Depressive Symptoms and Blood Pressure in African American Women: A Secondary Analysis From the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure Study.

Depressive Symptoms and Blood Pressure in African American Women: A Secondary Analysis From the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure Study.
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DOI:
10.1097/jcn.0000000000000800
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发表时间:
2022-07-01
期刊:
The Journal of cardiovascular nursing
影响因子:
--
通讯作者:
Taylor JY
Taylor JY
中科院分区:
其他
文献类型:
--
作者:
Gao X;Barcelona V;DeWan A;Prescott L;Crusto C;Sun YV;Taylor JY

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抑郁症是高血压的一个危险因素,但很少有研究在非洲裔美国妇女中进行。我们对来自InterGEN纵向研究(n=250)的非裔美国妇女的抑郁症状和高血压进行了二次分析。Logistic回归用于检查抑郁症状和血压,调整教育,就业和种族主义/歧视。采用生长曲线模型研究抑郁症状与四个时间点(T1-T4)的收缩压(SBP)和舒张压(DBP)之间的纵向关系。基线抑郁症状与高血压患病率无前瞻性相关性。贝克抑郁量表(BDI)评分高于10分的参与者与评分较低的参与者相比,随着时间的推移,估计的边际SBP和DBP较高。抑郁症状与T4时的高血压患病率无关,但与较高的估计边缘SBP和DBP相关。未来的研究需要阐明机制和临床护理和预防的影响。
Depression is a risk factor for hypertension, yet few studies have been done in African American women. We conducted a secondary analysis of depressive symptoms and high blood pressure among African American women from the InterGEN longitudinal study (n=250). Logistic regression was used to examine depressive symptoms and blood pressure, adjusting for education, employment, and racism/discrimination. Growth curve modeling was used to investigate longitudinal associations between depressive symptoms and systolic (SBP) and diastolic blood pressures (DBP) at four time points (T1-T4). Depressive symptoms at baseline were not prospectively associated with hypertension prevalence. Participants with Beck Depression Inventory (BDI) scores higher than 10 had higher estimated marginal SBP and DBP over time compared to participants with lower scores. Depressive symptoms were not associated with hypertension prevalence at T4, but they were associated with higher estimated marginal SBP and DBP. Future research is needed to elucidate mechanisms and implications for clinical care and prevention.
DOI: 10.1177/0193945919898477
发表时间: 2020-10
影响因子: 1.8
作者:
Still CH;Tahir S;Yarandi HN;Hassan M;Gary FA
通讯作者: Gary FA