型：
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作者：
Hwang,AndrewY;Cardel,MichelleI;Smith,StevenM
2016年美国总统大选是许多成年人压力的主要来源。心理社会压力在生理上可以表现为血压升高（BP）。关于宏观层面的社会政治事件与人口层面的BP变化之间的关联，我们知之甚少。本研究旨在描述2016年美国总统大选后BP的人群水平变化。MethodsUsing 2015-2018 National Health and Nutrition Examination Survey，我们纳入了选举前（2015/2016年5月至10月）和选举后（2017/2018年5月至10月）相同时期内年龄≥18岁的参与者。分析调查加权数据，以比较选举前和选举后人群水平的收缩压（SBP）和舒张压（DBP），按人种/种族分层。性别差异也investigated.ResultsWe观察到显着增加SBP之间的非西班牙裔（NH）亚洲参与者（+3.4 mmHg;p= 0.046），但不是在其他种族/民族参与者。NH黑人参与者（+2.3 mmHg;p= 0.049）和墨西哥裔美国人参与者（+2.9 mmHg;p= 0.007）的DBP增加，但其他种族/民族参与者的DBP没有增加。这些变化似乎归因于不同性别的BP变化。结论在人群水平上，2016年美国总统大选后，不同种族/民族的BP发生了可变变化，这可能是由女性SBP升高引起的。
ObjectivesThe 2016 U.S. presidential election was a major source of stress among many adults. Psychosocial stress can manifest physiologically in elevated blood pressure (BP). Little is known regarding the association of macro‐level sociopolitical events with BP changes at the population‐level. This study sought to characterize population‐level changes in BP following the 2016 U.S. presidential election.MethodsUsing 2015–2018 National Health and Nutrition Examination Survey, we included participants aged ≥18 years during the same periods prior to (May to October 2015/2016) and after (May to October 2017/2018) the election. Survey‐weighted data were analyzed to compare population‐level systolic BP (SBP) and diastolic BP (DBP) pre‐ and post‐election, stratified by race/ethnicity. Sex differences were also investigated.ResultsWe observed significant increases in SBP among non‐Hispanic (NH) Asian participants (+3.4 mmHg;p= .046), but not among other racial/ethnic participants. DBP increased among NH Black participants (+2.3 mmHg;p= .049) and Mexican American participants (+2.9 mmHg;p= .007), but not among other racial/ethnic participants. These changes appeared attributable to differential BP changes by sex.ConclusionsAt the population‐level, variable changes in BP were observed by race/ethnicity following the 2016 U.S. presidential election, possibly driven by SBP elevations among women.