Gendered Race and Setting Matter: Sources of Complexity in the Relationships Between Reported Interpersonal Discrimination and Cardiovascular Health in the CARDIA Study.
Gendered Race and Setting Matter: Sources of Complexity in the Relationships Between Reported Interpersonal Discrimination and Cardiovascular Health in the CARDIA Study.
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DOI：
10.1007/s40615-020-00699-6
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发表时间：
2020-08
影响因子：
3.9
通讯作者：
Kiefe, C.
中科院分区：
文献类型：
--
作者：
Bey, G. S.;Person, S. D.;Kiefe, C.
关键词：
利用 20 世纪 80 年代中期收集的基于社区、多城市队列的黑人和白人成年人的数据，我们研究了报告的人际种族和性别歧视经历是否对未来心血管健康 (CVH) 有不同的影响，具体取决于性别种族和报告发生相互作用的环境。使用第 7 年的歧视经历量表评估了八种可能环境中的歧视；二十年后，使用改良的 Life's Simple 7 评分对 CVH 进行了检查，评分越高表明健康状况越好。单独的多变量线性回归评估了按性别种族分层的每种可能设置中种族和性别歧视报告与 CVH 评分之间的关联。黑人女性、黑人男性、白人女性和白人男性 30 岁时的平均 (SD) CVH 评分分别为 7.8(1.9)、8.1(1.8)、8.9(2.0) 和 8.8(1.8)。对于黑人女性来说，在接受医疗护理时报告种族和性别歧视与较低的 CVH 评分相关。在黑人男性中，报告在找工作、工作中、学校和接受医疗保健时遭受这两种形式的歧视与较低的 CVH 分数相关。在白人中，报告称在获得住房、警察或法院（女性）以及公共场所和工作场所（男性）受到歧视与较低的 CVH 分数相关。报告歧视的环境可能是歧视经历是否与 CVH 负相关的重要指标，从而提供对黑人和白人女性和男性之间不同影响途径的见解。
Using data from black and white adults enrolled in a community-based, multi-city cohort assembled in the mid-1980s, we examined whether reported experiences of interpersonal racial and gender discrimination differentially impacted on future cardiovascular health (CVH) depending on gendered race and the setting in which the interactions were reported to have occurred. Discrimination in eight possible settings were assessed using the Experiences of Discrimination scale at year 7; CVH two decades later was examined using a modified Life’s Simple 7 score, with higher scores indicating better health. Separate multivariable linear regressions evaluated the associations between reports of racial and gender discrimination and CVH score in each possible setting stratified by gendered race. Mean (SD) CVH scores at year 30 were 7.8(1.9), 8.1(1.8), 8.9(2. 0), and 8.8(1.8) among black women, black men, white women, and white men, respectively. For black women, reporting both racial and gender discrimination while receiving medical care was associated with lower CVH score. Among black men, reporting both forms of discrimination while getting a job, at work, at school, and while receiving medical care was associated with lower CVH score. Among whites, reported discrimination while obtaining housing and by the police or courts (women), and in public and at work (men), was associated with a lower CVH score. The setting in which discrimination is reported may be an important indicator of whether discriminatory experiences are negatively associated with CVH, providing insight on distinct effect pathways among black and white women and men.
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影响因子：
5.1
作者：
Mezuk B;Abdou CM;Hudson D;Kershaw KN;Rafferty JA;Lee H;Jackson JS
通讯作者：
Jackson JS
影响因子：
12.7
作者：
Krieger, N;Sidney, S
通讯作者：
Sidney, S
美国Cardia队列中的腰围和体重指数的变化：与种族/种族歧视的自我报告经历的固定效应关联。
影响因子：
1.5
作者：
Cunningham, Timothy J.;Berkman, Lisa F.;Kawachi, Ichiro;Jacobs, David R., Jr.;Seeman, Teresa E.;Kiefe, Catarina I.;Gortmaker, Steven L.
通讯作者：
Gortmaker, Steven L.
影响因子：
5.1
作者：
Borrell, Luisa N.;Roux, Ana V. Diez;Jacobs, David R., Jr.;Shea, Steven;Jackson, Sharon A.;Shrager, Sandi;Blumenthal, Roger S.
通讯作者：
Blumenthal, Roger S.
DOI：
10.1016/j.ssmph.2016.02.008
发表时间：
2016-12
期刊：
SSM - population health
影响因子：
--
作者：
Geronimus AT;James SA;Destin M;Graham LA;Hatzenbuehler M;Murphy M;Pearson JA;Omari A;Thompson JP
通讯作者：
Thompson JP