Perceived stress following race-based discrimination at work is associated with hypertension in African-Americans. The metro Atlanta heart disease study, 1999-2001
Perceived stress following race-based discrimination at work is associated with hypertension in African-Americans. The metro Atlanta heart disease study, 1999-2001
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DOI：
10.1016/s0277-9536(03)00211-9
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发表时间：
2004-02-01
影响因子：
5.4
通讯作者：
Davis, SK
中科院分区：
文献类型：
--
作者：
Din-Dzietham, R;Nembhard, WN;Davis, SK
越来越多的证据表明，与工作紧张有关的压力和高血压之间存在联系。然而，关于工作中种族主义和种族歧视造成的压力的数据很少（RBDW）。本研究的目的是调查血压（BP）结果是否与非非洲裔美国人对非洲裔美国人的压力种族主义以及其他非洲裔美国人的RBDW呈正相关。大亚特兰大心脏病研究是一项基于人群的研究，包括356名年龄大于或等于21岁的非洲裔美国男性和女性，他们在1999-2001年间居住在格鲁吉亚的大亚特兰大市。197名来自非裔美国人的种族主义参与者和95名来自其他非裔美国人的RBDW参与者自我报告了感知压力。在门诊访视时测量坐位收缩压（SBP）和舒张压（DBP），是三次血压测量中最后两次的平均值。高血压自我报告为2次或2次以上访视时医生诊断的高血压。Logistic和最小二乘线性回归模型分别适用于每种类型的压力，调整年龄，性别，体重指数和应对能力。高血压的可能性显着增加，随着种族主义后，从非非洲裔美国人，但不是从RBDW从其他非洲裔美国人更高水平的感知压力;调整的比值比（95%CI）为1.4（1.0，1.9）和1.2（0.8，1.5）每单位的压力增量。调整后的SBP和DBP增加幅度之间的低和非常高的压力水平，相反，是更大的RBDW起源于非洲裔美国人比种族主义从非非洲裔美国人。在非裔美国人中，紧张的种族主义和RBDW遭遇与SBP和DBP升高以及高血压可能性增加相关。未来的研究与更大的样本量是必要的，以进一步探讨这些发现的机械理解和职业政策的考虑，减少压力风险。(C)2003爱思唯尔科技有限公司版权所有。
There is increasing evidence of an association between stress related to job strain and hypertension. However little data exist on stress from racism and race-based discrimination at work (RBDW). The objective of this study was to investigate whether blood pressure (BP) outcomes are positively associated with stressful racism towards African-Americans from non-African-Americans as well as RBDW from other African-Americans. The metro Atlanta heart disease study was a population-based study which included 356 African American men and women, aged greater than or equal to21 years, residing in metropolitan Atlanta, Georgia during 1999-2001. Perceived stress was self-reported by 197 participants for racism from non-African-Americans and 95 for RBDW from other African-Americans. Sitting systolic (SBP) and diastolic (DBP) BP were taken at a clinic visit and was the average of the last two of three BP measures. Hypertension was self-reported as physician-diagnosed high BP on 2 or more visits. Logistic and least-squares linear regression models were fit accordingly and separately for each type of stress, adjusting for age, gender, body mass index, and coping abilities. The likelihood of hypertension significantly increased with higher levels of perceived stress following racism from non-African-Americans, but not from RBDW from other African-Americans; adjusted odd ratios (95% CI) were 1.4 (1.0, 1.9) and 1.2 (0.8, 1.5) per unit increment of stress. The adjusted magnitude of SBP and DBP increase between low and very high level of stress, conversely, was greater when RBDW originated from African-Americans than racism from non-African-Americans. Stressful racism and RBDW encounters are associated with increased SBP and DBP and increased likelihood of hypertension in African-Americans. Future studies with a larger sample size are warranted to further explore these findings for mechanistic understanding and occupational policy consideration regarding stress risk reduction. (C) 2003 Elsevier Science Ltd. All rights reserved.